Voluntary Medication Error Reporting by ED Nurses: Examining the Association With Work Environment and Social Capital

Farag, A.S.; Blegen, Mary A.; Gedney-Lose, Amalia; Lose, Daniel T.; Perkhounkova, Yelena

doi:10.1016/j.jen.2016.10.015

Cited by 21 publications

(15 citation statements)

References 24 publications

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“…In this study, safety climate dimension of error feedback explained more of the variance on nurses’ willingness to report medication error as compared with safety climate dimension of nonpunitive response to error. This result is consistent with results of Blegen et al (2009) and Sorra and Dyer (2010) and our previous work that looked at nurse’s willingness to report medication error in EDs (Farag et al, 2017). Blegen and colleagues (2009) explained lower scores for negatively worded scales, such as nonpunitive response to error, can be a “reflection for the wording of the item rather than the weakness of this aspect of safety culture” (p. 144).…”

Section: Discussionsupporting

confidence: 92%

“…Clarke (2010) argued that a transformational leader can be effective in driving some specific outcome but fails in another. Results of Farag and colleagues (2017) support Clarke’s (2010) proposition where transactional leadership, not transformational, was significantly correlated with ED nurses’ willingness to report medication errors. Mullen and Kelloway (2009) asserted general transformational and safety-specific transformational leadership are two different constructs.…”

Section: Discussionmentioning

confidence: 59%

“…Inness and colleagues (2010) challenged this proposition. Equivalent to transformational leadership, some studies supported the positive impact of transactional leadership on safety outcomes (Clarke & Ward, 2006; Farag, Blegen, Lose, & Gedeny-Lose, 2017; Zohar, 2002). Given the controversial results and argument surrounding the most effective leadership style for safety outcomes, our study model examined the two styles of transformational and transactional as related to nurses’ safety motivation.…”

Section: Organizational Factors Influencing Nurses’ Willingness To Rementioning

confidence: 99%

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Nurses’ Safety Motivation: Examining Predictors of Nurses’ Willingness to Report Medication Errors

Farag

Lose

Gedney-Lose³

2018

West J Nurs Res

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Medication errors are common in health care settings. Safety motivation, such as willingness to report error, is needed to contain medication errors. Limited evidence exists about measures to enforce nurses’ safety motivation. The purpose of this study was to test a proposed model explaining the mechanism by which organizational and social factors influence nurses’ safety motivation. Survey for this cross-sectional study was mailed to a random sample of 500 acute care nurses. Data collection started in January 2014 and lasted 6 months. Path analysis results showed a good fitting final model with 15% of explained variance on nurses’ safety motivation. Safety climate dimensions of error feedback (β = .38, p ⩽ .00) and nonpunitive response to errors (β = .22, p = .01) significantly predicted the outcome. There is a need for both organizational and social factors to motivate nurses to report errors. Leadership practices emphasizing safety as a priority is needed to enhance nurses’ safety motivation.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 59%

Section: Organizational Factors Influencing Nurses’ Willingness To Rementioning

confidence: 99%

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Nurses’ Safety Motivation: Examining Predictors of Nurses’ Willingness to Report Medication Errors

Farag

Lose

Gedney-Lose³

2018

West J Nurs Res

Self Cite

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“…Conversely, no statistically significant differences were found in terms of professional experience. However, studies such as the one conducted by Sears, O´Brien-Pallas, Stevens and Murphy [39], stated that units with more experienced nurses reported their MEs more frequently, which may mean that involving experienced nurses reported their MEs more frequently, which may mean that involving experienced nurses could increase the voluntary reporting of such errors [40].…”

Section: Discussionmentioning

confidence: 99%

Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment

et al. 2019

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Background Medication errors have long been associated with low-quality medical care services and significant additional medical costs. Objective The aim of this study was to culturally adapt and validate the questionnaire on knowledge, attitudes and behaviors in the administration of intravenous medication, as well as to explore these factors in a hospital setting. Methods The study was divided into two phases: 1) validation and cross-cultural adaptation, and 2) cross-sectional study. A total of 276 hospital-based nursing professionals participated in the study. Results A Cronbach’s alpha value of 0.849 was found, indicating good internal consistency. In the multivariate analysis, statistically significant differences were found between knowledge and attitudes, demonstrating that having greater suitable knowledge correlates with having a more positive attitude. It was also discovered that having a positive attitude as well as the necessary knowledge increases the possibility of engaging in adequate behaviors. Conclusions The knowledge, attitudes and behavior questionnaire has a satisfactory internal consistency in order to be applied to the Spanish context. Implications for nursing management: Knowledge acquisition and positive attitude are both factors which promote adequate behavior, which in turn seems to have an impact on medication errors prevention. Health institutions must encourage continuous education for their employees.

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“…However, nurses are often considered responsible for medication-related incidents, because they perform drug administration, the last step of medication therapy process (Shahrokhi, Ebrahimpour, & Ghodousi, 2013). However, nurse medication therapy performance must be considered in the context of the health care system, medication therapy process, medication safety culture and the performance of other professions involved in medication therapy (Farag, Blegen, Gedney-Lose, Lose, & Perkhounkova, 2017;Yu, Li, Gao, Liu, & Lin, 2018).…”

Section: Introductionmentioning

confidence: 99%

Behavioural changes in medication safety: Consequent to an action research intervention

et al. 2020

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Aim To explore the extent to which action research assists developing medication safety behaviours among emergency medicine staff. Background Health care staff involved in medication therapy are frequently required to implement progressive changes. To permanently improve medication safety, we must consider staff behaviour. This study utilizes action research to engage health care workers and engender behavioural changes. Method Two cycles of action research were implemented. Data were collected through pre‐ and post‐medication safety surveys, unstructured interviews and field notes. Staff in the emergency department worked together to progress the study cycles. Results The pre‐evaluation phase revealed deficiencies in staff medication safety behaviour. Subsequent to the implementation of safety initiatives, pre‐ to post‐evaluation comparison indicated significant improvement in medication safety behaviours. In response to qualitative reflection phase data in reflection, ward pharmacists were placed in the emergency department and anew policy on responding to medication error was developed. Analysed field notes revealed improved safe patient care, enhanced pharmaceutical knowledge and changes in the emergency department climate. Conclusions Through action research, this study introduced actions to improve medication safety behaviours in the emergency department. Staff involvement led to changed safety behaviours. Implication for Nursing Management This study advises nurse managers of the benefit of pharmacist‐led medication therapy, interprofessional medication safety courses and active communication between front‐line staff and managers regarding medication safety.

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Voluntary Medication Error Reporting by ED Nurses: Examining the Association With Work Environment and Social Capital

Cited by 21 publications

References 24 publications

Nurses’ Safety Motivation: Examining Predictors of Nurses’ Willingness to Report Medication Errors

Nurses’ Safety Motivation: Examining Predictors of Nurses’ Willingness to Report Medication Errors

Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment

Behavioural changes in medication safety: Consequent to an action research intervention

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