Medication errors among Iranian emergency nurses: A systematic review

Abstract

studies conducted among emergency ward nurses in Iran. The studies were restricted to full-text, peer-reviewed studies published from inception to December 2019, in the Persian and English languages, that evaluated MEs among emergency ward nurses in Iran. RESULTS: Eight studies met the inclusion criteria. Most of the nurses (58.9%) had committed MEs only once. The overall mean rate of MEs was 46.2%, and errors made during drug administration accounted for 41.7% of MEs. The most common type of administration error was drug omission (17.8%), followed by administering drugs at the wrong time (17.5%) and at an incorrect dosage (10.6%). The lack of an adequate nursing workforce during shifts and improper nurse-patient ratios were the most critical factors affecting the occurrence of MEs by nurses. CONCLUSIONS: Despite the increased attention on patient safety in Iran, MEs by nurses remain a significant concern in EDs. Therefore, nurse managers and policy-makers must take adequate measures to reduce the incidence of MEs and their potential negative consequences.

Predictors of patient safety competency among emergency nurses in Iran: a cross-sectional correlational study

“…Also, the unpredictability and complex nature of emergency departments (EDs), the critical condition of most patients, lack of teamwork, and large volumes of work due to the inadequacy of the patient and nurse ratios convert the emergency department to a high-risk area for patient adverse events [ 2 ]. The prevalence of adverse events in ED is higher and varied from 4 to 68% [ 3 ]. According to a study by Kakemam et al, the prevalence of adverse events in Iran is between 7 and 40% [ 4 ].…”

The factors influencing patient safety management as perceived by emergency department nurses: A qualitative study

“…Also, a study conducted by Di Simone et al (2018) showed that the main causes of medication errors in emergency rooms are fatigue due to work overload, inadequate knowledge of medications and lack of specific guidelines on medication administration safety, which is consistent with the findings of the present study. However, a study conducted by Hosseini Marznaki et al (2020) found that the incidence rate of medication errors made by the ED nurses in Iran was high (46.2%). This study reported that extended shifts and inadequate knowledge of drugs were the main causes of these errors, which agrees with the findings of the present study.…”

Applicability of Clinical Decision Support in Management among Patients Undergoing Cardiac Surgery in Intensive Care Unit: A Systematic Review

“…Among the studies that were analyzed, the improvement in healthcare after the use of CPOE is meaningful, since errors of administration were recorded before and after its application, and a reduction was observed [63,[69][70][71]. The reduction in the incidence of drug administration errors and the reduction in time to administration is of paramount importance in the pandemic situation because of the shortage in resources in critical care settings, and it must not be overlooked [79,80]. Although this situation does not directly affect the tasks usually performed by physicians or nursing professionals, it is considered one of the most limiting factors in providing the necessary care on time, so any tool capable of alleviating burdens should be considered potentially useful [78].…”