Nurses’ Knowledge Level about High-Alert Medications

Year 2021, , 12 - 20, 30.04.2021

Ülkü Güneş , Huri Ozturk , Elçin Ülker

https://doi.org/10.24998/maeusabed.803284

Cited By: 2

Abstract

Purpose: This study was conducted to investigate nurses' knowledge of high-alert medications.
Method: This descriptive study was conducted in the clinics of a university hospital where high-alert medications were frequently administered. The study population comprised of 187 nurses. Nurses' Knowledge of High-Alert Medications Questionnaire was used for evaluation. The items were rated on a 3-point Likert type scale. The scale has two subscales: “Drug administration” and “Drug regulation”.
Results: In the study whose sample included 77 nurses, the response rate was 57%. The correct response rate was 61% for the “Drug administration” subscale and 62.1% for the “Drug regulation” subscale. The item with the lowest correct response rate (7.8%) in the “Drug administration” subscale was “Chemotherapeutic drugs’ doses should be calculated according to body surface area in adults and according to body weight in children”. The item with the lowest correct response rate (10.4%) in the “Drug regulation” subscale was “For pediatric dosage calculations, teaspoon units should be used”.
Conclusion: The results of the present study supported the assumption that nurses' knowledge of high-alert medications is inadequate.

Keywords

High Alert Medications, Medication Error, Nursing

References

• Belknap, S., 2001. High-alert’medications and patient safety. International Journal for Quality in Health Care, 13(4), 339-340.
• Chen, M.J., Yu, S., Chen, I.J., Wang, K.W.K., Lan, Y.H., Tang, F.I., 2014. Evaluation of nurses' knowledge and understanding of obstacles encountered when administering resuscitation medications. Nurse Education Today, 34(2), 177-184. doi:10.1016/j.nedt.2013.04.011
• Cohen, M.R., Smetzer, J.L., Tuohy, N.R., and Kilo, C.M., 2007. High-alert medications: safeguarding against errors. In:Cohen, M.R. (Ed), Medication Errors. Washington (DC): American Pharmaceutical Association, pp. 317-411
• Franke, Hillary A., Donna M.W., Jane L.H., 2009. High-alert medications in the pediatric intensive care unit. Pediatric Critical Care Medicine, 10(1): 85-90. doi: 10.1097/PCC.0b013e3181936ff8
• Geriņa-Bērziņa, A., Vikmanis, U., Purkalne, G., Umbraško, S., 2013. Body composition characteristics and body surface area. Papers on Anthropology, 22, 34-40. doi: 10.12697/poa.2013.22.04
• Grissinger, M., 2011. Potassium chloride injection still poses threats to patients. Pharmacy and Therapeutics, 36(5), 241-302.
• GyeongAe, S., 2014. Errors in high-risk intravenous injections administered by nurses: The causes according to healthcare professionals. Health Science Journals, 8(2), 249-261.
• Hicks, R.W., Cousins, D.D., Williams, R.I. 2004. Selected medication-error data from USP's MEDMARX program for 2002. American Journal of Health-System Pharmacy, 61(10), 993-1000.
• Hsaio, G.Y., Chen, I.J., Yu, S., Wei, I.L., Fang, Y.Y., Tang, F.I., 2010. Nurses’ knowledge of high‐alert medications: instrument development and validation. Journal of Advanced Nursing, 66(1), 177-190. doi: 10.1111/j.1365-2648.2009.05164.x
• ISMP, 2015. ISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations, 2015. www.ismp.org/Tools/errorproneabbreviations.pdf (Accessed 10.02.2017).
• ISMP, 2017. ISMP’s List of High-Alert Medications. http://www.ismp.org/tools/highalertmedicationLists.asp(Accessed 10.02.2017).
• Khan, N., Khowaja, K.Z.A., Ali, T.S., 2012. Assessment of knowledge, skill and attitude of oncology nurses in chemotherapy administration in tertiary hospital Pakistan. Open Journal of Nursing, 2(02), 97. doi:10.4236/ojn.2012.22015
