PROFESSION AND SOCIETY
Recovered Medical Error Inventory
Article first published online: 9 JUL 2010
© 2010 Sigma Theta Tau International
Journal of Nursing Scholarship
Volume 42, Issue 3, pages 314–318, September 2010
How to Cite
Dykes, P. C., Rothschild, J. M. and Hurley, A. C. (2010), Recovered Medical Error Inventory. Journal of Nursing Scholarship, 42: 314–318. doi: 10.1111/j.1547-5069.2010.01356.x
- Issue published online: 25 AUG 2010
- Article first published online: 9 JUL 2010
- Accepted: March 31, 2010
- Instrument development;
- nursing surveillance;
- medical errors;
- patient safety
Purpose: To describe the development and psychometric testing of the Recovered Medical Error Inventory (RMEI).
Design and Methods: Content analysis of structured interviews with expert critical care registered nurses (CCRNs) was used to empirically derive a 25-item RMEI. The RMEI was pilot tested with 345 CCRNs. The data set was randomly divided to use the first half for reliability testing and the second half for validation. A principal components analysis with Varimax rotation was conducted. Cronbach's alpha values were examined. A t test and Pearson correlation were used to compare scores of the two samples.
Findings: The RMEI consists of 25 items and two subscales. Evidence for initial reliability includes a total scale alpha of .9 and subscale alpha coefficients of .88 (mistake) and .75 (poor judgment).
Conclusions: The RMEI subscales have satisfactory internal consistency reliability and evidence for construct validity. Additional testing is warranted.
Clinical Relevance: A tool to measure CCRNs’ experiences with recovering medical errors allows quantification of nurse surveillance in promoting safe care and preventing unreimbursed hospital costs for treating nosocomial events.