Medication Administration Errors in a University Hospital

Tehewy, Mahi Al; Fahim, Hoda; Gad, Nanees; Gafary, Maha El; Rahman, Shady Abdel

doi:10.1097/pts.0000000000000196

Cited by 46 publications

(56 citation statements)

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“…Medication administration errors of this magnitude are likely to result in harming the patient and may erode public confidence in nursing care. Several studies and systematic reviews around the world in different countries reported likewise high magnitude of MAEs [2,3,6,18].…”

Section: Discussionmentioning

confidence: 96%

“…Similarly, the mortality rate attributed to adverse drug events was 0.1% [2]. A direct observational study conducted in Egypt indicated 0.77% of inpatients being harmed by MAEs and needed either extended hospitalization or intervention [18]. Furthermore, in Ethiopia, 1.5% of patients experienced actual adverse drug events associated with medication errors [19].…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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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“…[13] Medication errors lead to an increase in the duration of hospitalization[14] and disability and death in up to 6.5% of hospital admissions. [15]…”

Section: Introductionmentioning

confidence: 99%

Causes of medication errors in intensive care units from the perspective of healthcare professionals

et al. 2017

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Objective:This study was conducted to explore and to describe the causes of medication errors in Intensive Care Units (ICUs) from the perspective of physicians, nurses, and clinical pharmacists.Methods:The study was conducted using a descriptive qualitative method in 2016. We included 16 ICUs of seven educational hospitals affiliated to Isfahan University of Medical Sciences. Participants included 19 members of the healthcare team (physician, nurse, and clinical pharmacist) with at least 1 year of work experience in the ICUs. Participants were selected using purposeful sampling method. Data were collected through semi-structured individual interviews and were used for qualitative content analysis.Findings:The four main categories and ten subcategories were extracted from interviews. The four categories were as follows: “low attention of healthcare professionals to medication safety,” “lack of professional communication and collaboration,” “environmental determinants,” and “management determinants.”Conclusion:Incorrect prescribing of physicians, unsafe drug administration of nurses, the lack of pharmaceutical knowledge of the healthcare team, and the weak professional collaboration lead to medication errors. To improve patient safety in the ICUs, healthcare center managers need to promote interprofessional collaboration and participation of clinical pharmacists in the ICUs. Furthermore, interprofessional programs to prevent and reduce medication errors should be developed and implemented.

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“…A maior taxa de erro foi detectada em injeções, especialmente na via intravenosa (39,58%) e dentre os erros mais frequentes estava a técnica errada (78,90%). (9) Esses dados, além de alarmantes, evidenciam a importância da proposição de práticas seguras e do uso de instrumentos de avaliação capazes de fornecer informações precisas sobre o processo de administração de medicamentos nos EAS. Outrossim, as questões validadas do instrumento final demonstram sua capacidade de utilização em qualquer EAS que utilize "medicamentos para profilaxia, exames diagnósticos, tratamento e medidas paliativas".…”

Section: Introduçâounclassified

Práticas Seguras Para Administração De Medicamentos: Construção E Validação De Instrumento

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Objetivo: Construir e validar um instrumento de avaliação do processo de administração de medicamentos. Metodologia: Utilizou-se um desenho não experimental e a sequência da pesquisa metodológica, ou seja, definição do construto, formulação dos itens, avaliação da confiabilidade e avaliação da validade de conteúdo. Resultado: Obteve-se um instrumento com 54 itens divididos em 10 áreas, com nível de concordância entre 90 a 100% e Alpha de Cronbach de 0,94. Conclusão: Pode afirmar-se que o instrumento final é um material de qualidade, que permite o monitoramento dos processos de trabalho que interferem na ocorrência de erros de administração de medicamentos.Descritores: Erros de Medicação; Sistemas de Medicação; Segurança do Paciente; Estudos de Avaliação.SAFE PRACTICES FOR MEDICATION ADMINISTRATION: INSTRUMENT CONSTRUCTION AND VALIDATION.Objective: Construct and validate an instrument for evaluating the medication administration process. Method: We used a non-experimental design and the sequence of the methodological research, that is, the definition of the construct, formulation of the items, evaluation of reliability and evaluation of the content validity. Result: An instrument was obtained with 54 items divided into 10 areas, with a level of agreement between 90 and 100% and Cronbach’s Alpha of 0.94. Conclusion: It can be stated that the final instrument is a quality material, which allows the monitoring of work processes that interfere in the occurrence of medication administration errors.Descriptors: Medication Errors, Medication Systems, Patient Safety, Evaluation Studies.PRÁCTICAS SEGURAS PARA LA ADMINISTRACIÓN DE DROGAS: CONSTRUCCIÓN Y VALIDACIÓN DE INSTRUMENTOS.Objetivo: Construir y validar un instrumento de evaluación del proceso de administración de medicamentos. Método: Se utilizó un diseño no experimental y la secuencia de la metodología de búsqueda, o construir formulación definición de artículos, la evaluación fiabilidad y la evaluación de la validez del contenido. Resultado: Se obtiene un instrumento con 54 ítems divididos en 10 zonas, con el grado de concordancia entre el 90-100% y Alpha de Cronbach de 0,94. Conclusión: Se puede decir que el instrumento final es un material de calidad, lo que permite el seguimiento de los procesos de trabajo que influyen en la aparición de errores de administración de medicamentos.Descriptores: Errores de Medicación; Sistemas de Medicación; Seguridad del Paciente; Estudios de Evaluación

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Medication Administration Errors in a University Hospital

Abstract: Medication administration errors represent a major problem in the hospital that needs urgent intervention to optimize medication administration process. The intervention should consider the identified significant determinants of medication administration errors.

Cited by 46 publications

References 16 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

Causes of medication errors in intensive care units from the perspective of healthcare professionals

Práticas Seguras Para Administração De Medicamentos: Construção E Validação De Instrumento

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