Volume 35, Issue 1 pp. 104-119
RESEARCH ARTICLE

Adverse events in Malaysia: Associations with nurse's ethnicity and experience, hospital size, accreditation, and teaching status

Mu'taman Jarrar

Corresponding Author

Mu'taman Jarrar

Vice Deanship for Quality and Development, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

Medical--> Education Department, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia

Correspondence

Mu'taman Jarrar, Medical Education Department, Vice Deanship for Quality and Development, College of Medicine, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Dammam 31441, Saudi Arabia.

Email: [email protected]; [email protected]

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Mohammad Al-Bsheish

Mohammad Al-Bsheish

Healthcare Administration Department, Batterjee Medical College, Jeddah, Saudi Arabia

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Latefa Ali Dardas

Latefa Ali Dardas

Community Mental Health Nursing Department, School of Nursing, The University of Jordan, Amman, Jordan

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Ahmed Meri

Ahmed Meri

Department of Medical Instrumentation Techniques Engineering, Al-Hussain University College, Karbala, Iraq

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Mohd Sobri Minai

Mohd Sobri Minai

College of Business, Universiti Utara Malaysia, Changlun, Malaysia

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First published: 04 July 2019
Citations: 18

Summary

Purpose

In Malaysia, private healthcare sector has become a major player in delivering healthcare services alongside the government healthcare sector. However, wide disparities in health outcomes have been recorded, and adverse events in these contexts have yet to be explored. The purpose of this study was to explore associations between nurse's ethnicity and experience, hospital size, accreditation, and teaching status with adverse events in Malaysian private hospitals.

Methods

A cross-sectional survey was conducted in 12 private hospitals in Malaysia. A total of 652 (response rate = 61.8%) nurses participated in the study. Data were collected using self-administered questionnaire on nurses' characteristic, adverse events and events reporting, and perceived patient safety.

Results

Patient and family complaints events were the most common adverse events in Malaysian private hospitals as result of increased cost of care (3.24 ± 0.95) and verbal miscommunication (3.52 ± 0.87).

Conclusion

Hospital size, accreditation status, teaching status, and nurse ethnicity had a mixed effect on patient safety, perceived adverse events, and events reporting. Policy makers can benefit that errors are related to several human and system related factors. Several system reforms and multidisciplinary efforts were recommended for optimizing health, healthcare and preventing patient harm.

CONFLICTS OF INTEREST

The author has declared that she has no competing or potential conflicts of interest.

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