Do you feel safe reporting errors?

[sweetdreame, BSN, RN]

I am doing DNP research on culture of safety and implications of disruptive and inappropriate behaviors in the clinical setting.

We know that often, several errors lead up to a critical or sentinel event occurring. The key to prevention is for staff to feel empowered and safe enough to report "near-misses" or opportunities for improvement.

The question I have for you is: in your job, do you feel safe enough to report...or do you feel you will be somehow reprimanded? Is there a "blame culture" on your unit?

[RiskManager]

I am going to be very interested to see the results of this poll. Speaking as the person to whom things are reported to, I have tried to follow the 'just culture' model, but it can be difficult to get people to self-report.

[sweetdreame, BSN, RN]

60 views, no responses!

[iluvivt, BSN, RN]

They claim they promote a just culture but the reality is that it is a blame game that is deeply imbedded in the organization.

[iluvivt, BSN, RN]

I see many near misses and I do share my ideas for prevention but their are egos involved and if you come up with a great idea and not an educator or someone in managment some feel threatened.If you reveal your intelligence even if it's done in a sharing and collabarative manner others can be threatened and then you are attached . It's one of the things I despise about nursing. Many times I decide to keep mouth shut if sharing my ideas means that it will backfire.There is a lot of deep seated jealousy with many...not all...but the bad ones are really bad!

[Remy Ox]

I do not feel "safe" really but I made one med error and reported it so it didn't harm pt

[CountryMomma, ASN, RN]

I'll answer via text, as polls aren't available in the mobile app.

No, I don't feel safe reporting near misses. No one asks me the circumstances around any near misses, it's just "unacceptable" and they offer remedial/ refresher classes.

[Been there,done that, ASN, RN]

I have worked in many facilities over the years. I have HEARD that self reporting SHOULD be blameless and is designed to identify the root cause of the error.

Unless the error caused harm to the patient.. I will keep MY mouth shut. It would be all up to my immediate manager to use it against me or not. Most of them would.

[apillarofsalt]

Nope. Definite blame culture.

[dishes, BSN, RN]

Is there a glitch with the poll? When I voted I received a message that I had already voted, even though I had only voted the once.

[LunaLovegood567]

Previous surg floor, yes. Current ASC, no.

[kskarzin91]

I don't believe there is a culture of blame at my employer. We have a QARM reporting system. It's used after every fall, medication error, sentinel event or any error. There was a situation where a doctor ordered a heparin drip on the wrong patient. It was reported through QARM system. The QARM system is seen as quality control and normally the one who made the error or the person following them who catches it reports it. I've been QARMed by the blood bank before because I drew a type and screen before the previous one was out of date. about 6 hours early. It would have expired at midnight. I didn't feel victimized or blamed. I honestly didn't know that it was policy not to and I thought I was following orders because it was ordered to be drawn by the physician. But now I know. It is use and viewed as a way to make care better. I was talked to by our nurse manager in a non threatening way and it was made clear it was a chance for her to educate me on why I shouldn't have drawn it.