RESUMEN
Introduction: Medication errors may occur at every stage of the medicines prescription and distribution processes and as nurses can give more than 150 medicines to patients in one work shift, they are in the first line of medical errors. This study was done to investigate the factors associated with nurses' refusal to error reporting in one of the largest teaching hospitals affiliated to Mashhad University of Medical Sciences
Method: In this cross - sectional, descriptive analytic study, a medication errors questionnaire containing 66 questions was distributed among 100 nurses in different hospital departments which were selected by stratified and simple random sampling. Descriptive statistics was used to determine the most important occurred errors and the reasons for them and one way ANOVA and independent t-test were used to determine the relationship of the causes of medication errors and refusal to error reporting with nurses' demographic factors. Data were analyzed through SPSS18 software
Results: According to the obtained findings, 87.6% of nurses were female, 85.9% were married and 47.1% were circulating nurses. "Giving medicines to the patients earlier or later than the prescribed time" was the most occurred error [48.8%]. "Fear of getting involved with law enforcement," was the most important cause of refusal to error reporting [3.48+/-1.53] and "heavy workload" was the main reason of error occurrence [4.18+/-1.1]
Conclusion: Medication errors, however minor, can cause complications. To reduce medication errors, re-education classes in relation to pharmacological information, encouragement of nurses to report medical errors and positive reaction of head nurses are required
RESUMEN
The Effectiveness and success of an organization depends on two factors; one is the employees' Performances and the other is the level of understanding between managers and employees in prioritize of different job motivators. The aim of this study was to determine factors that affect staffs' performances in Qazvin teaching hospitals based on the Herzberg's theory. This research was a descriptive study. To achieve the main aim of this study, one hundred and ten employees were selected through a multi- stage sampling method .In this study, for data collection a self-report questionnaire was used. The five-point Likert scale was used to determine the degree of importance of any hygiene and multinational's factors affecting the performance of the employees. Among hygiene factors, the prevailing place was for Job security with an average 4/39 and then followed by a suitable salary with an average 4/38 of 5 scores. Among multinational's factors, job responsibility with an average 4/38 and job interest with an average 4/38 were placed as the most important factors in employees' performance.%70/8 employees mentioned that two factors of suitable salary and job security are the most important obstacle for improvement of employee's performance. The data of this study reveals that, Attention and Planning in providing proper salary and job security as hygiene factors and sense of responsibility and success as motivational factors, may play a more effective role in improving employees' performance than any other factors