Nurses' perceptions toward factors that cause medication errors in Jordan: A qualitative study

Ali, Luma Ahmad Issa; Saifan, Ahmad Rajeh; Alrimawi, Intima; Atout, Maha

doi:10.1111/ppc.12707

Cited by 8 publications

(21 citation statements)

References 22 publications

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“…Of the included studies, 11 gave a definition of MAEs (refer to Table 6) (Ali et al, 2020; Baghaei et al, 2015; Fathi et al, 2017; Hassan et al, 2009; Jassim & Ebrahim, 2020; Karadeniz & Cakmakci, 2002; Mayo & Duncan, 2004; Oshikoya et al, 2013; Saleh et al, 2014; Sessions et al, 2019; Zarea et al, 2018). In these 11 studies, a total of seven different definitions were given with one article explicitly providing a doctor's definition and a nurse's definition (Oshikoya et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

“…In these 11 studies, a total of seven different definitions were given with one article explicitly providing a doctor's definition and a nurse's definition (Oshikoya et al, 2013). Five studies (Ali et al, 2020; Baghaei et al, 2015; Fathi et al, 2017; Hassan et al, 2009; Jassim & Ebrahim, 2020) used the definition from the National Coordinating Council for Medication Error Reporting and Prevention (2021). Table 6 provides details of the definitions used.…”

Section: Resultsmentioning

confidence: 99%

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Fatigue in nurses and medication administration errors: A scoping review

Bell

Sprajcer

Flenady

et al. 2023

Journal of Clinical Nursing

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BackgroundMedication administration errors (MAEs) cause preventable patient harm and cost billions of dollars from already‐strained healthcare budgets. An emerging factor contributing to these errors is nurse fatigue. Given medication administration is the most frequent clinical task nurses undertake; it is vital to understand how fatigue impacts MAEs.ObjectiveExamine the evidence on the effect of fatigue on MAEs and near misses by registered nurses working in hospital settings.MethodArksey and O'Malley's scoping review framework was used to guide this review and PAGER framework for data extraction and analysis. The PRISMA checklist was completed. Four electronic databases were searched: CINAHL, PubMed, Scopus and PsycINFO. Eligibility criteria included primary peer review papers published in English Language with no date/time limiters applied. The search was completed in August 2021 and focussed on articles that included: (a) registered nurses in hospital settings, (b) MAEs, (c) measures of sleep, hours of work, or fatigue.ResultsThirty‐eight studies were included in the review. 82% of the studies identified fatigue to be a contributing factor in MAEs and near misses (NMs). Fatigue is associated with reduced cognitive performance and lack of attention and vigilance. It is associated with poor nursing performance and decreased patient safety. Components of shift work, such as disruption to the circadian rhythm and overtime work, were identified as contributing factors. However, there was marked heterogeneity in strategies for measuring fatigue within the included studies.Relevance to clinical practiceFatigue is a multidimensional concept that has the capacity to impact nurses' performance when engaged in medication administration. Nurses are susceptible to fatigue due to work characteristics such as nightwork, overtime and the requirement to perform cognitively demanding tasks. The mixed results found within this review indicate that larger scale studies are needed with particular emphasis on the impact of overtime work. Policy around safe working hours need to be re‐evaluated and fatigue management systems put in place to ensure delivery of safe and quality patient care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Fatigue in nurses and medication administration errors: A scoping review

Bell

Sprajcer

Flenady

et al. 2023

Journal of Clinical Nursing

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“…Teniendo en cuenta, además, que en este estudio los profesionales reportaron menor porcentaje de actualizaciones en administración segura de medicamentos (28,5%) frente a lo reportado por técnicos auxiliares (37,2%), lo cual también pudo influir en las prevalencias reportadas. Se debe considerar que el inadecuado conocimiento y la omisión de las prácticas seguras y de los correctos de medicación puede resultar en EM, que son asociadas a las habilidades (prácticas) del PE [22][23][24] y que son frecuentes debido a que no existe ningún filtro que pueda detectar o prevenir los errores, siendo el mismo PE quien se autocontrola [25] y controla la aparición de EM [26]; en este estudio el 14,3% de los profesionales reportó que autopercibe su conocimiento en administración segura de medicamentos como Malo/Insatisfactorio. La AM es una actividad de enfermería que requiere un proceso reflexivo e implica una responsabilidad, adicional a conocimientos farmacológicos y técnicos [23], pues a partir de los EM las consecuencias son asumidas por el paciente.…”

