Skip to Main content Skip to Navigation
Master Thesis

La verbalisation de l'erreur par les sages-femmes

Abstract : Context: error, unlike fault, is not intentional. Many errors are corrected spontaneously. In aeronautics, the risk of accidental death is lower compared to medicine. In this discipline, talking about mistakes, even those with no consequences, is advocated. This helps to prevent them from happening again. Some methods have begun to be developed in medicine such as morbi-mortality reviews, adverse event records with the possibility of anonymization... It is important to accept a reality: error is inherent in any human activity. It is not possible to eliminate error in a working environment with humans. Objectives: the main objective of this study was to assess midwives’ behaviour when confronted to a mistake they made. They can either talk about it, wait to find out if the mistake has a consequence to talk about it or not talk about it at all. A secondary objective of this assessment was to identify the determinants that could influence the verbalization of these mistakes.Population and method: We conducted a quantitative, observational study for salaried midwives in the hospital sector using a questionnaire in the form of an anonymous online form from October 7, 2018 to December 29, 2018. Main results: we collected 1009 responses for our questionnaire. Few midwives did not talk about their mistakes (0.4%), but 16.5% waited to know if the mistake had a consequence to talk about it. Midwives that are young, recently graduated or recently practiced in their maternity wards as well as those who have never attended morbi-mortality reviews were more likely to wait to know if the error had a consequence to talk about it (p≤0,002). When the atmosphere at the morning obstetrical staff was conducive to talking about their mistakes, midwives tended to talk about their mistakes without waiting to know if there were any consequences (p<0.001). Midwives with good relationships with their fellow physicians were more likely to tell them about their mistakes. When the error had no real consequence, midwives were more likely to talk to their midwifery colleagues than to their physician colleagues (p<0.001). Conclusion: our study shows that the midwife's verbalization of error depends on many factors, as well as the importance of sensitizing some midwives to the verbalization of error even without consequences to learn from their mistakes, to avoid its recurrence and thus improve patient safety.
Complete list of metadatas

Cited literature [43 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-02382903
Contributor : Esf Upd <>
Submitted on : Wednesday, November 27, 2019 - 2:13:01 PM
Last modification on : Friday, October 23, 2020 - 4:49:23 PM

File

memoire_esfbaudelocque_ Perche...
Files produced by the author(s)

Licence


Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License

Identifiers

  • HAL Id : dumas-02382903, version 1

Citation

Pauline Perchet. La verbalisation de l'erreur par les sages-femmes. Gynécologie et obstétrique. 2019. ⟨dumas-02382903⟩

Share

Metrics

Record views

61

Files downloads

44