Factors Affecting Medication Errors among Staff Nurses: Basis in the Formulation of Medication Information Guide

Author(s):  
Anndra Margareth B. Dumo
2020 ◽  
Author(s):  
Thamir M Alshammari ◽  
Khalidah A. Alenzi ◽  
Yasser M Alatawi ◽  
Afnan S. Almordi ◽  
Ali F. Altebainawi

Abstract BackgroundMedication process complexity could cause confusion among healthcare professionals (HCPs) and patients and lead to medication errors. This nationwide study aimed to characterize the types of medication errors and determine the error occurs in different stages of the medication process.MethodsThis was a retrospective observational study of medication errors reported by 265 government hospitals and primary care centers during the period of March 2018 to June 2019. The reported information include several aspects of medication errors, including patient information, medication information, error information, and the level of staff reporting and causing the error. The medication use process was categorized into ordering/prescribing, transcribing, dispensing, administering, and monitoring. ResultsA total of 71,332 medication error reports were reported between March 2018 and June 2019. The reported errors involved patients aged <10 (12,1312; 17.3%) and >60 (8,857; 12.4%) years, and the medication error rate was estimated to be 0.15%. Errors were frequently made by physicians 63120 (88.5%) and frequently detected by pharmacists (75.9%). The majority of errors were detected at the prescribing stage (84.8%), followed by the transcribing (5.8%) and dispensing (5.7%) stages. A total of 4,182 (5.8%) errors reached the patient. Work overload of staff was associated with one-third of the reported errors (31.6%), and 22.7% of the errors were due to a lack of experience among HCPs.ConclusionsThe study highlights the concern regarding medication errors occurrence during different medication use process. Despite all efforts, prescribing stage is still a big concern as source of harm to the patients.


2012 ◽  
Vol 40 (4) ◽  
pp. 1025-1033 ◽  
Author(s):  
Marsha Regenstein ◽  
Ellie Andres ◽  
Dylan Nelson ◽  
Stephanie David ◽  
Ruth Lopert ◽  
...  

Access to clear and concise medication information is essential to support safe and effective use of prescription drugs. Patient misunderstanding of medication information is a common reason for non-adherence to medication regimens and a leading cause of outpatient medication errors and adverse drug events in the U.S. Medication errors are the most common source of risk to patient safety, leading to poor health outcomes, hospitalizations, and deaths. Over half a million adverse drug events occur in the outpatient setting each year at a cost of approximately $1 billion annually.Nearly half of adults in the U.S. experience difficulty understanding and acting upon health information. Even individuals with high levels of general literacy may find medication information difficult to understand or use. The risk of misunderstanding medication information is compounded for patients with limited English proficiency (LEP) who may not have access to this information in their own language.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256031
Author(s):  
Eman Alefishat ◽  
Rana Abu Farha ◽  
Mohammed Zawiah

Purpose The credibility and the reliability of Internet webpages to seek medication-related information is questionable. The main objective of the current study was to evaluate perception and experience of pharmacists with the use of Internet-based medication information by their patients. Methods This is a cross-sectional descriptive study that was conducted to evaluate perception and experience of pharmacists with the use of Internet-based medication information by their patients. During the study period, 200 pharmacists were approached to participate in the study using a paper-based survey to assess their perceptions and current experience with the use of Internet-based medication information by their patients. Data were analyzed using descriptive statistics (mean/standard deviation for continuous variables, and frequency/percentages for qualitative variables). Also, simple linear regression was utilized to screen factors affecting pharmacists’ perception scores of the use of Internet-based medication information. Results Among 161 recruited pharmacists, the majority (n = 129, 80.1%) reported receiving inquiries from patients about Internet-based medication information within the last year. Among them, only 22.6% (n = 29) of pharmacists believed that Internet-based medication information is somewhat or very accurate. Unfortunately, only 24.2% (n = 31) of them stated that they always had enough time for their patient to discuss their Internet-based medication information. Regarding pharmacists’ perception of the use of Internet-based medication information by their patients, more than half of the pharmacists (>50%) believe that Internet-based medication information could increase the patient’s role in taking responsibility. On the other hand, 54.7% (n = 88) of the pharmacists believed that Internet-based medication information would contribute to rising the healthcare cost by obtaining unnecessary medications by patients. Finally, pharmacists’ educational level was found to significantly affect their perception scores toward patient use of Internet-based medication information where those with higher educational level showed lower perception score (r = -0.200, P-value = 0.011). Conclusion Although pharmacists felt that usage of Internet-based data by patients is beneficial, they also have believed that it has a negative impact in terms of rising the healthcare cost, and it promotes unnecessary fear or concern about medications. We suggest that pharmacists be trained on principles of critical appraisal to become professional in retrieval information on the Internet that might improve their delivery of healthcare information and their recommendations to patients.


