Year 2020,
Volume: 3 Issue: 3, 26 - 32, 30.12.2020
Ülkü Güneş
,
Leyla Baran
,
Burcu Ceylan
References
- Lin YH, Ma SM. Willingness of nurses to report medication administration errors in southern taiwan: a cross‐sectional survey. Worldviews on Evie‐Based Nurs 2009; 6(4), 237-245. https://sigmapubs.onlinelibrary.wiley.com/doi/pdf/10.1111/j.1741-6787.2009.00169.x
- Uzun Ş, Arslan F. İlaç uygulama hataları. Turkiye Klinikleri Journal of Medical Sciences 2008; 28(2), 217-222.
- Carlton G, Blegen MA. Medication-related errors: a literature review of incidence and antecedents. Annu Rev Nurs Res 2006; 24, 19.
- Keers RN, Williams SD, Cooke J, Ashcroft DM. Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. Annals of Pharmaco therapy 2013; 47(2), 237-256. https://journals.sagepub.com/doi/pdf/10.1345/aph.1R147
- Aştı T, Acaroğlu R. Hemşirelikte sık karşılaşılan hatalı uygulamalar. CÜ Hemşirelik Yüksekokulu Dergisi 2000; 4(2), 22-27.
- Phillips J, Beam S, Brinker A, Holquist C, Honig P, Lee LY, Pamer C. Retrospective analysis of mortalities associated with medication errors. Am J Health Syst Pharm 2001; 58(19), 1835-1841. https://doi.org/10.1093/ajhp/58.19.1835
- Benjamin DM. Reducing medication errors and increasing patient safety: case studies in clinical pharmacology. J Clin Pharmacol 2003; 43(7), 768- 783.
https://doi.org/10.1177/0091270003254794
- Kohn LT, Corrigan J, Donaldson MS. Toerr is human: building a safer health system (Vol. 6). Washington, DC: National Academy Press. 2000.
- Chiang HY, Pepper GA. Barriers to nurses' reporting of medication administration errors in Taiwan. J Nurs Scholarsh 2006; 38(4), 392-399. https://doi.org/10.1111/j.1547-5069.2006.00133.x
- Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Servi D, Vander Vliet M. Incidence of adverse drug events and potential adverse drug events: implications for prevention. JAMA 1995; 274(1), 29-34.
- Uribe CL, Schweikhart SB, Pathak DS, Marsh GB, Fraley RR. Perceived barriers to medical-error reporting: an exploratory investigation. Journal of Healthcare Management 2002; 47(4), 263.
- Wakefield DS, Wakefield BJ, Borders T, Uden-Holman T, Blegen M, Vaughn T. Understanding and comparing differences in reported medication administration error rates. Am J Med Qual 1999; 14(2), 73-80. https://journals.sagepub.com/doi/pdf/10.1177/106286069901400202
- Blegen MA, Vaughn T, Pepper G, Vojir C, Stratton K, Boyd M, Armstrong G. Patient and staff safety: voluntary reporting. Am J Med Qual 2004; 19(2), 67-74. https://journals.sagepub.com/doi/pdf/10.1177/106286060401900204
- Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: crosssectional surveys. BMJ 2000; 320(7237), 745-749. doi: 10.1136/bmj.320.7237.745
- Ministry of Health, Security Reporting System. (09.11.2017) Retrieved from https://grs.saglik.gov.tr/Stats.aspx, 2017.
- Yılmaz A. Hemşirelerin ilaç hataları bildirimi önündeki engellere ilişkin algıları. Ankara: Hacettepe Universit, Faculty of Health Sciences, PhD Thesis 2009.
- Etchegaray JM, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care 2010; 19(6), e14-e14. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.822.6768&rep=rep1&type=pdf
- Jember A, Hailu M, Messele A, Demeke T, Hassen M. Proportion of medication error reporting and associated factors among nurses: a crosssectional study. BMC Nursing 2018; 17(1), 9. https://doi.org/10.1186/s12912-018-0280-4
- Wakefield BJ, Uden-Holman T, Wakefield DS. Development and validation of the medication administration error reporting survey. Agency for Healthcare Research And Qualıty Rockvılle Md. 2005.
