HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME

Yıl 2018, Cilt: 21 Sayı: 3, 203 - 217, 11.10.2018

Songül Bişkin Fatma Cebeci

Öz

Amaç: Hemşirelerin, hastanede ilaç uygulama
hatalarının önlenmesine yönelik yaptığı uygulamaları içeren makalelerin sistematik biçimde incelenmesidir.

Yöntem: Bu
sistematik derlemede EBSCOhost, MEDLINE, CINAHL, PUBMED ve ULAKBİLİM TIP VERİ,
tabanları taranmış, konu ile ilgili 1509 ulusal ve uluslararası yayına
ulaşılmıştır.
Bu çalışmaların hepsi gözden geçirilerek hemşirelerin
hastanede ilaç hatalarının önlenmesine yönelik uygulamalarını kapsayan ve dahil edilme kriterlerine uygun yirmi sekiz araştırma
değerlendirilmiştir. Çalışma Ocak 2000 ve Şubat 2017 tarihleri arasında
yayınlanan makaleleri kapsamaktadır. Tüm yayınlar
çalışma yöntemleri ve bulguları açısından sistematize edilerek incelenmiştir.

Bulgular:
Bu
sistematik inceleme sonucunda ilaç
uygulama hatalarının önlenmesine yönelik uygulanan stratejilerin, ülkelerin ve
hastanelerin koşullarına ve özelliklerine göre farklılık gösterdiği
görülmüştür. Değerlendirmeye alınan çalışmalarda hemşirelerin hataları önlemeye
yönelik olarak; eğitim (online, web tabanlı, simülasyon)  teknoloji (barkod teknolojisi, bilgisayar destekli
istem girişi) ve farklı yöntem ve uygulamaların bir arada kullanmalarının (kesinti
ve bölünmelerin önlenmesi, doğru ilkele, politika ve prosedürler) etkili olduğu
belirlenmiştir.

Sonuç: İlaç
uygulama hataları, hastaların yaşamlarını tehdit eden önemli
bir sorundur.  Konu ile
ilgili çalışmaların sistematize edilmesi ile sorunun çözümüne yönelik bilimsel
kanıtlara ulaşılmıştır. Bu bulgular gelecekte yapılacak çalışmaların kapsamını
belirlemede ve klinik alanlarda ortaya çıkan sorunların çözümüne yönelik
önlemlerin planlanmasında yararlı olabilir.

