The Healthcare Safety Environment: A Study on Healthcare Workers and Predictors of Medical Errors
Globally, the healthcare system has always been plagued by medical mistakes. The aim of this research is to establish associations associated with the understanding of healthcare workers (HCW) in the prevention of medical errors in the atmosphere of their health facilities. Distinguished health systems now rely enormously on both adherence to the highest performance standards and the need to implement advanced, and sometimes advanced, innovations that provide the best interest of the patient and the provider with improved diagnostic and therapeutic opportunities. In this sample, as a model, healthcare providers from a range of health facilities will be surveyed in Cairo, Egypt. It will research the consistency of the workload (WL), burnout (BO), and leader-member exchange (LMX) and their influences on the understanding and attitude of the HCWs towards medical errors (ATEs). The results of this study were as follows: 2,260 (39.5 percent) of the 5,725 health professionals surveyed returned accurate responses. Other professions, e.g. 35.4% vs. 21.6% doctors, are mainly nursing. For male employees [t(df=2258)=0.106, p<0.05; t(df=2258)=1.22, p<0.05, respectively], both LMX and ATE scores were substantially higher. The scores for LMX and ATEs ranged by occupation [F(df=4, 2,255)=2.48, p=0.045]; doctors scored higher than technicians, nurses, and pharmacists, [F(df=4, 2,255)=6.65, p=0.02]. The LMX score of respondents increased by age [F(df=3, 2,237)=3.52, p=0.016]. By minimizing era, the burnout score decreased [F(df=3, 2,237)=3.37, p=0.042]. LMX and ATEs have also been substantially Correlated (r= 0.16, p=0.015); direct correlation of WL with BO (r= 0.351, p<0.001) but indirect correlation of WL with ATEs (r= 0.161, p<0.016). ATEs and BO were otherwise implicitly correlated (r=- 0.473, p<0.001). Significantly, the changes in ATEs were expected by BO (β=-0.032, p<0.001). Job experience was also a predictor of BO (β = −0.122, p=0.008). To conclude, job stressors have an effect on HCWs’ ATEs, particularly those under financial target pressure. Older health workers may play a role in combating the risk of medical errors in the arena of health care facilities, provided their favorable ATEs and LMX attitudes. Future study in Cairo health institutions on the pattern and determinants of medical errors is likely to use a hybrid methodological approach, such as sampling medical records for detailed clinical knowledge, examining reports of morbidity and mortality.
Author (s) Details
Dr. Raouf M. Afifi,
Community Health Research Institute, York Ridge International, Tampa, FL, USA and Healthcare Research Center, SA Consultancy and Training, Inc. Cairo, Egypt.
Dr. Majed Al Harthi
Academic Affairs, King Abdulaziz Specialist Hospital, Taif, Kingdom of Saudi Arabia
Dr. Ashraf E. Saad,
Department of Statistics and Information, Ministry of Health, Khartoum, Sudan
Dr. Amani S. Qulali,
Infinity Medical Group, Davenport, Iowa, USA.
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