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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11160/25:10505884

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30307 - Nursing

Projekt

<a href="/cs/project/NU20-09-00257" target="_blank" >NU20-09-00257: Bezpečnost podávání léků sestrou na vybraných lůžkových odděleních nemocnic</a><br>

Návaznosti

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

Rok uplatnění

2025

Kód důvěrnosti údajů

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

Název periodika

Nursing Open

ISSN

2054-1058

e-ISSN

2054-1058

Svazek periodika

12

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

17

Strana od-do

"e70139"

Kód UT WoS článku

001393809300001

EID výsledku v databázi Scopus

2-s2.0-85214980526