• Kucukakca, G., Ozer, N., 2016. Cerrahi kliniklerde calisan hemsirelerin yüksek riskli ilac uygulamalari konusundaki bilgi durumlarinin ve ilac hatalariyla ilgili tutum ve davranislarinin incelenmesi [Investigating Knowledge Levels of Nurses, Working in Surgical Clinics, About High Risk Medicines and Their Attitudes and Behaviors Regarding Medication Errors]. Journal of Anatolia Nursing and Health Sciences, 19(1), 34-41. doi: 10.17049/ahsbd.40884
• Lo T.F., Yu S., Chen I.J., Wang K.W.K., Tang F.I., 2013. Faculties' and nurses' perspectives regarding knowledge of high-alert medications. Nurse Education Today, 33(3), 214-221. doi:10.1016/j.nedt.2012.01.004
• Loria, G., 2012. Reduction of harm from high risk medications. Apollo Medicine, 9(2), 160-165. doi: 10.1016/j.apme.2012.05.001
• Lu, M.C., Yu, S., Chen, I.J., Wang, K.W.K., Wu, H.F., Tang, F.I., 2013. Nurses' knowledge of high-alert medications: a randomized controlled trial. Nurse Education Today, 33(1), 24-30. doi: 10.1016/j.nedt.2011.11.018
• National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) http://www.nccmerp.org/about-medication-errors (Accessed 12.03.2017).
• Neville, K., Galinkin, J.L., Green, T.P., Johnson, T.D., Paul, I.M., Sullivan, J., et al., 2015. Metric units and the preferred dosing of orally administered liquid medications. Pediatrics, 135(4), 784-787. doi: 10.1542/peds.2015-0072
• Otero M.J., Moreno-Gómez, A.M., Santos-Ramos B., Agra Y., 2014. Developing a list of high-alert medications for patients with chronic diseases. European Journal of Internal Medicine, 25(10): 900–908. doi: 10.1016/j.ejim.2014.10.021
• Paparella, S., 2004. Avoiding disastrous outcomes with rapid intravenous push medications. Journal of Emergency Nursing, 30(5), 478-480. doi:org/10.1016/j.jen.2004.08.002
• Parshuram, C.S., To, T., Seto, W., Trope, A., Koren, G., Laupacis, A., 2008. Systematic evaluation of errors occurring during the preparation of intravenous medication. Canadian Medical Association Journal, 178(1), 42-48. doi: 10.1503/cmaj.061743
• Prescrire Int., 2014. New drugs and indications in 2013: little real progress but regulatory authorities take some positive steps. Prescrire International, 23(148):107-110.
• Sacco, J.J., Botten, J., Macbeth, F., Bagust, A., Clark, P., 2010. The average body surface area of adult cancer patients in the UK: a multicentre retrospective study. PloS one, 5(1), e8933. doi:10.1371/journal.pone.0008933
• Shamsuddin, A.F., Shafie, S.D., 2012. Knowledge of nurses in the preparation and administration of intravenous medications. Procedia Social and Behavioral Sciences, 60, 602-609. doi: 10.1016/j.sbspro.2012.09.429
• Sharpe, L., 2012. Improving safety of insulin administration: A pilot audit of hospital staff knowledge. Journal of Diabetes Nursing, 16(1), 8-16.
• Tang, F.I., Sheu, S.J., Yu, S., Wei, I.L., Chen, C.H., 2007. Nurses relate the contributing factors involved in medication errors. Journal of Clinical Nursing, 16(3), 447-57. doi: 10.1111/j.1365-2702.2005.01540.x
• Tuohy N., Paparella S., 2005. Look-alike and sound-alike drugs: errors just waiting to happen. Journal of Emergency Nursing, 31(6), 569-571 doi:10.1016/j.jen.2005.07.012
• Vaismoradi, M., Salsali, M., Turunen, H., Bondas, T., 2013. A qualitative study on Iranian nurses’ experiences and perspectives on how to provide safe care in clinical practice. Journal of Research in Nursing, 18(4), 351-365. doi:0.1177/1744987112451578
• Yin, H.S., Dreyer, B.P., Ugboaja, D.C., Sanchez, D.C., Paul, I.M., Moreira, H.A., et al., 2014. Unit of measurement used and parent medication dosing errors. Pediatrics, 134(2), e354-e361. doi:10.1542/peds.2014-0395
• Yu, H.Y., Yu, S., Chen, I.J., Wang, K.W.K., 2013. Evaluating Nurses’ Knowledge of Chemotherapy. Journal of Continuing Education in Nursing, 44(12), 553-563. doi: 10.3928/00220124-20131015-03