Medication Errors in Ethiopia: Systematic Review and Meta-Analysis

Endalamaw, Aklilu; Dessie, Getnet; Biresaw, Henok; Belachew, Amare; Amare, Desalegn; Workineh, Yinager; Birhanu, Minyichil; Belay, Getaneh Mulualem; Wondim, Amare; Wubneh, Chalachew Adugna; Birhanu, Yeneabat; Asmare, Yared; Wagnew, Fasil; Birhane, Binyam Minuye; Kefale, Demoz; Nigussie, Zelalem Mehari

doi:10.21203/rs.3.rs-35808/v1

Cited by 5 publications

(3 citation statements)

References 29 publications

(77 reference statements)

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“…According to a systematic review and meta-analysis study conducted in Ethiopia, the overall medication error rate was found to be 57.6%, with the magnitude of medication administration and prescription error being 58.4% [7].…”

Section: Introductionmentioning

confidence: 99%

Perception of physicians towards electronic prescription system and associated factors at resource limited setting 2021: Cross sectional study

et al. 2022

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Introduction The healthcare industry is increasingly concerned about medical errors, which are the leading cause of death worldwide and also compromise patient safety. This medical error is even more serious in developing countries where healthcare is not supported by technology. Because of the traditional paper-based prescription system, Ethiopia has an overall medication prescribing error rate of 58.07% that could be avoided if an electronic prescription system was in place. Therefore, this study aims to assess physicians’ perceptions towards electronic prescription implementation. Methods From February 1 to April 5, 2021, an institution-based cross-sectional study was conducted among physicians working in public hospitals in the Amhara region. 384 physicians were selected using a simple random sampling method. The data was collected using a self-administered questionnaire and analysed using SPSS, version 21. To assess factors associated with perception among physicians, a binary and multivariable logistic regression analysis were performed. A P.05 value, at a 95% confidence interval, was considered statistically significant. The validity of the questionnaire was determined based on expert opinion, as well as its reliability was determined by calculating the value of Cronbach alpha (α = .78). Results In this study, 231 (76.5%) of study participants had a positive perception of electronic prescription. Around 70.8% had more than 5 years of computer usage experience. Nearly 90% of participants claimed that their prescriptions were legible; however, 89% believe that paper-based prescriptions are prone to error. According to multivariable logistic regression analysis, technical skill [AOR] 4.7, 95% confidence interval [CI] (1.27–17.41), good internet access (AOR 2.82, % CI 1.75–4.54), and perceived usefulness of e-prescription system (AOR 3.31, 95% CI 1.01–12.12) were significantly associated with perception. Conclusions The majority of respondents have a positive perception of electronic prescription. The most notable factors associated with physician perception were organizational factors, internet access, perceived usefulness of the system, and technical skill.

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Section: Introductionmentioning

confidence: 99%

Perception of physicians towards electronic prescription system and associated factors at resource limited setting 2021: Cross sectional study

et al. 2022

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“…Generally, even though a few studies are available in Ethiopia, majority are focusing on a single profession like the nurse profession or only localized to a single sphere, and still, there is a gap in showing organizational commitment and its predicting factors among healthcare professionals that are working in the primary healthcare setting, especially in the current study area. Furthermore, in the presence of a high prevalence of medical error (57.6%), high admission rate (74.7%), high turnover intention (77.5%), and so many problems that affect the quality of healthcare in Addis Ababa, still, no study shows the level of organizational commitment in this area (22)(23)(24). Therefore, the current study aimed to assess the level and factors affecting organizational commitment among health professionals working at primary health facilities in Addis Ababa, Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Organizational commitment of health professionals and associated factors in primary healthcare facilities of Addis Ababa, Ethiopia: A multi-center cross-sectional study

