Factors influencing the reporting of medication errors and near misses among nurses: A systematic mixed methods review.

Autor: Braiki, Raouaa, Douville, Frédéric, Gagnon, Marie‐Pierre
Předmět:
Zdroj: International Journal of Nursing Practice (John Wiley & Sons, Inc.); Dec2024, Vol. 30 Issue 6, p1-19, 19p
Abstrakt: Aim: This study aimed to systematically review empirical evidence on factors influencing nurses to report medication errors and near misses. Background: There is underreporting of medication errors among nurses, in particular among novice and beginner nurses. To improve quality of care, factors influencing the reporting of medication errors and near misses should be documented. Method: A systematic mixed methods review was conducted. CINAHL, Cochrane Collaboration, Embase, Medline, PsycINFO and Web of Science databases were explored and analysed from December 1990 to December 2023. Two reviewers independently selected and extracted data using a standardized data extraction grid. Data were analysed using thematic analysis based on the adapted theory of planned behaviour. Results: Forty‐two studies met the eligibility criteria. Principal factors influencing the reporting of medication errors and near misses among nurses were associated with perceived behavioural control, subjective norm and attitude. Few studies examined factors influencing reporting medication errors and near misses among novice and beginner nurses, and sociodemographic and professional factors. Conclusion: To understand factors influencing reporting of medication errors and near misses, further studies should be conducted to investigate sociodemographic and professional factors. Summary statement: What is already known about this topic? Medication errors are a real public health problem.Nurses play a crucial role in patient safety process and in reporting medication errors.There is under‐reporting of medication errors, in particular among novice and beginner nurses. What this paper adds? Lack of a clear definition of medication errors, lack of feedback, blaming system, fear of the reaction of others and fear of reporting consequences are the main factors influencing reporting of medication errors.There is a lack of studies that investigate sociodemographic and professional factors influencing reporting of medication errors.Few studies have investigated factors related to reporting medication errors and near misses among novice and beginner nurses. The implication of this paper: Further studies should be carried out to investigate sociodemographic and professional factors in order to identify more factors influencing the reporting of medication errors and near misses among nurses.More research is necessary to study factors influencing reporting medication errors and near misses among novice and beginner nurses.Results of this study may orient managers to develop strategies to encourage nurses to report medication errors and near misses without fear of blaming. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index