- Mrayyan MT, Shishani K, Al‐Faouri İ. Rate, causes and reporting of medication errors in Jordan: nurses’ perspectives. J Nurs Manag 2007; 15(6), 659-670. https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2834.2007.00724.x
- Yung HP, Yu S, Chu C, Hou IC, Tang FI. Nurses’ attitudes and perceived barriers to there porting of medication administration errors. J Nurs Manag 2016; 24(5), 580-588. https://onlinelibrary.wiley.com/doi/pdf/10.1111/jonm.12360
- Evans SM, Berry JG, Smith BJ, Esterman A, Selim P, O’shaughnessy J, DeWit M. Attitudes and barriers to incident reporting: a collaborative hospital study. BMJ Quality & Safety 2006; 15(1), 39-43. doi: 10.1136/qshc.2004.012559
- Bifftu BB, Dachew BA, Tiruneh BT, Beshah DT. Medication administration error reporting and associated factors among nurses working at the University of Gondarreferral hospital, Northwest Ethiopia, 2015. BMC Nursing 2016; 15(1), 43. https://doi.org/10.1186/s12912-016-0165-3
- Kim KS, Kwon SH, Kim JA, Cho S. Nurses’ perceptions of medication errors and their contributing factors in South Korea. J Nurs Manag 2011; 19(3), 346-353. https://doi.org/10.1111/j.1365-2834.2011.01249.x
- Al Youssif SA, Mohamed LK, Mohamed NS. Nurses' experiences toward perception of medication administration errors reporting. IOSR Journal of Nursing and Health Science 2013; 1(4), 56-70.
- Bayazidi S, Zarezadeh Y, Zamanzadeh V, Parvan K. Medication error reporting rate and its barriers and facilitators among nurses. J Caring Sci 2012; 1(4), 231. doi: 10.5681/jcs.2012.032
- Alsulami Z, Conroy S, Choonara I. Medication errors in the Middle East countries: a systematic review of the literature. Eur J Clin Pharmacol 2013; 69(4), 995-1008.
- Koohestani HR, Baghcheghi N. Barriers to there porting of medication administration errors among nursing students. Australian Journal of Advanced Nursing 2009; The, 27(1), 66.
- Jolayi S, Hajibabaei F, Peyrovi H, Haghani H. Review and report the occurrence of errors and their association with the working conditions of nurses working in hospitals of Iran University of Medical Sciences. Iranian Journal of Medical Ethicsand History of Medicine 2009; [cited 2010 May 30](Persian).
- Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care 2005; 17(1), 15-22. https://doi.org/10.1093/intqhc/mzi015
- Stratton KM, Blegen MA, Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. J Pediatr Nurs 2004; 19(6), 385-392. https://doi.org/10.1016/j.pedn.2004.11.007
- Fathi A, Hajizadeh M, Moradi K, Zandian H, Dezhkameh M, Kazemzadeh S, Rezaei S. Medication errors among nurses in teaching hospitals in the west of Iran: what weneed to know about prevalence, types, and barriers to reporting. Epidemiology and Health 2017; 39. doi: 10.4178/epih.e2017022
- Cheragi MA, Manoocheri H, Mohammadnejad E, Ehsani SR. Types and causes of medication errors from nurse's viewpoint. Iran J Nurs Midwifery Res 2013; 18(3), 228.
- Cramer H, Pohlabeln H, Habermann M. Factors causing or influencing nursing errors as perceived by nurses: findings of a cross-sectionalstudy in German nursing homes and hospitals. Journal of Public Health 2013; 21(2), 145-153. doi10.1007/s10389-012-0527-6
- Dyab E, Elkalmi R, Bux S, Jamshed S. Exploration of Nurses’ Knowledge, Attitudes, and Perceived Barriers towards Medication Error Reporting in a Tertiary Health Care Facility: A Qualitative Approach. Pharmacy 2018; 6(4), 120. doi:10.3390
- Jung SY, Kim YH, Kang IS, Son HM. The perception of nurses and physicians regarding medication errors and reporting. Global Health Nursing 2013; 3, 54-63.
