Nurses’ identification and reporting of medication errors (original) (raw)
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Journal of patient safety and quality improvement, 2016
Introduction: Medication error is one of the quality problems in hospitals harming millions of people around the world every year. This study aimed to investigate the occurrence and reporting of medication errors by nurses in hospitals affiliated with Mashhad University of Medical Sciences, Mashhad, Iran. Materials and Methods: This descriptive cross-sectional study was conducted on 530 nurses selected by simple and stratified random sampling in 2014. Data were collected using a survey consisting of four sections and 66 questions, scored based on a Likert scale (87% return rate). Data analysis was performed in SPSS Version 18 using descriptive statistics, ANOVA test, and chi-square test. P-value of less than 0.05 was considered statistically significance. Results: The most prevalent medication errors by nurses was early or late administration of medication (43.7%), which was attributed to individual factors by the managers in the viewpoint of the nurses (mean: 3.66+1.3). In addition...
2014
Background: Medication errors are mentioned as the most common important challenges threatening healthcare system in all countries worldwide. This study is conducted to investigate the most significant factors in refusal to report medication errors among nursing staff. Methods: The cross-sectional study was conducted on all nursing staff of a selected Education& Treatment Center in 2013. Data was collected through a teacher made questionnaire. The questionnaires’ face and content validity was confirmed by experts and for measuring its reliability test-retest was used. Data was analyzed by descriptive and analytic statistics. 16th version of SPSS was also used for related statistics. Results: The most important factors in refusal to report medication errors respectively are: lack of reporting system in the hospital(3.3%), non-significance of reporting medication errors to hospital authorities and lack of appropriate feedback(3.1%), and lack of a clear definition for a medication err...
MEDICATION ERRORS BY NURSES AT MEDICAL-SURGICAL DEPARTMENTS OF A SAUDI HOSPITAL
JournalofPharmaceuticalNegativeResults, 2022
Background: Medication errors have a wide-ranging impact, affecting patients, families, healthcare personnel, hospitals, and even organizations. Medication error consequences range from no noticeable symptoms to death, and they are a significant cause of morbidity and mortality in patients. Many factors have been identified as potential causes of pharmaceutical errors. Nurses are seen as crucial players in the medication administration process, and as such, they may cause or report various types of drug errors at healthcare facilities. Aim: The study aimed to identify the medical-surgical floor nurses' perception of medication errors at King Saud Medical City (KSMC) in terms of frequency, types, and causes. Methods: This research used a descriptive, cross-sectional design including a convenient sample of 260 nurses working at different medical-surgical departments at KSMC in Riyadh, Saudi Arabia. The study utilized the Modified Gladstone scale in addition to the sociodemographic datasheet. The current study adhered to all ethical principles of scientific research. Results: Out of the two hundred sixty participants, 35% of them reported that they had three to four years of experience in medication administration, and 31.2% of them had 5 to 9 years of nursing experience. More than one-third of the participants reported that they didn't have any medication errors during their course of work. The most frequently reported causes of medication errors were illegible physician's handwriting, followed by the wrong drug dose prescription, then the nurses' exhaustion. According to the participants, 14.32 % of the medication errors were reported officially in the hospital using incident reports. About 75% of the participants had considered the six scenarios as situations that require informing the physician, 70.65% of them believed that the scenarios require formal reporting through incident reports, while only 68.08% of them perceived the scenarios as medication errors. Conclusion: Illegible handwriting of physicians, incorrect drug dose prescription, and nursing exhaustion were the most reported reasons of medication errors as revealed by participants; as a result, the management of those issues is crucial to reduce medication errors. Medication errors should be officially documented through incident reports. Because the percentage of reported medication error was low, hospitals must provide an open environment system for medication error reporting that is informative, confidential, and free of a penalty. It is critical to provide continuous education and on-the-job training for nurses in the hospital regarding medication administration.
Background and Aims: The incidence of medication errors is growing and resulting in serious patients' consequences such as hospitalization and death. Worldwide, there is a proliferation of studies about medication errors; however, such studies are absent in Jordan. This is the first nursing study about medication errors in Jordan, and this is one of few international comparative studies about the studied concepts. This study described medication errors in Jordan, as perceived by nurses.
