Perceptions on Medication Administration Errors (MAEs) among nurses at a tertiary government hospital

IF 2.7 4区 医学 Q1 NURSING Applied Nursing Research Pub Date : 2024-07-14 DOI:10.1016/j.apnr.2024.151822
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Abstract

Aim

To identify the nurses' perceptions on the occurrence of Medication Administration Errors (MAEs) and barriers to reporting using the MAE Reporting Survey.

Background

MAEs is a serious public health threat that causes patient injury, death, and results to expensive health care.

Methods

Descriptive statistical analysis.

Results

The most frequent reasons for MAEs according to the nurses were physicians' medication orders are not legible (4.67 ± 1.21) and unit staffing levels are inadequate (4.63 ± 1.45). The most frequent reason for unreported MAEs were when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error (4.95 ± 4.33) and nurses could be blamed if something happens to the patient as a result of the medication error (4.29 ± 1.48). The highest prevalent non-IV related MAEs included wrong time of administration (M = 3.02 ± 2.37) and medication administered after the order to discontinue has been written (M = 2.60 ± 2.11), both with 0–20 % of reported non-IV MAEs. The highest prevalent IV related MAEs included wrong time of administration (M = 2.76 ± 2.29) and medication administered after the order to discontinue has been written (M = 2.45 ± 2.01). More than half (n = 95, % = 54.29) of the respondents stated that 0–20 % of all types of medication errors, including IV and non-IV medication errors are reported.

Conclusions

The findings supported the notion that nurses perceive low percentages of MAEs reporting.

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一家三级政府医院的护士对用药错误(MAEs)的看法
目的通过MAE报告调查,了解护士对用药错误(MAE)发生的看法以及报告的障碍。背景MAE是一种严重的公共卫生威胁,会造成患者受伤、死亡,并导致昂贵的医疗费用。方法描述性统计分析。结果护士认为最常见的MAE原因是医生的用药医嘱不清晰(4.67 ± 1.21)和科室人员配备不足(4.63 ± 1.45)。未报告 MAEs 的最常见原因是,当发生用药错误时,护理管理部门只关注个人,而不是将系统视为错误的潜在原因(4.95 ± 4.33),如果用药错误导致患者发生意外,护士可能会受到指责(4.29 ± 1.48)。最常见的非静脉用药相关 MAE 包括用药时间错误(M = 3.02 ± 2.37)和在开具停药医嘱后用药(M = 2.60 ± 2.11),这两种情况在报告的非静脉用药相关 MAE 中均占 0-20%。与静脉注射相关的最大不良反应包括用药时间错误(M = 2.76 ± 2.29)和在下达停药指令后用药(M = 2.45 ± 2.01)。半数以上(n = 95,% = 54.29)的受访者表示,所有类型的用药错误(包括静脉注射和非静脉注射用药错误)的报告率为 0-20%。
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来源期刊
Applied Nursing Research
Applied Nursing Research 医学-护理
CiteScore
4.50
自引率
0.00%
发文量
65
审稿时长
70 days
期刊介绍: Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.
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