埃塞俄比亚西北部阿姆哈拉地区转诊医院护士用药错误的严重程度和相关因素。

Enyew Getaneh Mekonen, Mignote Hailu Gebrie, Senetsehuf Melkamu Jemberie
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引用次数: 0

摘要

导言:用药错误(MAEs)是一种常见的健康问题,它威胁着患者的安全,提高了死亡率、住院时间和服务成本。同时,它还会影响执行程序的医护人员和医疗机构。其在埃塞俄比亚的发生率很高,从 51.8% 到 90.8% 不等:本研究旨在评估西北阿姆哈拉地区转诊医院护士 MAE 的严重程度和相关因素:于 2019 年 2 月至 3 月开展了一项基于机构的横断面研究。采用简单随机抽样技术选取了 348 名护士。采用结构化预试自填问卷和观察核对表收集数据。数据输入 Epi-info 7 版,使用 SPSS 20 版(SPSS Inc.计算双变量和多变量逻辑回归,以确定与 MAEs 相关的因素:178 名受访者(54%)在过去 12 个月中进行过 MAE。在被观察的 200 名护士中,只有 10 人(5%)在给药时没有违反给药六项权利中的任何一项。知识贫乏(AOR = 5.98;95% CI (2.39,14.94))、沟通不畅(AOR = 2.94;95% CI (1.34,6.46))、压力(AOR = 5.41;95% CI (2.53,11.57))、用药中断(AOR = 4.70,95% CI (2.42,9.10))和夜班(AOR = 2.79,95% CI (1.42,5.46))等因素与 MAE 显著相关:MAE的程度很高。结论:MAE 的程度很高,知识贫乏、沟通不畅、压力、夜班和中断与 MAE 显著相关。加强医疗机构的用药管理条例和指南,尽量减少用药过程中的中断,将有助于最大限度地减少 MAE。
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Magnitude and associated factors of medication administration error among nurses working in Amhara Region Referral Hospitals, Northwest Ethiopia.

Introduction: Medication administration errors (MAEs) are common health problems that threaten patient safety and raise mortality rates, duration of hospital stay, and cost of services. It also influences healthcare professionals performing the procedure and healthcare organizations. Its prevalence in Ethiopia is high ranging from 51.8% to 90.8%.

Objective: This study aimed to assess the magnitude and associated factors of MAE among nurses at Northwest Amhara Region Referral Hospitals.

Methods: An institution-based cross-sectional study was conducted from February to March 2019. A simple random sampling technique was employed to select 348 nurses. Structured pretested self-administered questionnaires and an observational checklist were used to collect data. The data were entered in Epi-info version 7, analyzed using SPSS version 20 (SPSS Inc., Chicago, IL), and presented in tables and graphs. Bivariate and multivariable logistic regressions were computed to identify the factors associated with MAEs. p Values <.05 and adjusted odds ratios were used to declare the significance and strength of the association.

Results: One hundred and seventy-eight (54%) of the respondents made MAEs in the last 12 months. Only 10 (5%) of the 200 observed nurses were administered medications without any breach in any of the six rights of medication administration. Factors like poor knowledge (AOR = 5.98; 95% CI (2.39,14.94)), poor communication (AOR = 2.94; 95% CI (1.34, 6.46)), stress (AOR = 5.41; 95% CI (2.53, 11.57)), interruption during medication administration (AOR = 4.70, 95% CI (2.42, 9.10)), and night shift (AOR = 2.79, 95% CI (1.42, 5.46)) were significantly associated with MAE.

Conclusions: The magnitude of MAE was high. Poor knowledge, poor communication, stress, night shift, and interruption were significantly associated with MAEs. Strengthening institutional medication administration regulations and guidelines and minimizing interruption during medication administration would help minimize MAEs.

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来源期刊
Journal of Drug Assessment
Journal of Drug Assessment PHARMACOLOGY & PHARMACY-
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