Nurses' perceptions of drug errors in Hospitals
Aims: to assess nurse' perception of drug errors in the hospitals, and to identify the association between demographical characteristics and Nurses' perception of the causes of medication errors, also to find out the association between demographical characteristics and Nurses' reporting medication errors. Methodology: A descriptive study was conducted in three hospitals in Al-Najaf City; the data was collected from AL-Sadder Medical City, AL-Hakeem hospital, and Zahraa hospital from the period (May 8th-Sep. 29th 2012). The Sample of the study includes Fifty (50) nurses from these hospitals. A questionnaire was developed by the researcher to find out the nurses perception toward drug error, which consists of two parts: Part 1 consists demographical data, which includes age, gender, educational level, and years of experience, hospital, and place of work in the hospital. Part 2 consists a checklist which include (17) questions about the Nurses' perception of the causes of medication errors and nurses' reporting medication error. After gathering the data, data was analyzed through the use of descriptive data analysis (frequency and percentage) and the inferential data analysis. Results: majority of the sample (74%) were at age group (20-29) years. And (39%) of nurses were graduated from nursing school. Regarding the years of experience (44%) of nurses were with (7 years and above). (90%) of the nurses did not have clear instruction about some drugs. And (94%) of the nurses agree a medication error should be reported using an incident report. Conclusion: The nurses are most involved at the medication administration, although drug errors can occur when nurses did not have clear instruction about some drugs, or miscalculates the dose. Most of nurses were not reporting medication error due to some reasons that may lead them to lose their jobs Recommendation: The knowledge gained from this study can contribute to educational programs that promote the recognition of medication errors. The knowledge also can assist with system redesigns to reduce or eliminate barriers to reporting medication errors. Encourage nurses to strengthened patient safety programs through timely, accurate, and comprehensive reporting.
International Journal of Current Research, 2018
Background: Nurses in the critical care setting know that the causes of medication errors are both varied and complex. Medication errors have serious direct and indirect results and consequences on patient outcomes and the healthcare system overall. Nurses are considered key players in the medication administration process and may cause or report different forms of medication errors. The perception of nurses about medication errors has not been well-investigated to date in Jordan. Objectives: This study sought to describe nurses’ perceptions about medication errors in Jordanian hospitals, including what constitutes a medication error, causes of medication errors, what is reportable, the percentage of reporting, and what barriers to reporting exist. Methods: This descriptive cross-sectional study employed a self-report survey method to assess the perception of 300 critical care registered nurses from three governmental hospitals in Jordan who were selected using a cluster random sampling method. Results: Study findings revealed that the nurses surveyed had different perceptions about the causes and reporting of medication errors. Most of the nurses reported incidence of medication errors during their clinical practice. The estimated average of medication errors reported to the nurse manager using incident reports was about 61%. Using six clinical scenarios reflecting medication errors to assess the perception, 77% of nurses perceived the clinical scenarios to be medication errors, 68% of nurses believed that the events should be shared with the physician, and 57% believed that formal incident reports should be written for those events. The most prevalently perceived cause of medication errors was a failure of the nurse to check the patient's identification band when administering medications. The majority of participants suggested that nurses are usually sure when medication errors should be reported; however, the failure of them to report a medication error was largely because they did not think the error was serious enough to warrant reporting. Conclusions: Reporting medication errors should be recognized as opportunities for improvement rather than means for penalty. Medication errors indicate a defect in the healthcare system of the hospital, not individuals. Open channels of communication should be established between nurses and their managers in order to enhance medication error reporting. Moreover, special educational courses in medication handling should be included in the nursing undergraduate education and hospital orientation programs.
A Survey of Nursing Staff’s Perspective Regarding Reasons for Medication Errors
Journal of Critical Care Nursing, 2017
Background: Health care services are associated with risks for their recipients. Medication errors can lead to many negative consequences for the health care system, including prolonged hospital stay and increased cost per patient. The aim of this study was to investigate the nursing staff's perspective regarding reasons for medication errors in Ayatollah Kashani hospital, Shahrekord, Iran. Methods: 207 nurses working in the ICUs of the hospital were selected by convenience sampling and their comments about effective factors in the incidence of medication errors were investigated by a researcher-made questionnaire. To examine the reliability and validity of the questionnaire, we offered it to 5 nursing experts and necessary corrections were made based on the comments. The reliability of the questionnaire was also investigated by Cronbach's alpha coefficient that gave the value of 85%. The first section of the questionnaire consisted of questions about demographic characteristics and the second section investigated the reasons for medication errors in nursing-related area, workplace-related area, director of nursing-related area, and drug-related area. For each item, there were four choices, i.e. none, little, moderate, and much and therefore, the level of importance scored between 0 and 3. The data were analyzed by SPSS 17. Results: In this study, the most important reasons for medication errors were related to workload-induced fatigue (mean: 2.37) in the nurses-related area, high labor-intensity in department (mean: 2.32) in the workplace-related area, insufficient nursing staff proportional to the number of patients in department (mean: 2.41) in the director of nursing-related area, and drug name confusion in the drug-related area (mean: 2.04). Conclusions: The officials of health care systems should focus on the effective processes in reducing medication errors including appropriate training of the staff and holding in-service training sessions about drug information as well as appropriate planning for employment of adequate workforce.
