{"title":"某地区医院护士对用药差错的反思内容分析","authors":"Anton Isaacs, Anita Raymond, Bethany Kent","doi":"10.1080/10376178.2023.2220432","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Medication errors [MEs] continue to be an area of concern both nationally and internationally.</p><p><strong>Methods: </strong>Sixty-eight reflective summaries detailing reasons for medication errors completed by nurses at an Australian regional teaching hospital during a five-year period were analysed.</p><p><strong>Results: </strong>Fifteen codes emerged from the data that aligned to three main categories of the Human Factors Framework. They were: Individual characteristics such as inexperience, stress and lack of knowledge (5 codes), Nature of the work such as prescription errors, time pressure, miscommunication, poor handover and documentation errors (9 codes) and Physical environment such as distractions (1 code). Individual characteristics were the most frequently reported (51.6%) reasons for the error.</p><p><strong>Conclusions: </strong>Provision of medicine information resources and management of nurses' workload as well as enhancing graduate nurse education with simulation of 'real life' clinical settings appear to be the main targets for intervention.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Content analysis of nurses' reflections on medication errors in a regional hospital.\",\"authors\":\"Anton Isaacs, Anita Raymond, Bethany Kent\",\"doi\":\"10.1080/10376178.2023.2220432\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Medication errors [MEs] continue to be an area of concern both nationally and internationally.</p><p><strong>Methods: </strong>Sixty-eight reflective summaries detailing reasons for medication errors completed by nurses at an Australian regional teaching hospital during a five-year period were analysed.</p><p><strong>Results: </strong>Fifteen codes emerged from the data that aligned to three main categories of the Human Factors Framework. They were: Individual characteristics such as inexperience, stress and lack of knowledge (5 codes), Nature of the work such as prescription errors, time pressure, miscommunication, poor handover and documentation errors (9 codes) and Physical environment such as distractions (1 code). Individual characteristics were the most frequently reported (51.6%) reasons for the error.</p><p><strong>Conclusions: </strong>Provision of medicine information resources and management of nurses' workload as well as enhancing graduate nurse education with simulation of 'real life' clinical settings appear to be the main targets for intervention.</p>\",\"PeriodicalId\":55633,\"journal\":{\"name\":\"Contemporary Nurse\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contemporary Nurse\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/10376178.2023.2220432\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contemporary Nurse","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10376178.2023.2220432","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Content analysis of nurses' reflections on medication errors in a regional hospital.
Background: Medication errors [MEs] continue to be an area of concern both nationally and internationally.
Methods: Sixty-eight reflective summaries detailing reasons for medication errors completed by nurses at an Australian regional teaching hospital during a five-year period were analysed.
Results: Fifteen codes emerged from the data that aligned to three main categories of the Human Factors Framework. They were: Individual characteristics such as inexperience, stress and lack of knowledge (5 codes), Nature of the work such as prescription errors, time pressure, miscommunication, poor handover and documentation errors (9 codes) and Physical environment such as distractions (1 code). Individual characteristics were the most frequently reported (51.6%) reasons for the error.
Conclusions: Provision of medicine information resources and management of nurses' workload as well as enhancing graduate nurse education with simulation of 'real life' clinical settings appear to be the main targets for intervention.
期刊介绍:
Contemporary Nurse is an international peer-reviewed journal designed to increase nursing skills, knowledge and communication, assist in professional development and to enhance educational standards by publishing stimulating, informative and useful articles on a range of issues influencing professional nursing research, teaching and practice.
Contemporary Nurse is a forum for nursing educators, researchers and professionals who require high-quality, peer-reviewed research on emerging research fronts, perspectives and protocols, community and family health, cross-cultural research, recruitment, retention, education, training and practitioner perspectives.
Contemporary Nurse publishes original research articles, reviews and discussion papers.