Medication Errors Among Hospitalized Adults in Medical Wards of Nekemte Specialized Hospital, West Ethiopia: A Prospective Observational Study

Gebre, Mohammed; Bekele, Nigatu Addisu; Getahun, Ayantu; Workye, Jenber; Gamachu, Busha; Fekadu, Ginenus; Tekle, Tesfa; Fetensa, Getahun; Mosisa, Balisa; Bayisa, Getu

doi:10.2147/dhps.s328824

Cited by 11 publications

(18 citation statements)

References 30 publications

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“…In another study, the most common type of medication error has been identified as the wrong dose and wrong administration [ 33 ]. In a study by Gebre et al in Ethiopia, the main types of medication error were reported in the wrong drug, wrong dose and monitoring error [ 34 ]. The results of a study in Iran that examined medication error from the nurses' point of view showed that giving medicine at the wrong time, giving several oral medicines at the same time and giving painkillers after surgery without a doctor's prescription were the three most frequent types of medication error [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Occurrence and types of medication error and its associated factors in a reference teaching hospital in northeastern Iran: a retrospective study of medical records

Tabatabaee

Ghavami

Javan‐Noughabi

et al. 2022

BMC Health Serv Res

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Background Medication errors are categorized among the most common medical errors that may lead to irreparable damages to patients and impose huge costs on the health system. A correct understanding of the prevalence of medication errors and the factors affecting their occurrence is indispensable to prevent such errors. The purpose of this study was to investigate the prevalence and types of medication errors among nurses in a hospital in northeastern Iran. Methods The present descriptive-analytical research was conducted on 147 medical records of patients admitted to the Department of Internal Medicine at a hospital in northeastern Iran in 2019, selected by systematic sampling. The data were collected through a researcher-made checklist containing the demographic profiles of the nurses, the number of doctor's orders, the number of medication errors and the type of medication error, and were finally analyzed using STATA version 11 software at a significance level of 0.05. Results Based on the findings of this study, the mean prevalence of medication error per each medical case was 2.42. Giving non-prescription medicine (47.8%) was the highest and using the wrong form of the drug (3.9%) was the lowest medication error. In addition, there was no statistically significant relationship between medication error and the age, gender and marital status of nurses (p > 0.05), while the prevalence of medication error in corporate nurses was 1.76 times higher than that of nurses with permanent employment status (IRR = 1.76, p = 0.009). The prevalence of medication error in the morning shift (IRR = 0.65, p = 0.001) and evening shift (IRR = 0.69, p = 0.011) was significantly lower than that in the night shift. Conclusion Estimating the prevalence and types of medication errors and identified risk factors allows for more targeted interventions. According to the findings of the study, training nurses, adopting an evidence-based care approach and creating interaction and coordination between nurses and pharmacists in the hospital can play an effective role in reducing the medication error of nurses. However, further research is needed to evaluate the effectiveness of interventions to reduce the prevalence of medication errors.

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Section: Discussionmentioning

confidence: 99%

Occurrence and types of medication error and its associated factors in a reference teaching hospital in northeastern Iran: a retrospective study of medical records

Tabatabaee

Ghavami

Javan‐Noughabi

et al. 2022

BMC Health Serv Res

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“…5 Multimorbidity is a predictor of medication errors. 6 Patients with multiple chronic diseases are more likely to be treated in several hospital departments and sectors. Sector transitions increase the risk of medication errors for older patients.…”

Section: Introductionmentioning

confidence: 99%

“…Multimorbidity is a predictor of medication errors 6 . Patients with multiple chronic diseases are more likely to be treated in several hospital departments and sectors.…”

Section: Introductionmentioning

confidence: 99%

Perspectives on medication safety from vulnerable older migrants and their relatives—A qualitative explorative study

