Factors associated with medication administration errors and why nurses fail to report them
| Autor: | Omar Abu Yahya, Baraa M. Hammoudi, Samantha Ismaile |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Attitude of Health Personnel media_common.quotation_subject Saudi Arabia Pharmacy Nursing Staff Hospital Health informatics 03 medical and health sciences Patient safety 0302 clinical medicine Informed consent Surveys and Questionnaires medicine Humans Medication Errors 030212 general & internal medicine media_common Response rate (survey) Risk Management Teamwork 030504 nursing business.industry Public Health Environmental and Occupational Health Workload Middle Aged Institutional review board medicine.disease Cross-Sectional Studies Female Patient Safety Medical emergency 0305 other medical science business |
| Zdroj: | Scandinavian Journal of Caring Sciences. 32:1038-1046 |
| ISSN: | 0283-9318 |
| DOI: | 10.1111/scs.12546 |
| Popis: | Background Patient safety is a significant challenge facing healthcare systems. The administration of medication is pivotal to patient safety, and errors in drug administration are associated with mortality and morbidity. In this study, we assessed the factors contributing to the occurrence and reporting of medication errors from the nurse's perspective. Methods In this descriptive cross-sectional study, we distributed a validated questionnaire to 367 nurses at a large public hospital and obtained a response rate of 73.4%. The questionnaire comprised 65 questions, including 29 on the causes of medication errors, 16 on the reasons why medication errors are not reported and 20 that estimated the percentages of the different medication errors actually reported. Informed consent was obtained from all participants, and the anonymity and confidentiality of participants' information were preserved throughout the process. This study received institutional review board approval. Descriptive statistics were used for data analysis. Results The main factors associated with medication errors by nurses were related to medication packaging, nurse-physician communication, pharmacy processes, nurse staffing and transcribing issues. The main barriers to the reporting of errors by nurses were related to the administrative response, fear of reporting and disagreements regarding the definitions of errors. Conclusion Medication errors by nurses are related to medication packaging, poor communication, unclear medication orders, workload and staff rotation. To prevent medication errors, teamwork must be improved. All healthcare settings should emphasise awareness of the culture of safety, provide support and guidance to nurses and improve communication skills. We also recommend the use of integrated health informatics, including computerised drug administration systems. The limitations of this study include the potential for nonresponse bias associated with the sampling method. Further research is required to explore the complex and multidimensional causes of medication errors and review the responses of nurses regarding the errors reported. |
| Databáze: | OpenAIRE |
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