Objective:
To identify fall incidents and medication errors reported in a general private hospital and to introduce the causal factors categories of these incidents.
Methods:
Cross-sectional and exploratory study based on 62 reported incidents within the period of study. The research instrument was created in order to collect data from notification forms and patients' medical records. The content validation of the instrument was performed by judges. Two teams were set up to analyze the root cause of incidents and to categorize the causal factors.
Results:
Within the period of study, 62 incidents were reported, of which 11 were falls and 51 were medication errors. Most of the fall were from own height, and the main medication error types were omission and timing. Out of the 19 analyzed incidents, a total of 118 causal factors were identified, most of which were related to systemic failures, followed by individual and patients failures.
Conclusion:
Medication errors occur more frequently than fall accidents.The root cause team analyzed 14 medication errors with potential to cause harm and five fall accidents, with 83 and 35 identified causal factors respectively.
Quality of health care; Patient safety; Accidental falls; Medication errors; Risk management; Medication system, hospital