Volume 21, Issue 74 (1-2019)
jha 2019, 21(74): 75-86 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Sharbaafchi zadeh N, Soori S, Rostami Z, Aghilidehkordi G. Occurrence and reporting of nurses’ medication errors in a teaching hospital in Isfahan. jha 2019; 21 (74) :75-86
URL: http://jha.iums.ac.ir/article-1-2826-en.html
URL: http://jha.iums.ac.ir/article-1-2826-en.html
1- , Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2- Students’ Research’ Committee, Faculty of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran
3- Alzahra Medical Teaching Center, Isfahan University of Medical Sciences, Isfahan, Iran
4- Students’ Research’ Committee, Faculty of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran ,goliaghili@gmail.com
2- Students’ Research’ Committee, Faculty of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran
3- Alzahra Medical Teaching Center, Isfahan University of Medical Sciences, Isfahan, Iran
4- Students’ Research’ Committee, Faculty of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran ,
Abstract: (6180 Views)
Introduction: Medication errors are considered as one of the most prevalent nursing errors the identification and disclosure of which are very important. The current study aimed to investigate the occurrence and reporting of medication errors in a teaching hospital in Isfahan.
Methods: In this descriptive-analytical study, conducted in 2018, a questionnaire was used to collect the viewpoints of 220 nurses from 35 hospital wards about the frequency and types of medication errors. The questionnaire consisted of two sets of questions on demographic information and on types and reporting of medication errors. Data were analyzed using Chi-square and Mann-Whitney tests in SPSS 22.
Results: The mean scores of medication errors and formal and informal reporting of errors were 66.8%, 22%, and 55.3%, respectively. The most prevalent errors were related to early or delayed doses (70%). The most formal reports belonged to the failure to observe proper drug time (8%) while the most informal report was associated with mixing two or more microcapsules of drug regardless of drug interactions (29%). There were significant relationships between medications errors and gender (P =0.014), employment status (P =0.031) and job experience.
Conclusion: In order to promote the identification and reporting of medication errors, it is recommended to create blame free environments in hospitals. Moreover, educating nurses about various types of errors, encouraging them to report errors, and facilitating error reporting can all help planning and reduce errors.
Methods: In this descriptive-analytical study, conducted in 2018, a questionnaire was used to collect the viewpoints of 220 nurses from 35 hospital wards about the frequency and types of medication errors. The questionnaire consisted of two sets of questions on demographic information and on types and reporting of medication errors. Data were analyzed using Chi-square and Mann-Whitney tests in SPSS 22.
Results: The mean scores of medication errors and formal and informal reporting of errors were 66.8%, 22%, and 55.3%, respectively. The most prevalent errors were related to early or delayed doses (70%). The most formal reports belonged to the failure to observe proper drug time (8%) while the most informal report was associated with mixing two or more microcapsules of drug regardless of drug interactions (29%). There were significant relationships between medications errors and gender (P =0.014), employment status (P =0.031) and job experience.
Conclusion: In order to promote the identification and reporting of medication errors, it is recommended to create blame free environments in hospitals. Moreover, educating nurses about various types of errors, encouraging them to report errors, and facilitating error reporting can all help planning and reduce errors.
Type of Study: Research |
Received: 2018/09/16 | Accepted: 2019/01/23 | Published: 2019/01/23
Received: 2018/09/16 | Accepted: 2019/01/23 | Published: 2019/01/23
References
1. Farzi S, Farzi S, Alimohammadi N, Moladoost A. Medication errors by the intensive care units' nurses and the Preventive Strategies. jouranal of anesthesiology and pain. 2016;6(2):45-33. [In Persian]
2. Sarhadi M, Abdollahyar A, Navidian A, SheykhBardsiri H, Sarhadi T. The investment of effective factors on medical errors and non-reporting from nurse's perspective. Quarterly Journal of Sabzevar University of Medical Sciences. 2015;22(1):132-42. [In Persian]
3. Vrbnjak D, Denieffe S, OGorman C, Pajnkihar M. Barriers to reporting medication errors and near misses among nurses:A systematic review. International Journal of Nursing Studies. 2016;63:162-78. [DOI:10.1016/j.ijnurstu.2016.08.019]
4. Ajri Khameslou M, Abbaszadeh A, Borhani F, FarokhnezhadAfshar P. Contributing factors to nursing error in emergency department: A qualitative study. Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2017;23(1):32-17. [In Persian]
5. Mirzaei M, Khatony A, Safari Faramani R, Sepahvand E. Prevalence, Types of Medication errors and Barriers to Reporting Errors by Nurses in an Educational Hospital in Kermanshah. Hayat,Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2013;19(3):37-28. [In Persian]
6. Ramazani T, Hosseini Almadvari S, Fallahzadeh H, DehghaniTafti A. Type and Rate of Medication Errors and their Causes from the Perspectives of Neonatal and Neonatal Intensive Care Units Nurses in Yazd Hospitals, 2014. Community Health journal. 2016;10(1):71-63. [In Persian]
7. Bennatan M, Sharon I, Mahajna M, Mahajna S. Factors affecting nursing students' intention to report medication errors:An application of the theory of planned behavior. Nurse Education Today. 2017;58:38-42. [DOI:10.1016/j.nedt.2017.07.017]
8. Oladi Ghadikalaee R, Ravaghi H, Hesam S. Study of nurses` perception on madication errors in pediatric hospital in Tehran,Iran. peyavard salamat. 2015;9(3):328-15. [In Persian]
9. Alijan zadeh M, Mohebifar R, Azadmanesh Y, Faraji M. The Frequency of Medication Errors and Factors Influencing the Lack of Reporting Medication Errors in Nursing at Teaching Hospital of Qazvin University of Medical Sciences, 2012. journal of health and hygien. 2015;6(2):179-69. [In Persian]
10. Kanani F, Valizadeh L, Asgharijafarabadi M. Types of nursing errors in gastric tube insertion procedure in preterm infants in neonatal intensive care unit, sanandaj, 2013. urmia school of nursing and midwifery. 2016;13(11):963-53.