Lynnerup

Rossing

Sodemann

et al. 2023

Basic Clin Pharma Tox

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Little is known about the combined effect of several risk factors occurring simultaneously, and the perspectives of patients with language barriers or dementia are lacking because these patients are often excluded as research participants. This study aimed at investigating medication safety among older migrants with cognitive disorders who use five or more medications daily from the perspective of older patients and their relatives. Eight semi-structured interviews with patients and relatives were conducted in their homes. The study adopted an inductive hermeneutic phenomenological approach and used both "Analyzing the present" and "Systematic text condensation" as inspiration for the analysis. Three main themes were identified: (i) potential medication safety and threats, (ii) communication and missing medication information and (iii) everyday life with medication. Threats to medication safety included medication perceptions, health perceptions, and cognitive impairment of the patient as well as miscommunication among departments, wrong diagnosis and medication, and unlocked medication cabinets. However, most families expressed having no problems concerning medication, which could be a result of limited engagement of the patient and relatives in the medical treatment and limited medication information provided to the families by healthcare professionals.

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“…Medication errors (MEs) also affect 7% of inpatients on a daily basis; most of these patients are either in extended hospitalization care or are referred to critical care or high-dependency care units [15,16] . Medication administration in such high-complexity situations like intensive care frequently requires extraordinary effort and interventions from healthcare providers (16)…”

Section: Introductionmentioning

confidence: 99%

Medical Errors Among Postgraduate Medical Students Joining The Iraqi and Arab Councils For Medical Specializations - Medical City Complex

Mahmood,

Kareem,

Abed

et al. 2023

Preprint

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BackgroundAll humans make mistakes. Unintentional medical mistakes affect patients and their families, but they can also have a negative behavioral, psychological and emotional impact on the involved healthcare practitioner or providers. These could include emotional distress, fear, feeling guilt and even depression.AimThis study aims to describe the events contributing to medical errors and the impact of these errors on behavior among postgraduate medical students joining the Iraqi and Arabic councils for medical specialty.Subjects and MethodsA cross-sectional study was conducted in Medical city complex, Baghdad, Iraq, by convenient sampling. Data were collected by a self-administered questionnaire form, which was given to all participants and retrieved at the same day. The questionnaire contains three sections (13 items), in the first section it mainly asks about personal information of the participant and their specialty, Second section contains the main question of the study which is whether they have been involved in a medical error or not, and the third section asks about the events and behavior that are related to those errors like the time of the error, the most important contributing factor, the strongest feeling that they felt after this error and the most obvious behavioral response after the error.ResultsThe total number of participants was 200 individuals. 111 of them were juniors and 89 were senior doctors. Gender (p-value< 0.0001) was significantly associated with medical errors, notably males tended to be involved in medical errors more than females with a number of 46 (40.7%) compared to 21 (24.13%) respectively. there is statistically significant association between decreased navigation of social media applications during work hours for non-work and medical error (P value < 0.0001). Furthermore, specialty was significantly associated with medical errors (P value < 0.0001) as surgical specialty tended to be involve in medical errors more than medical specialty with a number of 34 (38.2%) compared to 33(29.7%) respectively.ConclusionDistraction of attention was the most contributing factor behind medical errors. Emotional distress was the most common feeling experienced by participants. Increasing vigilance was the most behavioral response among participants following their involvement in medical errors. Furthermore, male doctors tend to be involved in medical errors more than female doctors. Surgical specialty tends to be involved in medical errors more than medical specialty.

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Medication Errors Among Hospitalized Adults in Medical Wards of Nekemte Specialized Hospital, West Ethiopia: A Prospective Observational Study

Cited by 11 publications

References 30 publications

Occurrence and types of medication error and its associated factors in a reference teaching hospital in northeastern Iran: a retrospective study of medical records

Occurrence and types of medication error and its associated factors in a reference teaching hospital in northeastern Iran: a retrospective study of medical records

Perspectives on medication safety from vulnerable older migrants and their relatives—A qualitative explorative study

Medical Errors Among Postgraduate Medical Students Joining The Iraqi and Arab Councils For Medical Specializations - Medical City Complex

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