Fiduciary duty in error reporting
Abstract
The letter centers around a recent study published in the Nursing Practice Today, titled “Medication errors occurrence and reporting: A qualitative study of the Jordanian nurses” (1), which sheds light on the experiences of Jordanian nurses regarding medication error incidence and factors that may influence their decisions to report or not. The study deserves praise for its insightful look at the critical issues of medication errors. Most importantly, this study calls for serious reflection on one’s moral duty in error reporting. Following this call, this commentary will be set on the fiduciary duty of the individual nurse and organization.
1. Coelho F, Furtado L, Mendonça N, Soares H, Duarte H, Costeira C, Santos C, Sousa JP. Predisposing factors to medication errors by nurses and prevention strategies: A scoping review of recent literature. Nursing Reports. 2024 Jun 26;14(3):1553-69.
https://doi.org/10.3390/nursrep14030117
2. Svitlica BB, Konstantinidis G. Factors contributing to non-reporting of medication errors. Global Pediatrics. 2024 Jun 1;8:100144.
https://doi.org/10.1016/j.gpeds.2024.100144
3. Saifan A.R, Dimitri A, Al-Yateem N, Shajrawi A, Hamdan K, Al-Habeis O.M, et al. Medication errors occurrence and reporting: A qualitative study of the Jordanian nurses experiences. Nursing Practice Today. 2024; 11(2): 141-9.
https://doi.org/10.18502/npt.v11i2.15405
4. Sharon I, Drach-Zahavy A, Srulovici E. The effect of outcome vs. process accountability-focus on performance: A meta-analysis. Frontiers in Psychology. 2022 Apr 27;13:795117.
https://doi.org/10.3389/fpsyg.2022.795117
5. Kleemola E, Leino-Kilpi H, Numminen O. Care situations demanding moral courage: content analysis of nurses’ experiences. Nursing Ethics. 2020 May;27(3):714-25. https://doi.org/10.1177/0969733019897780
6. Van Baarle E, Hartman L, Rooijakkers S, Wallenburg I, Weenink JW, Bal R, Widdershoven G. Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Services Research. 2022 Aug 13;22(1):1035. https://doi.org/10.1186/s12913-022-08418-z
7. Afaya A, Konlan KD, Kim Do H. Improving patient safety through identifying barriers to reporting medication administration errors among nurses: an integrative review. BMC Health Services Research. 2021 Dec; 21(1): 1156. https://doi.org/10.1186/s12913-021-07187-5
8. Paradiso L, Sweeney N. Just culture: It's more than policy. Nursing Management. 2019 Jun 1;50(6):38-45. https://doi.org/10.1097/01.NUMA.0000558482.07815.ae
9. Hong N, Qichao N, Dong C, Chunling T, Dong P, Xinyu L, Yu S, Shilong L, Yuhuan Z. A study on different types of moral courage and coping styles of clinical nurses: based on potential profile analysis. BMC Nursing. 2023 Nov 8;22(1):418.
https://doi.org/10.1186/s12912-023-01590-5
10. Jayasinghe S. Kind, Firm, and Fair Medical Regulation: A Systems Approach and Six Ethical Principles. Journal of Medical Regulation. 2024 Nov 1;110(3):33-7.
https://doi.org/10.30770/2572-1852-110.3.33
https://doi.org/10.3390/nursrep14030117
2. Svitlica BB, Konstantinidis G. Factors contributing to non-reporting of medication errors. Global Pediatrics. 2024 Jun 1;8:100144.
https://doi.org/10.1016/j.gpeds.2024.100144
3. Saifan A.R, Dimitri A, Al-Yateem N, Shajrawi A, Hamdan K, Al-Habeis O.M, et al. Medication errors occurrence and reporting: A qualitative study of the Jordanian nurses experiences. Nursing Practice Today. 2024; 11(2): 141-9.
https://doi.org/10.18502/npt.v11i2.15405
4. Sharon I, Drach-Zahavy A, Srulovici E. The effect of outcome vs. process accountability-focus on performance: A meta-analysis. Frontiers in Psychology. 2022 Apr 27;13:795117.
https://doi.org/10.3389/fpsyg.2022.795117
5. Kleemola E, Leino-Kilpi H, Numminen O. Care situations demanding moral courage: content analysis of nurses’ experiences. Nursing Ethics. 2020 May;27(3):714-25. https://doi.org/10.1177/0969733019897780
6. Van Baarle E, Hartman L, Rooijakkers S, Wallenburg I, Weenink JW, Bal R, Widdershoven G. Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Services Research. 2022 Aug 13;22(1):1035. https://doi.org/10.1186/s12913-022-08418-z
7. Afaya A, Konlan KD, Kim Do H. Improving patient safety through identifying barriers to reporting medication administration errors among nurses: an integrative review. BMC Health Services Research. 2021 Dec; 21(1): 1156. https://doi.org/10.1186/s12913-021-07187-5
8. Paradiso L, Sweeney N. Just culture: It's more than policy. Nursing Management. 2019 Jun 1;50(6):38-45. https://doi.org/10.1097/01.NUMA.0000558482.07815.ae
9. Hong N, Qichao N, Dong C, Chunling T, Dong P, Xinyu L, Yu S, Shilong L, Yuhuan Z. A study on different types of moral courage and coping styles of clinical nurses: based on potential profile analysis. BMC Nursing. 2023 Nov 8;22(1):418.
https://doi.org/10.1186/s12912-023-01590-5
10. Jayasinghe S. Kind, Firm, and Fair Medical Regulation: A Systems Approach and Six Ethical Principles. Journal of Medical Regulation. 2024 Nov 1;110(3):33-7.
https://doi.org/10.30770/2572-1852-110.3.33
| Files | ||
| Issue | Vol 12 No 2 (2025): Spring | |
| Section | Letter to Editor(s) | |
| DOI | https://doi.org/10.18502/npt.v12i2.18333 | |
| Keywords | ||
| fiduciar; ethics; nurses; errors; healthcare | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Zolkefli Y. Fiduciary duty in error reporting. NPT. 2025;12(2):114-116.
