Errors Associated With Medication Administration by a Nurse During Hospitalisation: A Prospective Observational Multicentric Study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60076658%3A12110%2F25%3A43909796" target="_blank" >RIV/60076658:12110/25:43909796 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11160/25:10505884

Result on the web

<a href="https://doi.org/10.1002/nop2.70139" target="_blank" >https://doi.org/10.1002/nop2.70139</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1002/nop2.70139" target="_blank" >10.1002/nop2.70139</a>

Result language

angličtina

Original language name

Errors Associated With Medication Administration by a Nurse During Hospitalisation: A Prospective Observational Multicentric Study

Original language description

Aims: To explore all medication administration errors (MAEs) throughout the entire process of medication administration by nurses in the inpatient setting, to describe their prevalence, and to analyse associated factors, including deviation from the good practice standards.Background: Worldwide, MAEs are very common and regarded as a serious risk factor to inpatient safety. Nurses assume an essential role in the hospital setting during the administration of medications.Design: The prospective observational study was carried out in accordance with the STROBE guidance.Methods: This study was conducted in four regional hospitals from June to August 2021. MAEs were collected when nurses administered medications to the adult inpatients during the morning, noon, and evening medication rounds at the internal, surgical, and follow-up care departments in each hospital over three consecutive days. Direct observation by the multidisciplinary team was employed. MAEs were classified as major MAEs (from the potentially most serious and common to all drug forms), specific MAEs (specific to a drug form), and procedural MAEs (e.g., patient identification, hygiene standards, or generic drug substitution). Predictors of either major MAE or specific MAE frequency were analysed using the generalised linear model and the decision tree model.Results: Overall, 58 nurses administering medication to 331 inpatients at 12 departments were observed. In total, 6356 medication administrations were observed, of which 461 comprised major MAEs, 1497 specific MAEs, and 12,045 procedural MAEs.The predictors of the occurrence of major MAEs and specific MAEs were the specific hospital, the nurse&apos;s length of practice (less than 2 years), and two procedural MAEs (the unclear prescription and the wrong strength).Conclusions: Non-adherence to the standard processes in healthcare facilities for prescribing and administering drugs increased the prevalence of severe MAEs. Determinants of MAE occurrence such as incorrect prescriptions or limited experience of nurses should be considered. Implication for the Profession and Patient Care: The identified determinants of MAE should be considered by hospitalstakeholders in their support programs to reduce the level of burden for nurses during medication administration.

Czech name

—

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

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

2025

Confidentiality

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

Name of the periodical

Nursing Open

ISSN

2054-1058

e-ISSN

2054-1058

Volume of the periodical

12

Issue of the periodical within the volume

1

Country of publishing house

GB - UNITED KINGDOM

Number of pages

17

Pages from-to

"e70139"

UT code for WoS article

001393809300001

EID of the result in the Scopus database

2-s2.0-85214980526