- Tabatabaee SS, Kalhor R, Nejatzadegan Z, Kohpeima Jahromi V, Sharifi T. Barriers to medication error reporting from nurses’ perspective: A private hospital survey. International Journal of Hospital Research 2014; 3(2), 97-102.
- Tol A, Pourreza A, Sharifirad G, Mohebbi B, Gazi Z. The causes of not reporting medication errors from the view points of nursing in Baharlo hospital in 2010. 2010; 1,2(9), 34.
- İntepeler ŞS, Dursun M. Tıbbi hatalar ve tıbbi hata bildirim sistemleri. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2012; 15(2): 129-135.
- Welsh D, Zephyr D, Pfeifle AL, Carr DE, Jones M. Development of the Barriers to Error Disclosure Assessment Tool. J Patient Saf 2017.
- Lee E. Reporting of medication administration errors by nurses in South Koreanhospitals. Int J Qual Health Care 2017; 29(5), 728-734. https://doi.org/10.1093/intqhc/mzx096
- Reason J. Human error: models and management. BMJ 2000; 320(7237), 768-770. doi: 10.1136/ewjm.172.6.393
- Poorolajal J, Rezaie S, Aghighi N. Barriers tomedical error reporting. Int J Prev Med 2015; doi: 10.4103/2008-7802.166680
MEDICATION ADMINISTRATION ERROR REPORTING RATE AND PERCEIVED BARRIERS AMONG NURSES IN TURKEY
Year 2020,
Volume: 3 Issue: 3, 26 - 32, 30.12.2020
Ülkü Güneş
,
Leyla Baran
,
Burcu Ceylan
Abstract
This study was planned to determine the barriers perceived by nurses in medication administration error (MAE) reporting. The data of this descriptive and cross-sectional study were collected between January and April 2017. The universe of the study consisted of nurses working in two hospitals in Turkey (N=547). The sample of the study consisted of nurses who met the inclusion criteria of the study and agreed to participate in the study (n=253). The overall response rate is 64%. 90.5% of nurses are women. The mean age of the nurses was 33.5 years. Their mean nursing experience was 10.4 years (SD 8.43 years). Of the study population, only 32% experienced a medication administration error during their working lives and who had a medication error experience, 23.5% reported their error. The most common perceived barriers among nurses are “heavy workload” (%81.4), “fear of being accused by supervisor” (%80.6) and “management believes that medication administrationerror is caused by individual factors rather than system factors” (%80.2). It was observed that the nurses made a medication administration error, but the majority were not reported.
References
- Lin YH, Ma SM. Willingness of nurses to report medication administration errors in southern taiwan: a cross‐sectional survey. Worldviews on Evie‐Based Nurs 2009; 6(4), 237-245. https://sigmapubs.onlinelibrary.wiley.com/doi/pdf/10.1111/j.1741-6787.2009.00169.x
- Uzun Ş, Arslan F. İlaç uygulama hataları. Turkiye Klinikleri Journal of Medical Sciences 2008; 28(2), 217-222.
- Carlton G, Blegen MA. Medication-related errors: a literature review of incidence and antecedents. Annu Rev Nurs Res 2006; 24, 19.
- Keers RN, Williams SD, Cooke J, Ashcroft DM. Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. Annals of Pharmaco therapy 2013; 47(2), 237-256. https://journals.sagepub.com/doi/pdf/10.1345/aph.1R147
- Aştı T, Acaroğlu R. Hemşirelikte sık karşılaşılan hatalı uygulamalar. CÜ Hemşirelik Yüksekokulu Dergisi 2000; 4(2), 22-27.
