Abstract
Patient safety issues, including safety climate and medication safety, are central concerns for the nursing profession and nurses' job responsibility. Creating an environment conducive to reporting errors requires and related to a systems approach to patient safety and safety climate. Therefore, this study aimed to assess nurses' perceptions of safety climate and barriers to report medication errors. The study conducted at all in-patient medical and surgical care units at Alexandria Main University Hospital. A random sample of (50%) staff nurses (N = 204) who working in the previous units were included. Safety Climate Scale (SCS) was used to measure nurses' perceptions of safety climate. Barriers to Reporting Medication Administration Errors Questionnaire (BRMAE-Q) was used to measure nurses' perceptions of barriers to report medication errors. Nurses perceived high safety climate in their units and perceived that the most barriers that hinder them to report medication errors are "Disagreement over what is medication error and its definition, and power distance". While, reporting effort is the least barrier to report medication errors. Also, there was a positive significant correlation between nurses' perception of overall safety climate and perceived barriers to report medication errors. Nurses might perceive that safe work climate could be related to their unreporting of medication errors. Continuous in-service educational programs on quality and safety including safe work environment and safe climate as well as a blame-free culture for reporting errors are recommended.