Razi Journal of Medical Sciences

 Background: Error detecting is known as basis of patient safety improvement .With ethical and professional commitment providers for disclosing the error report, errors reporting among nurses is much less than the actual amount. The purpose of this study was to investigate nurse managers perspectives about reasons for not reporting medical errors in Firoozgar Hospital.

 Methods:This study was a descriptive cross-sectional,analytical study in 1391 among all supervisors were in Firoozgar Hospital.Data were gathered by questionnaire.The questionnaire included demographic information and the second part of the questionnaire was about effective factors in lack of their reporting. Data was analyzed by descriptive statistics using SPSS.

 Results: In this study reasons for not reporting error divided to legal, supervisional rules, financial and organizational culture factors.The results of the present investigation showed that fear of punishment by direct supervisor and high work load , exposed to accuse and unimportant and unhelpful error reporting were most important. Creating an extra work for the person (for reporting) and losing reputation and business perspective had the highest importance. Also supervisors had different important views about being cost-effective report and canceling the contract .Some of them believed that not being cost-effective And canceling the contract report had the least important but others thought vice versa.

 Conclusion:Fear of consequences reporting was one of the most important reason for not reporti. It is essential to develop an efficient system to document and report errors in order to decrease medication errors. So nursing managers should react positively towards the reports of medication errors by nursing .