DOI: 10.4103/jehp.jehp_89_25 ISSN: 2277-9531

Knowledge sharing: The key to improving medical error reporting in nursing

Shams Al Sadat Seyyed Hosseini, Marzieh Adel Mehraban, Shima Haghani
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BACKGROUND:

Medical errors pose significant clinical, economic, and safety challenges in healthcare. Error reporting enhances learning and reduces incidents, yet barriers persist. This study evaluates the impact of knowledge management on reducing barriers to the medical error reporting among nurses.

MATERIALS AND METHODS:

A quasi-experimental study was conducted in 2024 at Velayat Hospital, Damghan, Iran, with 62 nurses (bachelor’s/master’s degree holders) randomly assigned to the intervention ( n = 31) and control ( n = 31) groups. The intervention group used an anonymous reporting bot, received “lessons learned” feedback every 10 days, and participated in the brainstorming sessions over 3 months. The control group followed standard reporting without feedback. Barriers were assessed pre- and post-intervention using Mardani’s Medical Error Reporting Barriers Questionnaire. Data were analyzed with SPSS v22 using paired and independent t-tests.

RESULTS:

In both the control and intervention groups, women represented 83.9% in the control group and 65.5% in the intervention group. Those holding a bachelor’s degree accounted for 90.3% in the control group and 96.6% in the intervention group, and permeant employment 61.3% in the control group and 65.5% in the intervention group. Women comprised 83.9% (control) and 65.5% (intervention) of participants. The intervention group showed the significant reduction in barriers (mean: 3.36 ± 0.68 to 2.53 ± 0.40, P < 0.001), while the control group showed no change (3.26 ± 0.65 to 3.33 ± 0.66, P > 0.05).

CONCLUSION:

Knowledge management significantly reduces barriers to error reporting, offering a scalable strategy for health policy to the enhance patient safety.

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