Predicting Factors Affecting the Reporting of Medical Errors by Nurses Using the Theory of Planned Behavior: A Study in Iran.

Background: Medical error reporting serves as a crucial indicator of healthcare professionals' commitment, accountability, and reliability, which ensures patient rights, and also functions as a mirror of organizational culture, reflecting staff attitudes and practices regarding patient safety. This...

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Publicado en:Health Services Insights Vol. 19; pp. 1 - 13
Autores principales: Izadi, Omolbanin, Raeyat Mohtashami, Abolfazl, Delavari, Sajad, Nikmaram, Maryam, Ravangard, Ramin
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 6/16/2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 6/16/2026
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        atl: Predicting Factors Affecting the Reporting of Medical Errors by Nurses Using the Theory of Planned Behavior: A Study in Iran.
      aug:
        au:
          Izadi, Omolbanin
          Raeyat Mohtashami, Abolfazl
          Delavari, Sajad
          Nikmaram, Maryam
          Ravangard, Ramin
        affil: Department of Health Services Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Iran
      sug:
        subj:
          Voluntary Reporting Evaluation
          Treatment Errors
          Nursing Staff, Hospital Psychosocial Factors
          Ajzen's Theory of Planned Behavior
          Academic Medical Centers Iran
          Iran
          Human
          Applied Research
          Cross Sectional Studies
          Simple Random Sample
          Questionnaires
          Structural Equation Modeling
          Self Report
          Confidence Intervals
          Coefficient alpha
          Stratified Random Sample
          Summated Rating Scaling
          Scales
          Descriptive Statistics
          Prediction Models
          Internal Consistency
          Criterion-Related Validity
          Discriminant Validity
          Control (Psychology)
          Intention
          Nurse Attitudes
          Male
          Female
          Male
          Female
      ab: Background: Medical error reporting serves as a crucial indicator of healthcare professionals' commitment, accountability, and reliability, which ensures patient rights, and also functions as a mirror of organizational culture, reflecting staff attitudes and practices regarding patient safety. This study was conducted to predict factors affecting nurses' medical error reporting behavior using the theory of planned behavior (TPB) at Shiraz University of Medical Sciences, Iran, in 2024. Methods: This applied, cross-sectional study examined 280 nurses working in teaching hospitals. The required samples were selected using stratified random sampling proportional to size and simple random sampling methods. Data were collected using the Persian version of the medical error reporting questionnaire developed by Seyedin et al based on the theory of planned behavior and were analyzed and modeled through structural equation modeling (SEM) using Smart PLS 3.0. Results: The results showed that the model demonstrated a relatively strong overall fit (GOF = 0.342, SRMR <0.08, RSM Theta <0.12), and all its constructs were associated with and demonstrated predictive power for behavior, so that both direct and indirect paths on behavior were statistically significant (P <.001). However, perceived behavioral control (β =.385; f 2 = 0.161) and behavioral intention (β =.378; f 2 = 0.155) showed the strongest direct associations, and control beliefs (β =.175; f 2 = 0.730) exhibited the greatest indirect association on behavior. Conclusion: The findings indicated that improving medical error reporting requires comprehensive attention to both behavioral and cognitive characteristics of nursing staff and providing a supportive environment that reinforces positive beliefs and attitudes toward error reporting. Practical recommendations include facilitating access to reporting systems, giving continuous feedback about reported errors to nurses and providing them with positive consequences, considering various rewards for timely and accurate reporting of medical errors, and creating continuous supportive mechanisms.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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