- Phillips J, Beam S, Brinker A, Holquist C, Honig P, Lee LY, Pamer C. Retrospective analysis of mortalities associated with medication errors. Am J Health Syst Pharm 2001; 58(19), 1835-1841. https://doi.org/10.1093/ajhp/58.19.1835
- Benjamin DM. Reducing medication errors and increasing patient safety: case studies in clinical pharmacology. J Clin Pharmacol 2003; 43(7), 768- 783.
https://doi.org/10.1177/0091270003254794
- Kohn LT, Corrigan J, Donaldson MS. Toerr is human: building a safer health system (Vol. 6). Washington, DC: National Academy Press. 2000.
- Chiang HY, Pepper GA. Barriers to nurses' reporting of medication administration errors in Taiwan. J Nurs Scholarsh 2006; 38(4), 392-399. https://doi.org/10.1111/j.1547-5069.2006.00133.x
- Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Servi D, Vander Vliet M. Incidence of adverse drug events and potential adverse drug events: implications for prevention. JAMA 1995; 274(1), 29-34.
- Uribe CL, Schweikhart SB, Pathak DS, Marsh GB, Fraley RR. Perceived barriers to medical-error reporting: an exploratory investigation. Journal of Healthcare Management 2002; 47(4), 263.
- Wakefield DS, Wakefield BJ, Borders T, Uden-Holman T, Blegen M, Vaughn T. Understanding and comparing differences in reported medication administration error rates. Am J Med Qual 1999; 14(2), 73-80. https://journals.sagepub.com/doi/pdf/10.1177/106286069901400202
- Blegen MA, Vaughn T, Pepper G, Vojir C, Stratton K, Boyd M, Armstrong G. Patient and staff safety: voluntary reporting. Am J Med Qual 2004; 19(2), 67-74. https://journals.sagepub.com/doi/pdf/10.1177/106286060401900204
- Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: crosssectional surveys. BMJ 2000; 320(7237), 745-749. doi: 10.1136/bmj.320.7237.745
- Ministry of Health, Security Reporting System. (09.11.2017) Retrieved from https://grs.saglik.gov.tr/Stats.aspx, 2017.
- Yılmaz A. Hemşirelerin ilaç hataları bildirimi önündeki engellere ilişkin algıları. Ankara: Hacettepe Universit, Faculty of Health Sciences, PhD Thesis 2009.
- Etchegaray JM, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care 2010; 19(6), e14-e14. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.822.6768&rep=rep1&type=pdf
- Jember A, Hailu M, Messele A, Demeke T, Hassen M. Proportion of medication error reporting and associated factors among nurses: a crosssectional study. BMC Nursing 2018; 17(1), 9. https://doi.org/10.1186/s12912-018-0280-4
- Wakefield BJ, Uden-Holman T, Wakefield DS. Development and validation of the medication administration error reporting survey. Agency for Healthcare Research And Qualıty Rockvılle Md. 2005.
- Mrayyan MT, Shishani K, Al‐Faouri İ. Rate, causes and reporting of medication errors in Jordan: nurses’ perspectives. J Nurs Manag 2007; 15(6), 659-670. https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2834.2007.00724.x
- Yung HP, Yu S, Chu C, Hou IC, Tang FI. Nurses’ attitudes and perceived barriers to there porting of medication administration errors. J Nurs Manag 2016; 24(5), 580-588. https://onlinelibrary.wiley.com/doi/pdf/10.1111/jonm.12360
- Evans SM, Berry JG, Smith BJ, Esterman A, Selim P, O’shaughnessy J, DeWit M. Attitudes and barriers to incident reporting: a collaborative hospital study. BMJ Quality & Safety 2006; 15(1), 39-43. doi: 10.1136/qshc.2004.012559
- Bifftu BB, Dachew BA, Tiruneh BT, Beshah DT. Medication administration error reporting and associated factors among nurses working at the University of Gondarreferral hospital, Northwest Ethiopia, 2015. BMC Nursing 2016; 15(1), 43. https://doi.org/10.1186/s12912-016-0165-3
- Kim KS, Kwon SH, Kim JA, Cho S. Nurses’ perceptions of medication errors and their contributing factors in South Korea. J Nurs Manag 2011; 19(3), 346-353. https://doi.org/10.1111/j.1365-2834.2011.01249.x
- Al Youssif SA, Mohamed LK, Mohamed NS. Nurses' experiences toward perception of medication administration errors reporting. IOSR Journal of Nursing and Health Science 2013; 1(4), 56-70.
