Clinical Errors Committed By New Graduate Nurses with Developmental Disorder Tendencies in Japan

Document Type : Brief Report

Authors

1 Department of Nursing, Nagoya University Graduate School of Medicine.

2 Kobe City College of Nursing

3 Faculty of Nursing, Yamanashi Prefectural University

Abstract

Introduction:
The present nationwide survey was carried on new graduate nurses in Japan who were identified with difficulties in acquiring occupational skills in their first year of employment by their nursing managers. The characteristics of the nurses in their first year of employment, reported by their direct supervisors, were assessed to identify developmental disorder tendencies (DDT). The errors committed during the first year of employment were compared between the nurses with and without DDT. The level of incident aftermath, developed by the National University Hospital Council of Japan, was used for comparison. The nurses with DDT committed higher levels of clinical errors, compared to those without DDT; however, mild levels of sequential injuries were reported. The results of this study indicated that support provided to such nurses may be insufficient. Support programs particularly focusing on DDT may reduce the clinical errors committed by new graduate nurses. Additionally, the determination of specific tendencies contributing to clinical errors is warranted.

Keywords

References

  1. Tanaka M, Tanaka K, Takano T, Kato N, Watanabe M, Miyaoka H. Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. BMJ Qual Saf 2012; 21: 784–90.
  2. Garrouste-Orgeas M, Perrin M, Soufir L, Vesin A, Blot F, Maxime V, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Intensive Care Med 2015; 41: 273–84.
  3. Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, et al. Burnout and medical errors among American surgeons. Ann Surg 2010; 251: 995–1000.
  4. Gormley GJ, Brennan C, Dempster M. ‘What … you can't tell left from right?’ Medical students’ Ikematsu Y, et al Clinical Errors By New Graduate Nurs es 64 PSQI J, Vol. 9, No. 1, Win 2021 experiences in making laterality decisions. Med Educ 2019; 53: 458–66.
  5. Ikematsu Y, Egawa, K, Endo, M. Prevalence and retention status of new graduate nurses with special support needs in Japan. Nurse Educ Pract 2019; 36: 28-33.
  6. Ministry of Education Culture Sports Science and Technology. Results of national survey on main-stream elementary and junior high school students with special educational needs (Japanese). Kyoiku Igaku 2003; 51: 285–90.
  7. National University Hospital Council of Japan. Medical error disclosure guideline for national university hospitals (revised ed.) 2012. (Japanese) [cited 2021 February 4]. Available from: http:// nuhc.jp/ Portals/0/ images/ activity/report/sgst_category/safety/incidentca tegory.pdf.
  8. Breslin FC, Pole JD. Work injury risk among young people with learning disabilities and attention-deficit/hyperactivity disorder in Canada. Am J Public Health 2009; 99: 1423–30.
  9. Royal College of Nursing. Dyslexia, dyspraxia and dyscalculia: a guide for managers and practitioners London 2010. [cited 2020 Mar 10. Available from: https://nadp-uk.org/wpcontent/uploads/2015/02/RCN_guide_for_splds _-_managers_and_practitioners.pdf.
Journal of Patient Safety & Quality Improvement
Volume 9, Issue 1
January 2021
Pages 61-64

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