Background: About one third of unwanted reported medication consequences are due to medication errors, resulting in one-fifth of hospital injuries. Objectives: The aim of this study was determined formal and informal medication errors of nurses and the level of importance of factors in refusal to report medication errors among nurses. Patients and Methods: The cross-sectional study was done on the nursing staff of Shohada Tajrish Hospital, Tehran, Iran in 2012. The data was gathered through a questionnaire, made by the researchers. The questionnaires' face and content validity was confirmed by experts and for measuring its reliability test-retest was used. The data was analyzed by descriptive statistics. We used SPSS for related statistical analyses. Results: The most important factors in refusal to report medication errors respectively were: lack of medication error recording and reporting system in the hospital (3.3%), non-significant error reporting to hospital authorities and lack of appropriate feedback (3.1%), and lack of a clear definition for a medication error (3%). There were both formal and informal reporting of medication errors in this study. Conclusions: Factors pertaining to management in hospitals as well as the fear of the consequences of reporting are two broad fields among the factors that make nurses not report their medication errors. In this regard, providing enough education to nurses, boosting the job security for nurses, management support and revising related processes and definitions are some factors that can help decreasing medication errors and increasing their report in case of occurrence.
Nurses' Experiences toward Perception of Medication Administration Errors Reporting
IOSR Journal of Nursing and Health Science, 2013
Background: Patient safety is a significant challenge facing healthcare systems today. An important part of patient safety is the issue of medication administration within the acute-care setting that has long been the focus of scrutiny and research because it contributes directly to patient morbidity and mortality. Aim: The current study aimed to assess the input from nurses based on their clinical experiences towards perception of occurrence and reporting of medication administration errors, as well as the extent to which errors are reported on their units. Design: The study used a descriptive cross-sectional survey using self-report questionnaire. Setting: The present study was carried out in all departments of King Khalid Public Governorate Hospital in Hafer El-Batin at Kingdom Saudi Arabia. Subjects: A convenience sample of 253 nursing staff worked in the previous mentioned setting. Tools: The data gathering tool was Medication Administration Errors (MAEs) Reporting Questionnaire which was developed by Wakefield et al. (1996) and was modified by the researchers. It contained 65 questions; 29 items regarding reasons why medication errors occur, 16 items regarding reasons why medication errors not reporting and 20 items regarding what percentage of each type of medication error actually reported on units which divided into 9 items for non intravenous and 11 items for intravenous medication administration errors. Results: This study suggested five categories for reasons of why MAEs occur and three categories for reasons of why MAEs not reporting. Nurses perceive low percentages of MAEs reporting. Emergency room was more likely to report medication administration errors than other units. Conclusion: Medication errors are common in clinical practice. Actually, reducing these errors requires the commitment of everyone with a stake in keeping patients safe; physician who wrote the prescription, pharmacist who dispensed it and the nurse who received the medicine and administered to the patient, all play an important role in preventing medication errors reaching to patient. Recommendation: This study recommended for provision of ongoing education & training on safe medication administration and utilization of medication information guide though developing self-report logbook.
Medication Administration Error Reporting Rate and Perceived Barriers Among Nurses in Turkey
Istanbul University - DergiPark, 2020
This study was planned to determine the barriers perceived by nurses in medication administration error (MAE) reporting. The data of this descriptive and crosssectional study were collected between January and April 2017. The universe of the study consisted of nurses working in two hospitals in Turkey (N=547). The sample of the study consisted of nurses who met the inclusion criteria of the study and agreed to participate in the study (n=253). The overall response rate is 64%. 90.5% of nurses are women. The mean age of the nurses was 33.5 years. Their mean nursing experience was 10.4 years (SD 8.43 years). Of the study population, only 32% experienced a medication administration error during their working lives and who had a medication error experience, 23.5% reported their error. The most common perceived barriers among nurses are "heavy workload" (81.4%), "fear of being accused by supervisor" (80.6%) and "management believes that medication administration error is caused by individual factors rather than system factors" (80.2%). It was observed that the nurses made a medication administration error, but the majority were not reported.