- Bayazidi S, Zarezadeh Y, Zamanzadeh V, Parvan K. Medication error reporting rate and its barriers and facilitators among nurses. J Caring Sci 2012; 1(4), 231. doi: 10.5681/jcs.2012.032
- Alsulami Z, Conroy S, Choonara I. Medication errors in the Middle East countries: a systematic review of the literature. Eur J Clin Pharmacol 2013; 69(4), 995-1008.
- Koohestani HR, Baghcheghi N. Barriers to there porting of medication administration errors among nursing students. Australian Journal of Advanced Nursing 2009; The, 27(1), 66.
- Jolayi S, Hajibabaei F, Peyrovi H, Haghani H. Review and report the occurrence of errors and their association with the working conditions of nurses working in hospitals of Iran University of Medical Sciences. Iranian Journal of Medical Ethicsand History of Medicine 2009; [cited 2010 May 30](Persian).
- Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care 2005; 17(1), 15-22. https://doi.org/10.1093/intqhc/mzi015
- Stratton KM, Blegen MA, Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. J Pediatr Nurs 2004; 19(6), 385-392. https://doi.org/10.1016/j.pedn.2004.11.007
- Fathi A, Hajizadeh M, Moradi K, Zandian H, Dezhkameh M, Kazemzadeh S, Rezaei S. Medication errors among nurses in teaching hospitals in the west of Iran: what weneed to know about prevalence, types, and barriers to reporting. Epidemiology and Health 2017; 39. doi: 10.4178/epih.e2017022
- Cheragi MA, Manoocheri H, Mohammadnejad E, Ehsani SR. Types and causes of medication errors from nurse's viewpoint. Iran J Nurs Midwifery Res 2013; 18(3), 228.
- Cramer H, Pohlabeln H, Habermann M. Factors causing or influencing nursing errors as perceived by nurses: findings of a cross-sectionalstudy in German nursing homes and hospitals. Journal of Public Health 2013; 21(2), 145-153. doi10.1007/s10389-012-0527-6
- Dyab E, Elkalmi R, Bux S, Jamshed S. Exploration of Nurses’ Knowledge, Attitudes, and Perceived Barriers towards Medication Error Reporting in a Tertiary Health Care Facility: A Qualitative Approach. Pharmacy 2018; 6(4), 120. doi:10.3390
- Jung SY, Kim YH, Kang IS, Son HM. The perception of nurses and physicians regarding medication errors and reporting. Global Health Nursing 2013; 3, 54-63.
- Tabatabaee SS, Kalhor R, Nejatzadegan Z, Kohpeima Jahromi V, Sharifi T. Barriers to medication error reporting from nurses’ perspective: A private hospital survey. International Journal of Hospital Research 2014; 3(2), 97-102.
- Tol A, Pourreza A, Sharifirad G, Mohebbi B, Gazi Z. The causes of not reporting medication errors from the view points of nursing in Baharlo hospital in 2010. 2010; 1,2(9), 34.
- İntepeler ŞS, Dursun M. Tıbbi hatalar ve tıbbi hata bildirim sistemleri. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2012; 15(2): 129-135.
- Welsh D, Zephyr D, Pfeifle AL, Carr DE, Jones M. Development of the Barriers to Error Disclosure Assessment Tool. J Patient Saf 2017.
- Lee E. Reporting of medication administration errors by nurses in South Koreanhospitals. Int J Qual Health Care 2017; 29(5), 728-734. https://doi.org/10.1093/intqhc/mzx096
- Reason J. Human error: models and management. BMJ 2000; 320(7237), 768-770. doi: 10.1136/ewjm.172.6.393
- Poorolajal J, Rezaie S, Aghighi N. Barriers tomedical error reporting. Int J Prev Med 2015; doi: 10.4103/2008-7802.166680