尼日利亚一家三级医院医护人员对药物错误的态度和认知的横断面研究

Bolanle Stephen Oladokun, Oladiran Boniface Oladokun, A. A. Aje
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摘要

本研究旨在评估医疗保健专业人员对药物错误的态度和看法。对尼日利亚伊巴丹大学学院医院的护士、药剂师和医生使用半结构化问卷进行了一项横断面研究。采用描述性和推断统计学方法对数据进行分析。大多数研究参与者,444人(55.5%)和472人(59.0%)分别对药物错误有良好的态度和认知。大多数医疗从业者(89.1%的护士、71.8%的药剂师和66.7%的医生)不同意药物错误是不可避免的,只是日常错误的说法。据观察,分别有35.5%、37.6%和66.7%的护士、药剂师和医生同意药物错误责任人应承担法律诉讼责任的说法。医疗保健专业人员就预防用药失误的措施提出的建议包括招聘新员工以增加员工人数(32.8%),药物错误培训(21.4%)和处方医生字迹清晰(9.4%)。研究参与者未报告的药物错误发生率为24.9%。未报告药物错误的原因包括轻微且对患者没有不良影响(32.3%),工作量过大(26.9%)和害怕被训斥(17.7%)。医疗保健专业人员对药物错误表现出良好的态度和认知。增加工作人员的力量和对药物错误的培训是研究参与者建议的预防药物错误的主要措施。
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Cross-Sectional Study on the Attitude and Perception of Healthcare Practitioners Towards Medication Errors in a Nigerian Tertiary Hospital
This study was carried out to evaluate the attitude and perception of healthcare professionals towards medication errors. A cross-sectional study was carried out using a semi-structured questionnaire administered to nurses, pharmacists and physicians at the University College Hospital of Ibadan, Nigeria. Data were analysed with descriptive and inferential statistics. Most of the study participants, 444 (55.5%) and 472 (59.0%) had excellent attitudes and perceptions of medication errors, respectively. Most of the healthcare practitioners (89.1% nurses, 71.8% pharmacists and 66.7% physicians) disagreed with the statement that medication errors are unavoidable and are merely expected daily mistakes. It was observed that 35.5%, 37.6% and 66.7% of the nurses and pharmacists, and physicians, respectively, agreed with the statement that persons responsible for medication errors should be liable for legal actions. Suggestions made by the healthcare professionals on measures to prevent medication errors included recruitment of new staff to increase staff strength (32.8%), training on medication errors (21.4%) and legible handwriting of prescribers (9.4%). The prevalence of unreported medication errors by the study participants was 24.9%. Reasons for not reporting medication error committed included that it was trivial and had no adverse effect on the patient (32.3%), excess workload (26.9%) and fear of reprimand (17.7%). The healthcare professionals displayed excellent attitudes and perceptions of medication errors. An increase in staff strength and training on medication errors were major measures suggested by the study participants to prevent medication errors.
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