Reasons for medication administration errors, barriers to reporting them and the number of reported medication administration errors from the perspective of nurses: A cross-sectional survey

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11160%2F23%3A10472147" target="_blank" >RIV/00216208:11160/23:10472147 - isvavai.cz</a>

Alternative codes found

RIV/60076658:12110/23:43907150

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=S_2Lbxpr.5" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=S_2Lbxpr.5</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.nepr.2023.103642" target="_blank" >10.1016/j.nepr.2023.103642</a>

Result language

angličtina

Original language name

Reasons for medication administration errors, barriers to reporting them and the number of reported medication administration errors from the perspective of nurses: A cross-sectional survey

Original language description

The aim of the study was to identify the reasons for medication administration errors, describe the barriers in their reporting and estimate the number of reported medication administration errors. Background: Providing quality and safe healthcare is a key priority for all health systems. Medication administration error belongs to the more common mistakes committed in nursing practice. Prevention of medication administration errors must therefore be an integral part of nursing education. Design: A descriptive and cross-sectional design was used for this study. Methods: Sociological representative research was carried out using the standardized Medication Administration Error Survey. The research study involved 1205 nurses working in hospitals in the Czech Republic. Field surveys were carried out in September and October 2021. Descriptive statistics, Pearson&apos;s and Chi-square automatic interaction detection were used to analyze the data. The STROBE guideline was used. Results: Among the most frequent causes of medication administration errors belong name (4.1 +/- 1.4) and packaging similarity between different drugs (3.7 +/- 1.4), the substitution of brand drugs by cheaper generics (3.6 +/- 1.5), frequent interruptions during the preparation and administration of drugs (3.6 +/- 1.5) and illegible medical records (3.5 +/- 1.5). Not all medication administration errors are reported by nurses. The reasons for non-reporting of such errors include fear of being blamed for a decline in patient health (3.5 +/- 1.5), fear of negative feelings from patients or family towards the nurse or legal liability (3.5 +/- 1.6) and repressive responses by hospital management (3.3 +/- 1.5). Most nurses (two-thirds) stated that less than 20 % of medication administration errors were reported. Older nurses reported statistically significantly fewer medication administration errors concerning non-intravenous drugs than younger nurses (p &lt; 0.001). At the same time, nurses with more clinical experience (&gt;= 21 years) give significantly lower estimates of medication administration errors than nurses with less clinical practice (p &lt; 0.001).Conclusion: Patient safety training should take place at all levels of nursing education. The standardized Medication Administration Error survey is useful for clinical practice managers. It allows for the identification of medication administration error causes and offers preventive and corrective measures that can be implemented. Measures to reduce medication administration errors include developing a non-punitive adverse event reporting system, introducing electronic prescriptions of medicines, involving clinical pharmacists in the pharmacotherapy process and providing nurses with regular comprehensive training.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30104 - Pharmacology and pharmacy

Project

<a href="/en/project/NU20-09-00257" target="_blank" >NU20-09-00257: Safety of nurse medication administration at selected hospital wards</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Nurse Education in Practice

ISSN

1471-5953

e-ISSN

1873-5223

Volume of the periodical

70

Issue of the periodical within the volume

July

Country of publishing house

GB - UNITED KINGDOM

Number of pages

9

Pages from-to

103642

UT code for WoS article

000988825900001

EID of the result in the Scopus database

2-s2.0-85153405268