2020 ◽  
pp. 147775092092717
Author(s):  
Foroozan Atashzadeh-Shoorideh ◽  
Faraz Tayyar-Iravanlou ◽  
Zeynab Ahmadian Chashmi ◽  
Fatemeh Abdi ◽  
Rosana Svetic Cisic

Background Moral distress is a major issue in intensive care units that requires immediate attention since it can cause nurses to burnout. Given the special conditions of patients in intensive care units and the importance of the mental health of nurses, the present study was designed to systematically review the factors affecting moral distress in nurses working in intensive care units. Methods PubMed, EMBASE, Web of Science, Scopus, and Science Direct were systematically searched for papers published between 2009 and 2019. Original articles from quantitative and qualitative studies were reviewed. The CONSORT and STROBE checklists were used to assess the quality of the quantitative papers. The JBI checklist was applied for qualitative studies. Results Factors affecting moral distress in nurses include lack of nursing staff, nurses with inadequate experience, lack of support from organizations and colleagues, inadequate education and lack of knowledge of nurses, poor collaboration of physicians with nurses, ethical insensitivity and lack of teamwork, heavy workload, poor quality of care and moral violence and they are considered as risk factors for moral distress. Conclusion Many of the related causes are due to the nature of nurses’ work and it is necessary to manage the underlying conditions of this phenomenon so that it can be effectively prevented from spreading. Levels of moral distress require more attention of authorities in the use of prevention strategies and the reduction of effective factors in distress.


2019 ◽  
Vol 4 (3) ◽  
pp. 97-101
Author(s):  
Tuğba Mert ◽  
Serpil Çelik Durmuş

Background: A professional is an individual who prefers a profession, is specially qualified in its technical aspects, and makes a living with the profession. Objective: This research was conducted to determine the professional values of nurses and the factors affecting them. Methods: This descriptive research evaluated a sample of 97 nurses working in a private hospital in Ankara, Turkey. Data was collected using the demographic form and professional values scale (PVS). Results: Among the nurses in the study sample, 43% had a graduate degree, 84.5% were staff nurses, and 37.2% were surgery, obstetrics, and cardiovascular surgery nurses. The mean score of professional values of nurses in this study was determined to be 4.20 ± 0.55. It was determined that professional values of nurses in the 34-year and older group, including male nurses, those usually working the day shift, those who chose the profession, those with memberships in associations, and those who participated in scientific meetings/seminars, had higher scores for professional values, but this finding was statistically insignificant (P>0.05). Conclusion: The professional values of nurses was found to be above the middle level. In this light, it can be recommended, especially to managers, that training on professional values should be planned for nurses. It is also recommended that nurses receive undergraduate education and other comprehensive studies. In order to achieved a desired position in nursing, nurses must update regularly their scientific knowledge, participate in scientific meetings/seminars, and become members of professional associations.


2016 ◽  
Vol 1 (3) ◽  
pp. 11-17 ◽  
Author(s):  
Foad Rahimi ◽  
Soheyla Ahangar zadeh Rezaei ◽  
Rahim Baghaei ◽  
Aram Faezi ◽  
◽  
...  

2019 ◽  
Vol 12 (4) ◽  
pp. 267-275 ◽  
Author(s):  
Bakhtiar Piroozi ◽  
Amjad Mohamadi-Bolbanabad ◽  
Hossein Safari ◽  
Mohammad Amerzadeh ◽  
Ghobad Moradi ◽  
...  

Purpose The purpose of this paper is to investigate the prevalence of medication errors (MEs) and the factors affecting them among nurses of hospitals affiliated to Kurdistan University of Medical Sciences (KUMS) in 2016. Design/methodology/approach This is a cross-sectional and descriptive-analytic study. In total, 503 nurses were selected using census method from six hospitals affiliated to KUMS. A self-constructed questionnaire was employed to collect information on nurses’ socio-demographic characteristics (6 items), the prevalence and type of MEs (21 items) and their perceptions about the main causes of MEs (40 items). Data were collected from August 15 to October 15, 2016. In addition, nonparametric and linear regression tests were used to describe the descriptive statistics and analyze the data. Findings The response rate was 73 percent and the monthly reported MEs per nurse was 6.27±11.95. Giving medication at non-scheduled time (28.4 percent), giving multiple oral medications together (22.4 percent) and giving painkillers after operation without physician’s prescription (15.3 percent) were three types of repetitive MEs, respectively. Gender, work experience, and having a second job affected the total number of MEs. “Long and unconventional nursing shifts,” “changing the dosage of medications for patients under observation due to multiple consultations and different doctors’ orders” as well as “failure to give feedback about the causes of errors to nurses by supervisors” were the three prioritized factors for MEs. Originality/value There is a need to reduce MEs in order to improve patient safety. It seems that in order to reduce MEs, systemic and managerial reforms such as reducing the working hours and workload of nurses, giving feedback about the causes of MEs to nurses, and using initiatives to reduce the stress in nurses are necessary.


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