Prevalence of medical errors in Iran: A systematic review and meta-Analysis

Vaziri, S. and Fakouri, F. and Mirzaei, M. and Afsharian, M. and Azizi, M. and Arab-Zozani, M. (2019) Prevalence of medical errors in Iran: A systematic review and meta-Analysis. BMC Health Services Research, 19 (1).

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Abstract

Background: Medical errors are considered as a major threat to patient safety. To clarify medical errors' status in Iran, a review was conducted to estimate the accurate prevalence of medical errors. Methods: A comprehensive search was conducted in international databases (MEDLINE, Scopus and the Web of Science), national databases (SID, Magiran, and Barakat) and Google Scholar search engine. The search was performed without time limitation up to January 2017 using the MeSH terms of Medical "error(s)" and "Iran" in Endnote X5. Article in English and Persian which estimated the prevalence of medical errors in Iran were eligible to be included in this review. The JBI appraisal instrument was used to assess the quality of included studies, by two independent reviewers. The prevalence of medical errors was calculating using random effect model. Stata software was used for data analysis. Results: In 40 included studies, the most frequent occupational group observed were nursing staff and nursing students (21 studies; 52 of studies). The most reported type of error was medication error (25 studies; 62 of studies, with prevalence ranged from 10 to 80). University or teaching hospitals (30 studies; 75 of studies) as well as, internal/intensive care wards (10 studies; 25 of studies) were the most frequent hospitals and wards detected. Based on the result of the random effect model, the overall estimated prevalence of medical errors was 50 (95 confidence interval: 0.426, 0.574). Conclusion: Result of the comprehensive literature review of the current studies, found a wide variation in the prevalence of medical errors based on the occupational group, type of error, and health care setting. In this regards, providing enough education to nurses, improvement of patient safety culture and quality of services and attention to special wards, especially in teaching hospitals are suggested. © 2019 The Author(s).

Item Type: Article
Additional Information: Export Date: 16 February 2020 Correspondence Address: Arab-Zozani, M.; Social Determinants of Health Research Center, Birjand University of Medical SciencesIran; email: morteza.arab.zozani@gmail.com
Uncontrolled Keywords: Iran Medical errors Prevalence Systematic review adult attention data analysis drug safety education female human intensive care male Medical Subject Headings medication error Medline nursing staff nursing student patient safety review Scopus search engine software teaching hospital Web of Science meta analysis Hospitals, Teaching Humans Medication Errors Students, Nursing
Subjects: W General medicine- Health professions
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib1 lib1
Date Deposited: 27 Jun 2020 05:48
Last Modified: 27 Jun 2020 05:48
URI: http://eprints.mums.ac.ir/id/eprint/18684

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