Medication administration errors among paediatric nurses in Lagos public hospitals: An opinion survey

Oshikoya, Kazeem Adeola; Oreagba, IA; Ogunleye, Olayinka O; Senbanjo, Idowu O; MacEbong, G L; Olayemi, SO

doi:10.3233/jrs-130585

Cited by 32 publications

(49 citation statements)

References 29 publications

(47 reference statements)

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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, nurse related factors were factors such as demographic characteristics, including age, [16] work experience, [16] being new nurse, [24] individual knowledge and skills about a medication, [15,20] and dosage calculation. [20] Other nurse related factors are linked to their daily work, such as lack of double checking of drugs, [11] inattention or negligence, [17,24] how a medication is packaged/visible, [9,21,22,25] insufficient training and teaching a student. [19] Physician-related factors Change of medication orders which sometimes are not clear were mentioned as factors related to MAEs in 5 articles.…”

Section: Nurse-related Factorsmentioning

confidence: 99%

“…[19] Physician-related factors Change of medication orders which sometimes are not clear were mentioned as factors related to MAEs in 5 articles. [11,15,[24][25][26] Nurse-physician related factors Poor communication between nurses and physicians [5,15,25] is the only nurse-physician related factor contributing to medication administration error reported in this review.…”

Section: Nurse-related Factorsmentioning

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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Section: Types Of Medication Administration Errorsmentioning

confidence: 99%

Section: Nurse-related Factorsmentioning

confidence: 99%

Section: Nurse-related Factorsmentioning

confidence: 99%

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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“…Ongoing drug utilisation research in Nigeria includes potential ways to reduce drug: drug interactions (DDIs) in patients with HIV through physicians consulting more than one DDI database, studies demonstrating frequent medication errors among paediatric nurses and the use of complementary and alternative medicines (4,(13)(14)(15). Other studies have shown that adherence to medicines to control hypertension has been poor with BP control remaining unsatisfactory, although other studies have shown that medication adherence and treatment satisfaction among psychiatric outpatients is generally good (16,17).…”

Section: Main Highlights Of the Meeting In Port Elizabeth (Http://murmentioning

confidence: 99%

Initiative to progress research on medicine utilization in Africa: formation of the Medicines Utilization Research in Africa group

Massele¹,

Godman²,

Adorka³

et al. 2015

Expert Review of Pharmacoeconomics & Outcomes Research

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This two day meeting brought together drug utilisation researchers from across Africa. The purpose was to share current drug utilisation (DU) research findings to further DU research across Africa including the development of a medicines utilisation research group. This led to the formation of the MURIA (Medicine Utilisation Research in Africa) Group, with a tentative vision and mission as well as the first planned research methodology training course and a symposium in Botswana later in the year. Future research projects were also planned including studies on drug utilisation of ARVs in Botswana and across Africa as well as ways to enhance the appropriate use of antibiotics and increase generic utilisation.

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Adverse Drug Events and Medication Errors in African Hospitals: A Systematic Review

Mekonnen

Alhawassi

McLachlan

et al. 2017

Drugs - Real World Outcomes

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BackgroundMedication errors and adverse drug events are universal problems contributing to patient harm but the magnitude of these problems in Africa remains unclear.ObjectiveThe objective of this study was to systematically investigate the literature on the extent of medication errors and adverse drug events, and the factors contributing to medication errors in African hospitals.MethodsWe searched PubMed, MEDLINE, EMBASE, Web of Science and Global Health databases from inception to 31 August, 2017 and hand searched the reference lists of included studies. Original research studies of any design published in English that investigated adverse drug events and/or medication errors in any patient population in the hospital setting in Africa were included. Descriptive statistics including median and interquartile range were presented.ResultsFifty-one studies were included; of these, 33 focused on medication errors, 15 on adverse drug events, and three studies focused on medication errors and adverse drug events. These studies were conducted in nine (of the 54) African countries. In any patient population, the median (interquartile range) percentage of patients reported to have experienced any suspected adverse drug event at hospital admission was 8.4% (4.5–20.1%), while adverse drug events causing admission were reported in 2.8% (0.7–6.4%) of patients but it was reported that a median of 43.5% (20.0–47.0%) of the adverse drug events were deemed preventable. Similarly, the median mortality rate attributed to adverse drug events was reported to be 0.1% (interquartile range 0.0–0.3%). The most commonly reported types of medication errors were prescribing errors, occurring in a median of 57.4% (interquartile range 22.8–72.8%) of all prescriptions and a median of 15.5% (interquartile range 7.5–50.6%) of the prescriptions evaluated had dosing problems. Major contributing factors for medication errors reported in these studies were individual practitioner factors (e.g. fatigue and inadequate knowledge/training) and environmental factors, such as workplace distraction and high workload.Conclusion Medication errors in the African healthcare setting are relatively common, and the impact of adverse drug events is substantial but many are preventable. This review supports the design and implementation of preventative strategies targeting the most likely contributing factors.Electronic supplementary materialThe online version of this article (10.1007/s40801-017-0125-6) contains supplementary material, which is available to authorized users.

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Medication administration errors among paediatric nurses in Lagos public hospitals: An opinion survey

Cited by 32 publications

References 29 publications

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

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

Initiative to progress research on medicine utilization in Africa: formation of the Medicines Utilization Research in Africa group

Adverse Drug Events and Medication Errors in African Hospitals: A Systematic Review

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