Section A: Respondents’ Socio-Demographic characteristics

1. What is your age? _________________(years)

2. What is your gender?

 Male  Female

3. What is your nationality?

 Saudi  Non-Saudi, please specify _________

4. What is your marital status?

 Single  Married  Divorced  Widower/Widow

5. What is your highest education level attained?

 College Diploma or  Bachelor degree  Master Degree

Below

 Doctoral  Others, please specify _________

6. What is your monthly income? _____________________ (Saudi Riyal)

7. What is your role/profession?

 General Nurse  Assistant Nurse  Critical Care Nurse

 Specialist Nurse  Others, please specify _________

8. In which department/ unit of the hospital are you currently working?

 Emergency room (ER)  Surgical Ward  Medical Ward

 Intensive care unit (ICU)  Others, please specify _________

9. How many years have you experienced in nursing??__________ years ________months

10. How long do you work WEEKLY in the hospital? _________________(Hours)

11. Did you attend any training course on medication error reporting in your hospital?

 Yes  No
Section B: Prevalence of Medication Error and Medication Error Reporting

Please tick one answer only (√) as appropriate for each part

1. Have you performed a medication error in your career?

 Yes  No

2. What type of medication error have you performed?

 Wrong patient  Wrong dose  Wrong route

 Wrong time  Wrong medication  Others________________

3. Have you reported the medication error that you have you performed?
 Yes  No
Section C: Perceived Barriers Toward Medication Error Reporting

(NOTE: 1= Strongly Disagree, 2= Disagree, 3= Not Sure, 4= Agree, and 5= Strongly Agree).

Strongly Disagree Not Agree Strongly

disagree sure agree
Items
1 2 3 4 5

1. Fear that the administrator will take the

error report as evidence for negatively
evaluating culpable staff.
2. Fear of being blamed and punished.

3. Fear of being blamed by a doctor.

4. Fear of incurring colleagues’ contempt.

5. Fear of losing one’s job.

6. Fear of causing patient-nurse disputes.

7. Fear that the error report may be used as

evidence in a law suit.
8. Fear of losing the trust of the patient and
family.
9. The patient has not been harmed, so there
is no need to report.
10. Lack of awareness that an error has
occurred.
11. Not sure who should report an error
committed by another nurse.
12. Lack of clarity about the definition of
‘medication administration errors’.
13. Unclear about how to operate the reporting
system and complete the requisite
procedures.
14. Reporting an error is time-consuming and
increases the workload.
15. Heavy, busy workloads militate against
immediate reporting.
16. The error has been reported to a doctor and
the necessary treatment undertaken; there
 is no need to report to the higher
authorities.
17. The reporting system does not guarantee
anonymity.
18. 1The error reporting system does not help
to improve care quality and safety.
19. 19 The head nurse considers that the
mistake is only minor, so there is no need
to report.
20. The perception that the administrator
believes that personal inadequacy rather
than systemic factors causes medication
errors.
21. Lack of positive feedback: the perception
that the administrator does not provide
strategies for correcting errors.
22. Fear of negative evaluation of ward
personnel by administrators.
Section D: Attitude Regarding Medication Error Reporting.

For each statement below, please tick (√) one option only for each item 1= strongly disagree, 2=
disagree, 3= neutral, 4= agree and 5= strongly agree

Scale
Strongl Disagree Neutra Agree Strongly
No. Statement y l agree
disagree
1 2 3 4 5
I would rather not report a medication error
1. than be blamed when I report it

I would rather not report a medication error

2. than risk being labeled a troublemaker

I would rather not report a medication error

3. for fear of my manager’s reaction

I would rather not report a medication error

4. than look incompetent in front of my
coworkers
I fear the punitive action or retribution
5.

I fear of judicial issues

6.

I fear of malpractice suits

7.

I fear media exposure to public

8.

I believe reporting medication errors makes

9. patients or their families to develop negative
attitude towards my profession
I believe reporting a medication error could
10. cost me my professional registration

I believe reporting a medication error could

11. cost me my honor and dignity

I believe reporting a medication error could

12. cost me my job

I believe some nurses do not report errors

13. because they fear punishment
 I believe some nurses do not report errors
14. because of different cultural view about what
constitutes an error
I believe sanctions against nurses should be
15. proportionate to the consequences of the
error and whether the nurse has self-reported
I believe in some circumstances it is better to
16. ignore a medication error

I believe most of the medication errors are

17. inevitable and non-avoidable

I believe educational interventions and

18. training courses can reduce medication errors
and consciously approach to with adverse
drug events.
I believe more studies and the using of
19. modern methods for drugs information are
essential for increasing of scientific and
practical skills
I believe use of bar coding technology on
20. medication labels can reduce medication
errors
I believe use of dispensing technology can
21. reduce medication errors

I believe it is important to report medication

22. errors even whether or not harm to the patient
may occur
I believe that patients and family have a right
23. to be told about medication errors whether or
not harm to the patient may occur

Thank you for your response!!!