Medication administration errors in the selected Czech hospitals: An observational study

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11160%2F24%3A10488056" target="_blank" >RIV/00216208:11160/24:10488056 - isvavai.cz</a>
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=6fLil7k9CA" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=6fLil7k9CA</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.2478/pielxxiw-2024-0009" target="_blank" >10.2478/pielxxiw-2024-0009</a>

Result language
angličtina
Original language name
Medication administration errors in the selected Czech hospitals: An observational study
Original language description
Aim. The study aimed to identify the occurrence of medication administration errors in clinical practice. Material and methods. This was a direct observational study. The study included observing the medication administration process over three years in four hospitals in the Czech Republic. STROBE was used as a checklist. Results. A total of 18,370 medication administrations to hospitalized patients were observed and recorded, including morning, noon, and evening administrations. The most common MAE was substituting a prescribed medication without the doctor's consent, especially among nurses aged 35-44 (p < 0.001). These MAEs involved giving a medication of diff erent strength than prescribed (p < 0.001), giving the wrong medication (p < 0.001), and giving a diff erent dose (p < 0.001). Substitutions of MAEs occurred most often during morning medication administration (p < 0.001). Conclusions. A critical fi nding of this study was the substitution of medications without a doctor's consent. It has been found that MAEs were not uncommon in clinical practice, and factors such as the nurse's age, overall length of clinical practice, education, and workplace interruptions played a role.
Czech name
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Czech description
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Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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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
2024
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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