Section: Discussionunclassified

Prácticas seguras en administración de medicamentos en un hospital de segundo nivel de atención

Barco

Rodríguez²

2021

RIECS

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RESUMEN Las prácticas de administración segura de medicamentos hacen parte importante del compendio de actividades para resguardar la seguridad del paciente, por tanto, la búsqueda de un entorno seguro es una preocupación constante de las instituciones de salud, y la práctica de la administración de medicamentos es esencial para evitar errores de medicación. La medición de las prácticas del personal de enfermería respecto a la administración de medicamentos puede generar datos relevantes para la elaboración de estrategias más fidedignas de la necesidad institucional y en consecuencia disminuir notablemente la aparición de errores de medicación. Objetivo: Determinar el cumplimiento de prácticas en administración segura de medicamentos por parte del personal de enfermería de un hospital de segundo nivel de atención. Metodología: Estudio descriptivo transversal en el que se evaluó el grado de cumplimiento de prácticas de administración segura de medicamentos a través de la aplicación de dos listas de chequeo. Resultados: El ejercicio de prácticas de seguridad en administración de medicamentos en este estudio mostró un rendimiento del 61% en personal técnico auxiliar de enfermería y un 49% en profesionales de enfermería, con Prevalencia de no cumplimiento del 27,9% y 42,9%, respectivamente. Coeficiente de correlación de Spearman 0,71 en los resultados de las listas de chequeo. Conclusiones: El personal de enfermería, en este estudio, mostró cumplimiento de prácticas seguras en administración de medicamentos alrededor de la media de cumplimiento, con un rendimiento similar en ambos grupos del personal de enfermería y en ambas listas de chequeo.

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“…Farid et al 41 quantified the impact of nursing workload and staffing on nurses' health and patient care quality. In addition, in their studies, Ali et al, 42 Grida and Zeid, 33 Ishikawa et al, 34 and Mielczarek and Zabawa 43 have also applied SD models to healthcare systems, simulating the dynamics of healthcare policies, material resources, and human resources; however, few studies explore the simulation and modeling of healthcare error systems. In this study, the MAE system was used as the research object, and actual medical error cases were used as the research data.…”

Section: Introductionmentioning

confidence: 99%

Effects of workload on medication administration errors in nursing: an analysis based on system dynamics modeling

et al. 2023

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Medication administration errors account for a relatively high proportion of medical errors, with more than 50% occurring at the nursing administration stage. Nursing is characterized by a large amount of work, rigid working hours, high information cognitive intensity, and frequent information updates. The high workload of nurses is a significant cause of medication administration errors. In this study, a literature analysis was used to determine the elements of the system dynamics model, and the causal loop diagram was used to draw the relationship framework among the elements. Vensim personal learning edition and interview surveys were then used for model validation and simulation. First, 302 case analyses of medication administration errors collected from the three metropolitan area hospitals were used to construct the causal loop diagram, the stock and flow map of the medication administration error system, and the dynamics model; second, the model was tested from theoretical and historical data simulation perspectives; finally, the system dynamics model proposed in this study was used to simulate a medical institution from overtime and policy perspectives. Through system dynamics modeling, the inducing mechanism of workload on medication administration errors in nursing operations was elucidated, and corresponding suggestions for prevention were provided. In addition, ideas and basis for optimizing the medication administration process, improving workload, and preventing medication administration errors considering workload were provided.

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Nurses' perceptions toward factors that cause medication errors in Jordan: A qualitative study

Cited by 8 publications

References 22 publications

Fatigue in nurses and medication administration errors: A scoping review

Fatigue in nurses and medication administration errors: A scoping review

Prácticas seguras en administración de medicamentos en un hospital de segundo nivel de atención

Effects of workload on medication administration errors in nursing: an analysis based on system dynamics modeling

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