Arage¹,

Daba²,

Dessalegn³

2022

Front. Public Health

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BackgroundOrganizational commitment has a positive impact on an organization's ability to provide professional services. Committed human power pushes an organization to achieve its goals, but non-commitment can lead to increased medical errors, prolonged inpatient admissions, and repeated hospitalizations leading to low quality of healthcare provision. However, to the best knowledge of researchers, there are no studies examining organizational commitment in the healthcare setting of Addis Ababa, Ethiopia.ObjectiveThe aim of this study was to assess the level of organizational commitment and associated factors among health professionals working in the primary health facility of Addis Ababa, Ethiopia.MethodsA facility-based cross-sectional study was conducted among 459 healthcare professionals selected by simple random sampling from 12 health centers. Data were collected by three data collectors and one supervisor using a pretested questionnaire. Data were checked for completeness, cleaned, and entered into Epi-Data version 3.1.and exported into SPSS version 25 for analysis. In binary logistic regression statistical analysis, variables with p < 0.2 were entered in multivariate binary logistic regression analyses; then, the regression result was presented using COR, AOR with 95% CI, and a p-value < 0.05 as a level of significance.ResultThe respondent's percent mean score of organizational commitment was 48.4%. Age group above 30 years (AOR = 1.52, 95% CI, 1.01, 2.30), those who were satisfied with their job (AOR 2.02, 95% CI 1.30, 3.13), and those who perceive good transformational leadership behavior (AOR: 1.85, 95% C.I, 1.18, 2.90) were significant factors of organizational commitment among health professionals.Conclusion and recommendationOrganizational commitment was lower in magnitude in the study setting. Age, job satisfaction, and transformational leadership behavior were significant predictors of organizational commitment.

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“…In Ethiopian medication errors were very common; whereby at least one out of two medications was wrongly prescribed and administered. 11 It was caused not merely by human error, but also by the health-care systems in which people work and interact. As a result, any progress in decreasing medical errors must be made by considering the systems and processes as a whole, rather than merely at the individual level.…”

Section: Introductionmentioning

confidence: 99%

Challenges of Medical Error Reporting in Mizan-Tepi University Teaching Hospital: A Qualitative Exploratory Study

Derese¹,

Agegnehu²

2022

DHPS

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Background Medical error is defined as “an act of omission or commission in planning or execution that contributes or could contribute to an unintended result”. It is a serious public health problem that can pose a threat to patient safety and if managed it can be an opportunity to an organizational learning. This study aimed to assess the challenges of error reporting. Methods Explorative qualitative cross-sectional study was conducted. The study was conducted among healthcare providers in Mizan-Tepi University Teaching Hospital. The study participants were selected purposely based on the patient contact hour and had served in this hospital for long period of time. Twenty-one in-depth interviews were undertaken. From each wards, three in-depth interviews were held. Case team leaders and other healthcare providers were identified and interviewed. The data were analyzed thematically. Results Twenty-one healthcare providers were recruited for this study. Majority of the participants, 12 (57.1%) were nurses and midwives and as to marital status, 18 (85.7%) were married. Challenges for reporting medical errors were identified as perceived lack of confidentiality of the medical errors, perceived punitive measures, lack of good reporting system, perceived fear of losing acceptance, lack of learning culture from errors, information asymmetry, mass-media publication of medical errors, avoidance of conflict and attitude of health professionals. Conclusion There were system and individual related challenges for reporting of medical errors. Healthcare managers should enhance medical error reporting for organizational learning by addressing these system and individual factors.

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Medication Errors in Ethiopia: Systematic Review and Meta-Analysis

Cited by 5 publications

References 29 publications

Perception of physicians towards electronic prescription system and associated factors at resource limited setting 2021: Cross sectional study

Perception of physicians towards electronic prescription system and associated factors at resource limited setting 2021: Cross sectional study

Organizational commitment of health professionals and associated factors in primary healthcare facilities of Addis Ababa, Ethiopia: A multi-center cross-sectional study

Challenges of Medical Error Reporting in Mizan-Tepi University Teaching Hospital: A Qualitative Exploratory Study

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