Factors associated with medication administration errors and why nurses fail to report them

Hammoudi, Baraa M.; Ismaile, Samantha; Yahya, Omar Abu

doi:10.1111/scs.12546

Cited by 84 publications

(119 citation statements)

References 17 publications

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“…Studies previously done elsewhere, have similarly found erroneous prescriptions among the most contributing factors to MAEs, where nurses experience drug errors occurring when a physician prescribes a wrong dose [38,45] as well as when physicians allot insufficient time to discuss suggested care with nurses. Similar to the present study; Hammoudi, Ismaile & Abu-Yahya (2017) recently found low agreement rates given in response to questions on transcribing documentation factors in their study [41], indicating the low perception or consideration by nurses of the scale items as a possible cause of MAEs.…”

Section: Discussionsupporting

confidence: 87%

“…A further comparison of the medication packaging subscale mean scores between the medical and surgical units revealed statistically significant mean differences between the two units (t=4.160, p=0.044). Several studies [11,26,41] intimate that once a medication has been unpackaged, from its original packet it can easily be mistaken with other look alike medications and therefore it should be immediately dispensed to the patient to avoid MAEs.…”

Section: Discussionmentioning

confidence: 99%

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Nurses’ Medication Administration Errors at Medical Surgical Units

Simiyu¹

2018

AJNS

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Medication administration errors (MAEs) are among the key concepts of patient safety in clinical care settings that have long been the focus of study and exploration because they contribute directly to patient injury, death and health care costs. Medication errors are recurrent and expected to be a prolonged problem in the health care system. The administration of medication is predominantly an important part of nursing practice that has a dimension of quality of care and organizational performance. The study sought to assess nurses' medication administration errors at the general medical and surgical units. A descriptive cross sectional study design was used where stratified random sampling using the medical and surgical units as strata was used to proportionately recruit 100 Nurses. Each nurse was further observed twice during medication administration process making a total of 200 observations included in the study. Two tools were used to collect data for the current study. The interviewer administered medication administration errors questionnaire and a concealed medication administration observation checklist. Data was collected for a period of four months and analyzed using descriptive and inferential statistics to check for relations between variables. The study findings imply that the wrong rate of administration, the wrong time of administration and medication being administered after the order to discontinue was written were the highly perceived MAEs reported respectively as occurring 'most of the time' by 27%, 23% and 15% of the studied nurses. For observed MAEs, the wrong time error type had the highest estimated error rate of 51%, followed by the documentation error at 29% and technique error at 27.5%. There was statistical significant difference between the pharmacy reasons subscale of causes of MAEs and the age (F= 5.465, p=0.006), clinical experience (F=3.922, p=0.011) and type of shift (F=2.507, p=0.035) the nurse works most. Further, there was statistically significant mean differences between the medical and surgical units with regard to the medication packaging subscale (t=4.160, p=0.044). The findings also revealed negative significant correlation between the observed MAEs scores and the nurses' reported scores on types of IV & non-IV MAEs (r s =-0.266, p=0.007) and the pharmacy reasons subscale (r s =-0.266, p=0.046). Updating, developing, disseminating and implementing medication administration guidelines and protocols in the hospital settings is required. Nurses have to embrace the occurrence of MAEs as a patient safety indicator that should be viewed as an opportunity to learn and prevent MAEs through rationalized medication management protocols and guidelines.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Nurses’ Medication Administration Errors at Medical Surgical Units

Simiyu¹

2018

AJNS

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“…They also have to mediate between doctor and patient and create a communication bridge so that optimum results of treatment are achieved [15]. Peplau's theory [17,18], is one of the greatest works in the fi eld of nursing relationships and interpersonal communications and it emphasize on reciprocity between nurses and patients.…”

Section: Introductionmentioning

confidence: 99%

Interpersonal communications in nursing practice - Key to Quality Health care

Kaur¹

2020

Arch Nurs Pract Care

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wrong administration of medication leading to compromised patient safety. The type of nursing care determines the incidence of revisit of patients to the hospital and therefore can serve as a good yardstick of goodwill and satisfaction of any health care institution among general population. Advantages of effective communication [4-8] 1. Compliance-Better Compliance with guidelines of accreditation bodies and regional guidelines. 2. Safety-Minimize medication errors enhancing patient safety. 3. Patient's happiness quotient-It improves patient satisfaction, results in recovery, alleviating anxiety, depression and seclusion. 4. Job satisfaction-The positive feedback from patients helps to reduce stress to certain extent, imparting good job satisfaction. 5. Decision making-In times where patient autonomy and patient's right to determine what shall be done to his/ her body, the decision. Interpersonal communication in nursing Nursing staff plays the role of leader in patient care especially at times when the person (patient) is unable to How communication affects patients and nurses Communication failures leading to catastrophe have been well experienced in health care .One such instance been the

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“…Medication error could be associated with numerous factors, such as poor coordination of care, cost-related barriers, multi-morbidity, increasing days of hospitalization, childhood and older age, lack of training, inadequate knowledge, inadequate perception of risks, overworked healthcare professionals, distractions, lack of standardized protocols, and insu cient resources. Medication packaging problem, poor nurse-physician communication, and problem in recruiting competent professional were also the suggested reasons [15].…”

Section: Introductionmentioning

confidence: 99%

Medication Errors in Ethiopia: Systematic Review and Meta-Analysis

Endalamaw¹,

Dessie²,

Biresaw³

et al. 2020

Preprint

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Background: The caution of medication prescription and administration are the main physician and nursing services though there was no study to show medication error at the nation level in Ethiopia. Therefore, we estimated the national prevalence of medication errors. Methods: A systematic review of studies searched in PubMed, Scopus, African Journal of Online, and Google Scholar was done. Newcastle-Ottawa quality assessment scale was used to assess the quality status of the included studies. We employed Galbraith plot and Egger’s regression test to assess publication bias. The national prevalence of medication errors was estimated using a random-effects model meta-analysis. Moreover, subgroup analysis and meta-regression analyses were done to explore the reason of statistical heterogeneity.Results: A total of 14 studies with 5,552 administered medications and 5,661 prescription sheets were included. The overall prevalence of medication error in Ethiopia was 57.6% (95% CI: 46.2, 69.0). The pooled burden of medication administration and prescription error was 58.4% (95% CI: 51.4, 65.5) and 55.8% (95% CI: 27.0, 84.6), respectively. Omission error (38%), wrong dose (38.5%), and the wrong combination of drugs (28.7%) were highly reported types of prescription errors, whereas missed doses (57.0%), technical errors (47.0%), wrong time (35.0%), and wrong dose (30.0%) were frequently observed medication administration errors.Conclusions: Medication errors were very common in Ethiopian hospitals whereby at least one out of two medications were wrongly prescribed and administered. Our review provided a shred of up-to-date evidence for clinicians, regional, and national healthcare policymakers to appraise and improve the quality of hospitals’ inpatient care.Trail registration: The protocol is registered in the Prospero database with a registration number of CRD42019138125.

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Factors associated with medication administration errors and why nurses fail to report them

Cited by 84 publications

References 17 publications

Nurses’ Medication Administration Errors at Medical Surgical Units

Nurses’ Medication Administration Errors at Medical Surgical Units

Interpersonal communications in nursing practice - Key to Quality Health care

Medication Errors in Ethiopia: Systematic Review and Meta-Analysis

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