Medication administration error reporting and associated factors among nurses working at the University of Gondar referral hospital, Northwest Ethiopia, 2015

Bifftu, Berhanu Boru; Dachew, Berihun Assefa; Tiruneh, Bewket Tadesse; Beshah, Debrework Tesgera

doi:10.1186/s12912-016-0165-3

Cited by 42 publications

(63 citation statements)

References 26 publications

(36 reference statements)

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“…The finding of this study was similar to a study done in two southern Ethiopia hospitals (58.5%) [11]. However, it was much lower than a study conducted in France (72.6%) [27]. The difference likely to be due to the difference in the study setting (the previous study was conducted in a specified ward, while this study was conducted in all clinical departments of three hospitals).…”

Section: Discussionsupporting

confidence: 81%

Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia

et al. 2020

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Background: Unsafe medication practices are the leading causes of avoidable patient harm in healthcare systems across the world. The largest proportion of which occurs during medication administration. Nurses play a significant role in the occurrence as well as preventions of medication administration errors. However, only a few relevant studies explored the problem in Ethiopia. Therefore, this study aimed to assess the magnitude and contributing factors of medication administration error among nurses in tertiary care hospitals, Addis Ababa, Ethiopia, 2018. Methods: We conducted a hospital-based, cross-sectional study in Addis Ababa, Ethiopia. The study involved 298 randomly selected nurses. We used adopted, self-administered survey questionnaire and checklist to collect data via self-reporting and direct observation of nurses while administering medications. The tools were expert reviewed and tested on 5% of the study participants. We analyzed the data descriptively and analytically using SPSS version 24. We included those factors with significant p-values (p ≤ 0.25) in the multivariate logistic regression model. We considered those factors, in the final multivariate model, with p < 0.05 at 95%Cl as significant predictors of medication administration errors as defined by nurse self-report. Result: Two hundred and ninety eight (98.3%) nurses completed the survey questionnaire. Of these, 203 (68.1%) reported committing medication administration errors in the previous 12 months. Factors such as the lack of adequate training [AOR = 3.16; 95% CI (1.67,6)], unavailability of a guideline for medication administration [AOR = 2.07; 95% CI (1.06,4.06)], inadequate work experience [AOR = 6.48; 95% CI (1.32,31.78)], interruption during medication administration [AOR = 2.42, 95% CI (1.3,4.49)] and night duty shift [AOR = 5, 95% CI (1.82, 13.78)] were significant predictors of medication administration errors at p-value < 0.05. Conclusion and recommendation: Medication administration error prevention is complex but critical to ensure the safety of patients. Based on our study, providing a continuous training on safe administration of medications, making a medication administration guideline available for nurses to apply, creating an enabling environment for nurses to safely administer medications, and retaining more experienced nurses may be critical steps to improve the quality and safety of medication administration.

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Section: Discussionsupporting

confidence: 81%

Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia

et al. 2020

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“…[5,[11][12][13][15][16][17][18][19] The second error was the wrong dosage or wrong dosage calculation which was reported by 7 articles. [5,9,11,15,[20][21][22] Other types of errors identified were incorrect medication, [9,[20][21][22]incorrect route, [12,15,18,21]incorrect patient, [5,12,21,22]error in technique, [16,18,23] omitting a drug due to drug availability [17,18] and administration of a drug which is not prescribed. [13,15]There was another type of error that was less apparent which is documentation.…”

Section: Types Of Medication Administration Errorsmentioning

confidence: 99%

“…In this review, fear of negative consequences such us punishment and losing a job after self-reporting [9,11,[32][33][34]12,13,25,26,[28][29][30][31]and fear of blames [13,22,30,33] were reported to be barriers to self-reporting.…”

Section: Self-reporting Outcomesmentioning

confidence: 99%

“…[10] The available literature reported that nurses are reported to commit more MAEs as compared to other health care professionals like medicine and anesthesia. [11] The first step to reduce MAEs among nurses is to identify the types of commonly occurring errors, [12,13] assess the factors contributing to those errors, as well as barriers to self-reporting, and to set up appropriate preventive measures. [14,15] However, there is no documented summative review of literature that identifies types of MAEs and factors contributing to medication administration errors, as well as barriers to self-reporting among nurses at the same time.…”

Section: Introductionmentioning

confidence: 99%

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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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“…They also suggested that the country should establish the medication errors reporting system. 17 Thus, to prevent medication administration errors there should be a way for reporting them within the hospital but still there are some barriers that hinder this activity like lack of precise definition, no effort in reporting, fear, and administrative responses. 18,19 Rwanda was among 16 countries where they found that it had not a clear reporting system of medication errors.…”

Section: Introductionmentioning

confidence: 99%

Perceived contributory factors to medication administration errors (MAEs) and barriers to self-reporting among nurses working in paediatric units of selected referral hospitals in Rwanda

2018

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Background: Medication administration errors (MAEs) occur in health care settings however, the types, contributing factors to MAEs and barriers to reporting are not well studied in Rwandan context.Methods: Quantitative approach was adopted. Descriptive cross-sectional design was used. A convenience sampling was used to select 151 nurses working in the paediatric units of the selected teaching hospitals in Rwanda. Pre-tested questionnaire for validity and reliability was used to collect data. Data was coded and entered into SPSS version 21. Descriptive statistics and inferential statistics (Chi-square test) were used to analyze data.Results: Approximately 33.6% of the participants were able to identify one type, 17.4 % two, 18.1% three, 17.4% four types, 10.7% six types and only 2.7% identified all the seven MAEs. Identified main contributory factor to MAEs was the heavy workload it like this-Identified main contributory factor to MAEs was the heavy workload [82 (55%)]. The main barrier to self-reporting was fear to be blamed if something happens to the patient as a result of the medication administration error (88 (59.1%)). All the socio demographic were associated with the types of MAEs committed by participants. In addition, the experience, marital status and job position of the participants were significantly associated with factors contributing to MAEs (p= .001, p=.000 and p= .044) respectively whereas all the socio demographic were significantly associated with barriers to self reporting.Conclusions: Factors contributing to MAEs were found in both parties and barriers to self-reporting were identified to be the fear reasons and administrative reasons. Therefore, the heavy workload should be addressed to reduce MAEs and a non-punitive environment is imperative in encouraging self-reporting of MAEs.

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Medication administration error reporting and associated factors among nurses working at the University of Gondar referral hospital, Northwest Ethiopia, 2015

Cited by 42 publications

References 26 publications

Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia

Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia

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

Perceived contributory factors to medication administration errors (MAEs) and barriers to self-reporting among nurses working in paediatric units of selected referral hospitals in Rwanda

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