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

Abstract

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.

Medication Administration Error Reporting and Associated Factors among Nurses Working in Public Hospitals, Ethiopia: A Cross-Sectional Study

“…Bivariate and multivariate logistic regression analysis was used to identify factors associated with medication administration error reporting. Variables with p < 0.02 in bivariate logistic regression analysis were entered to multivariate logistic regression analysis [ 13 ]. The adjusted odds ratio was used to interpret the strength of association at 95% CI and those variables with p < 0.05 in multivariate logistic regression analysis were considered as significant predictors of the outcome variable.…”

“…ere are a lot of studies done on MAE [12][13][14][15][16][17], but to the knowledge of the researcher, there are only a few studies [10,11] reporting whether those MAEs are reported or not among nurses in Ethiopia. In developing countries like Ethiopia, educational, economic, and trained manpower problems, the issue is primarily one of the least investigated and neglected health problems [18].…”

Determinants of COVID-19 vaccine hesitancy among health care workers in Amhara region referral hospitals, Northwest Ethiopia: a cross-sectional study

“…Among those 81 hospitals in the region, the University of Gondar, Dessie, Felege-Hiwot, Tibebe-Ghion, Debre-Markos, Waldiya, Debre Tabor, and Debebirhan are referral hospitals. The number of healthcare workers in these hospitals was estimated to be 4,002 [21,22].…”

Caracterização da produção científica sobre erro no trabalho em saúde

“…(22) Entretanto, ressaltam-se alguns estudos que apresentaram abordagem mista (individual e sistêmica) no gerenciamento do erro. (23,24) Isso pode representar um avanço para a mudança de paradigma quando da ocorrência de erros no trabalho em saúde. A cultura punitiva encontra-se em transição, ao passo que os trabalhadores da saúde percebem a finalidade não punitiva da notificação do erro.…”