Families, nurses and organisations contributing factors to medication administration error in paediatrics: a literature review

Alomari, Albara; Wilson, Val; Davidson, Patricia M.; Lewis, Joanne

doi:10.19043/ipdj.51.007

Cited by 14 publications

(14 citation statements)

References 39 publications

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“…Similarly, nurses who were interrupted during medication administration were 4.7 times more likely to commit MAEs than nurses who were not interrupted. This finding was supported by systematic reviews conducted in the United Kingdom, Australia, and African hospitals as well as studies conducted in Felege Hiwot referral hospital, Southern Ethiopia, Rwanda, Nigeria, and London 1 , 7 , 10 , 11 , 17–19 , 24 . This might be due to the medication administration process is serious and needs a nurse’s full attention.…”

Section: Discussionsupporting

confidence: 52%

“…The odds of MAE were nearly three times higher among nurses who had poor communication as compared to nurses who had good communication. This finding was supported by systematic reviews conducted in the United Kingdom and Australia as well as studies conducted in Tehran, London, Saudi Arabia, and Rwanda 1 , 17–19 , 31 , 35 . This might be due to incomplete exchange of information between team members and physicians regarding medications to be administered leads to incorrect treatment procedures, treatment delays, and delivery of incorrect medication to the patient.…”

Section: Discussionmentioning

confidence: 55%

“…The odds of MAE were nearly six times higher among nurses who had poor knowledge compared to those who had good knowledge. This finding was supported by systematic reviews conducted in Australia and African hospitals as well as studies conducted in London and Tehran (14,20,21,35). This might be because knowledge provides a base on which decisions are made and implemented, lack of which results in poor decision making and poor performance.…”

Section: Factors Associated With Medication Administration Errorsmentioning

confidence: 70%

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Magnitude and associated factors of medication administration error among nurses working in Amhara Region Referral Hospitals, Northwest Ethiopia

Mekonen

Gebrie

Jemberie

2020

Journal of Drug Assessment

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Introduction: Medication administration errors are common health problems that threaten patient safety and raise mortality rates, duration of hospital stay, and cost of services. It also influences healthcare professionals performing the procedure and healthcare organizations. Its prevalence in Ethiopia is high ranging from 51.8% to 90.8%. Objective: This study aimed to assess the magnitude and associated factors of medication administration error among nurses at Northwest Amhara Region Referral Hospitals. Methods: An institution-based cross-sectional study was conducted from February to March 2019. A simple random sampling technique was employed to select 348 nurses. Structured pretested self-administered questionnaires and an observational checklist were used to collect data. The data were entered in Epi-info version 7, analyzed using SPSS version 20, and presented in tables and graphs. Bivariate and multivariable logistic regressions were computed to identify the factors associated with medication administration errors. P-values < 0.05 and adjusted odds ratios were used to declare the significance and strength of the association. Results: One hundred seventy-eight (54%) of the respondents made medication administration errors in the last 12 months. Only ten (5%) of the 200 observed nurses were administered medications without any breach in any of the six rights of medication administration. Factors like poor knowledge [AOR= 5.98; 95% CI (2.39,14.94)], poor communication [AOR=2.94; 95% CI (1.34, 6.46)], stress [AOR = 5.41; 95% CI (2.53, 11.57)], interruption during medication administration [AOR = 4.70, 95 % CI (2.42, 9.10)], and night shift [AOR = 2.79, 95 % CI (1.42, 5.46)] were significantly associated with medication administration error. Conclusion: The magnitude of medication administration error was high. Poor knowledge, poor communication, stress, night shift, and interruption were significantly associated with medication administration errors. Strengthening institutional medication administration regulations and guidelines and minimizing interruption during medication administration would help minimize medication administration errors.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 55%

Section: Factors Associated With Medication Administration Errorsmentioning

confidence: 70%

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Magnitude and associated factors of medication administration error among nurses working in Amhara Region Referral Hospitals, Northwest Ethiopia

Mekonen

Gebrie

Jemberie

2020

Journal of Drug Assessment

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“…The studies revealed that it is impossible to expect nurses to avoid MAEs when they themselves are stressed out and fatigued. [2,4,5,8,13,24] The issue of overworking among nurses was reported in other reviews [41]and revealed that overworked nurses almost seem to be the norm rather than the exception, but this negatively impacts patient safety. Nurses are human beings and have to get sufficient time to rest to ensure safe drug administration.…”

Section: Discussionmentioning

confidence: 99%

Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of literature

Nkurunziza¹,

Chironda²,

Mukeshimana³

et al. 2020

Rwanda Journal of Medicine and Health Sciences

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Background Medication Administration Errors (MAEs) are common among nurses and can threaten all patients' outcomes. Furthermore, MAEs are the leading cause of incidents in patient safety records worldwide. Objective To review the types of medication administration errors, factors contributing to MAEs and barriers to self-reporting among nurses. Methods A review of the literature was done and included original articles and grey literature from January 2011 until July 2017. An advanced search was done in Medline, HINARI, PubMed, CINAHL, Science direct, Google Scholar and gray literature using a Boolean combination of different keywords such as "medication administration error", "adverse drugs reactions", barriers and "self-reporting". Results 257 articles were eligible for review but only27 articles met the inclusion criteria. Types of MAEs mainly focused on seven rights (right patient, right drug, right dose, right time, right route, right reason and right documentation). With regards to the types of MAEs, the wrong time was most prevalent in this study. Being overworked was the main factor contributing to medication administration errors. The barriers to self-reporting during MAEs were dominated by fear of disciplinary action. Nurses' characteristics such as age, experience, education, variations in how errors are defined and organizational factors such as power, distance and lack of reporting policies were found to be barriers to self-reporting. In addition to that, others were identified. Conclusion Globally, MAEs remain a pervasive problem among nurses. Contributing factors range from individual to organizational factors, and barriers to self-report are due to fear of legal action and punishment. There is a need to devise measures that will prevent these errors and to promote positive clinical outcomes of patients in healthcare settings.

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“…In most research studies, insufficient nursing numbers has been highlighted as one of the most dominant factors (Alomari et al. ; Brady et al. ; Mahmood et al.…”

Section: Discussionmentioning

confidence: 99%

Potential causes of medication errors: perceptions of Serbian nurses

Svitlica

Simin

Milutinović

2017

International Nursing Review

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Families, nurses and organisations contributing factors to medication administration error in paediatrics: a literature review

Cited by 14 publications

References 39 publications

Magnitude and associated factors of medication administration error among nurses working in Amhara Region Referral Hospitals, Northwest Ethiopia

Magnitude and associated factors of medication administration error among nurses working in Amhara Region Referral Hospitals, Northwest Ethiopia

Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of literature

Potential causes of medication errors: perceptions of Serbian nurses

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