Medication administration errors in the selected Czech hospitals: An Observation Study

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60076658%3A12110%2F24%3A43906836" target="_blank" >RIV/60076658:12110/24:43906836 - isvavai.cz</a>
Result on the web
<a href="https://sciendo.com/article/10.2478/pielxxiw-2024-0009" target="_blank" >https://sciendo.com/article/10.2478/pielxxiw-2024-0009</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 Observation Study
Original language description
The aim of the study was 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 process of medication administration 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 found to be the substitution of a prescribed medication without the doctor's consent, especially among nurses with 35-44 years (p < 0.001). These MAEs involved giving a medication of different strength than prescribed (p < 0.001), giving the wrong medication (p < 0.001), and giving a different dose (p < 0.001). Substitutions MAEs occurred most often during morning medication administration (p < 0.001). Conclusion. A critical finding 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 at 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
30307 - Nursing

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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