11. Zhu XP, Duan X, Tian M-M, Shi Y. Establishment and application o f medication error classification standards i n nursing care based on the International Classification of Patient Safety. international journal of nursing sciences. 2014;1:277-80. [DOI:10.1016/j.ijnss.2014.05.025]
12. T Mrayyan M, Shishani K, Alfaourip I. Rate, causes and reporting of medication errors in Jordan: nurses'perspectives. Journal of Nursing Management. 2007;15:659–70. [DOI:10.1111/j.1365-2834.2007.00724.x]
13. Manjoghi N, Nori A, Arizi H, Narjes F. Reporting of Hospital Errors by Nurses. Iranian Journal of Ethic and History Medical. 2012;5(4):58-70. [In Persian]
14. Zaboli R, Abbaszade A, Shahabinejad M. Assessing the barriers of error reporting from perspective of nurses in Kerman hospitals. journal of medical ethics. 2015;9(34):31-53.
15. Mardani Hamule M, ShahrakyVahed A. Barriers to reporting nursing job errors from nurses viewpoint Journal of School of Nursing and Midwifery, Golestan University of Medical Science. 2009;19(60):28-32. [In Persian]
16. Brown M. Managing medication errors by design. Critical Care Nursing Quality. 2001;24(3):77-9. [DOI:10.1097/00002727-200111000-00007]
17. Aliken L, Clarke S, Sloane D, Sochalsk J, Silber J. Hospital nurse staffing and patient mortailty, nurse burnout, and job dissatisfaction. JAVA. 2002;288(16):1987-93.
18. Movahednia S, Partovishayan Z, Bastanitehrani M, Moradi F. Nurse Managers' perspectives about Reasons for not reporting medical errors in Firoozgar Hospital: 2012. Razi Journal of Medical Sciences. 2014;21(125):118-0. [In Persian]
19. Medical errors reporting (Educational package) [press release]. Tabriz University of Medical Sciences: Madani Hospital, November 21, 2016.
20. Guchelaar H, colen H, Kalmeijer M, Hudson P, Teepe-Twiss I. Medication errors: hospital pharmacist perspective. Drugs. 2005;65(13):1735-46. [DOI:10.2165/00003495-200565130-00001]
21. Rahimian Boogar I, Mirkouhi MG. Role of workload, sleep, mental health and individual factors in occurrence of nursing errors. Journal of Gorgan University of Medical Sciences. 2013;15(3):109-3. [In Persian]
22. Shams S, Baagheriyeh F, Feyzi A, Baghaaie R, Hashemlou l. Medication errors frequency and reporting according to nurses` self-reporting situation in hospitals,Khoy city. urmia school of nursing and midwifery. 2012;10(5):726-1. [In Persian]
23. Joolaee S, Haji babaee F. The relationship between incidence and report of medication errors and working conditions. Int Nurs Rev. 2011;58(1):37–44. [In Persian] [DOI:10.1111/j.1466-7657.2010.00872.x]
24. Bagheri Nesami M, Esmaeili R, Tajari M. Frequency of Non Injectable Medication Administration Errors in Nurses of Cardiac Critical Care Units in Mazandaran Province in 2014. Journal of Rafsanjan university of medical sciences. 2016;15(2):164-51. [In Persian]
25. Haji Babaiee F, Jolaee S, Payravi H, Hagani H. The relationship of medication errors among nurses with some organizational and demographic characteristics. Iranian Journal of Nursing Research. 2011;6(20):83-92. [In Persian]
26. Ebrahimipour H, Mahmoudian P, Hosseini E, Tabatabaii S, Badiee S, Vafaee-Najar A, et al. Factors Associated with the Incidence of Medication Errors and Nurses' Refusal to Error Reporting. Health-Based Research. 2016;1(3):241-53. [In Persian]
27. Golafroz M, Sadeghi H, Ghaedi F, Tabraei Y, Kayghobadi F, Kayghobadi F. Manageral and Moral obstacles in reporting Nursing errors: Nurses`view point. Iranian Journal of Medical Ethics and History. 2014;7(1):65-76. [In Persian]
28. Gillis Hall L. Nursing intellectual capital: A theoretical approach for analyzing nursing productivity. Nursing economics. 2003;21(1):14-20.
29. M Stratton K, A Blegen M, Pepper G, Vaughn T. Reporting of Medication Errors by Pediatric Nurses. Journal of Pediatric Nursing. 2004;19(6):385-92. [DOI:10.1016/j.pedn.2004.11.007]
30. Madadi Z, Jaafari pooyan E. Nursing medication errors,causes and solutions. hospital. 2015;14(3):101-10. [In Persian]
31. Danesh Kohan A, Mahfoozpour S, Palesh M, Fazli Ouch hesar F. Assessing barriers to medical errors reporting among clinical staff members of teaching hospitals affilited with Beheshti University of Medical Sciences in Tehran-2016. Journal of Health in field. 2017;5(3):16-8. [In Persian]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Site Keywords
Health, Administration, Scientific Article, Iran University of Medical Sciences,