Anahtar Kelimeler

hemşire, ilaç uygulama hataları, önleme

Kaynakça

• Agyemang REO, While A. Medication Errors: Types, Causes and Impact on Nursing Practice. British Journal of Nursing 2010;29(6):380-5. Alsulami Z, Conroy S, Choonara I. Double Checking the Administration of Medicines: What Is the Evidence? A systematic review. Arch Dis Child 2012;97(9):833-7. 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. Athanasakis E. Prevention of Medication Errors Made by Nurses in Clinical Practice. Health Science Journal 2012; 6(4):773-83. *Abbasinazi M, Zareh-Toranposhti S, Hassani A, Sistanizad M, Azizian H, Panahi M. The Effect of Information Provision on Reduction of Errors in Intravenous Drug Preparation and Administration by Nurses in ICU and Surgical Wards. Acta Medica Iranica 2012;50(11): 771-7. Bayazidi S, Zarezadeh Y, Zamanzedeh V, Parvan K. Medication Error Reporting Rate and Its Barriers and Facilitators Among Nurse. Journal of Caring Sciences 2012;1(4):231-6. *Baldwin A, Rodriquez ES. Improving Patient Safety with Error Identification in Chemotherapy Orders by Verification Nurses. Clinical Journal of Oncology Nursing 2016;20(1):59-66. *Bowcutt M, Rosenkoetter MM, Chernecky CC, Wall J, Wynn D, Serrano C. Implementation of an İntravenous Medication İnfusion Pump System: İmplications for Nursing. Journal of Nursing Management 2008;16(2):188–97. Brady AM, Malone AM, Fleming S. A Literature Review of The Individual and Systems Factors That Contribute to Medication Errors In Nursing Management. Journal of Nursing Management. 2009;17(6):679-97. Brunetti L, Suh DC. Medication Errors: Scope and prevention strategies. Journal of Hospital Administration 2012;1(2):54-63. Cloete L. Reducing Medication Errors in Nursing Practice. CPD Medicines Management 2015;14(29):50-9. *Cho J, Chung HS, Hong SH. Improving The Safety of Continuously Infused Fluids in the Emergency Department. International Journal of Nursing Practice 2013;19(1):95-100. *Choo J, Johnston L, Manias E. Effectiveness of an Electronic Inpatient Medication Record in Reducing Medication Errors in Singapore. Nursing and Health Sciences 2014;16(2):245-54. Courtenay M, Griffiths M. Introduction to medication errors and medication safety. In Medication Safety An Essential Guide. Molly Courtenay and Matt Griffiths (Eds.). New York: Cambridge University Press;2010. p.1-7. *Deyoung JL, Vanderkooi ME, Barletta JF. Effect of Bar-Code-Assisted Medication Administration on Medication Error Rates in an Adult Medical Intensive Care Unit. Am J Health-Syst Pharm 2009;66(12):1110-5. *Drach-Zahavy A, Pud D. Learning Mechanisms to Limit Medication Administration Errors. Journal of Advanced Nursing 2010; 66(4):794-805. Evans J. Prevalence, Risk Factors, Consequences and Strategies for Reducing Medication Errors In Australian Hospitals: A Literature Review. Copyright © eContent Management Pty Ltd. Contemporary Nurse 2009;31(2):176-89. Farzi S, Farzi S, Alimohammadi N, Moladoost A. Medication Errors by the Intensive Care Units' Nurses and the Preventive Strategies. Journal of Anestesiology and Pain 2016;6: 33-45. *Flynn L, Lian Y, Dickson GL, Xie M, Suh DC. Nurses’ Practice Environments, Error Interception Practices, and Inpatient Medication Errors. Journal of Nursing Scholarship 2012; 44(2):180-6. *Fore AM, Sculli GL, Albee D, Neily J. Improving Patient Safety Using the Sterile Cockpit Principle During Medication Administration: A Collaborative, Unit-Based Project. Journal of Nursing Management 2013;21(1):106-11. *Fowler SB, Sohler P, Zerillo DF. Bar-Code Technology for Medication Administration: Medication Errors and Nurse Satisfaction. MEDSURG Nursing 2009;18(2): 103-9. *Franklin BD, O’Grady K, Parr J, Walton I. Using The Internet to Deliver Education on Drug Safety. Qual Saf Health Care 2006;15(5):329–33. *Frith KH, Anderson EF, Tseng F, Fong EA. Nurse Staffing is an Important Strategy to Prevent Medication Errors in Community Hospitals. Nursıng Economıc 2012;30(5):288-94. Hayajneh YA, AbuAlRub RF, Almakhzoomy IK. Adverse Events in Jordanian Hospitals: Types and Causes. Int J Nurs Pract 2010;16(4):374-80. Hayes C, Jackson D, Davidson PM, Power T. Medication Errors in Hospitals: A Literaturereview of Disruptions to Nursing Practice During Medication Administration. Journal of Clinical Nursing 2015;24(21-22):3063-76. *Idzinga JC, Jong AL, Bemt PMLA. The Effect of an Intervention Aimed at Reducing Errors When Administering Medication Through Enteral Feeding Tubes in an Institution for Individuals with Intellectual Disability. Journal of Intellectual Disability Research 2009;53(2):932-8. Maiden J, Georges JM, Connelly CD. Moral Distress, Compassion Fatigue, and Perceptions about Medication Errors in Certified Critical Care Nurses. Dimensions of Critical Care Nursing 2011;30(6):339-45. Nahcivan N. Nicel Araştırma Tasarımları. Erdogan S, Nahcivan N. Esin N, editör. Hemşirelikte Araştırma. 2. Baskı. İstanbul: Nobel Tıp;2015. p: 101-3. Nguyen EE, Connolly PM, Wong V. Medication Safety Initiative Safety in Reducing Medication Errors. J Nurs Care Qual 2010; 25(3):224-30. *Nieman D, Bertsche A, Meyrath D, Koepf ED, Traiser C, Seebald K et al. A Prospective Three-Step Intervention Study to Prevent Medication Errors in Drug Handling in Paediatric Care, Journal of Clinical Nursing 2014;24(1-2):101-14.doi: 10.1111/jocn.12592 *O’Shea TJ, Spalding AR, Carter FA. Impact of Nurse Education on The Incidence of Omitted Medication Doses in Hospital Inpatients. Journal of Pharmacy Practice and Research 2009;39(2):114-6. *Özkan S, Kocaman G, Öztürk C. Çocuklarda İlaç Uygulama Hatalarının Önlenmesine Yönelik Yöntemlerin Etkinliği. Türk Ped Arş 2013;299-302. Doi: 10.4274/tpa.540 Ulanimo VM, O’Leary-Kelley C, Connelly PM. Nurses’ Perceptions of Causes of Medication Errors and Bariers To Reporting. Journal of Nursing Care Quality 2007; 22(1):28-33. Uzun Ş, Arslan F. Bilimsel Mektup. İlaç Uygulama Hataları. Türkiye Klinikleri Tıp Bilimleri Dergisi 2008; 28(2):217-22. Page K, Mickinney AA. Adressing Medication Errors-The Role of Undergraduate Nurse Education. Nurse Education Today 2007;27(3):219-24. *Pape TM, Guerra DM, Muzquiz M, Bryant JB, Inqram M, Schranner B et al. Innovative Approaches to Reducing Nurses’ Distractions During Medication Administration. The Journal of Continuing Education in Nursing 2005;36(3):141-2. *Pape TM. The Effect of a Five-Part Intervention to Decrease Omitted Medications. Nursing Forum 2013;48(3):211-22. *Petrova E, Baldacchino D, Camilleri M. Nurses’ Perceptions of Medication Errors in Malta. Nursing Standard 2010;24(33):41-8. Redley B, Botti M. Reported Medication Errors After Introducing an Electronic Medication Management System. Journal of Clinical Nursing 2012;22(3-4):579-89. *Rodriquez-Gonzalez CG. Use of Failure Mode, Effect And Criticality Analysis to Improve Safety in the Medication Administration Process. Journal of Evaluation in Clinical Practice 2015;21(4):549-59. *Ross LM, Wallace J, Paton JY. Medication Errors in A Paediatric Teaching Hospital in the UK: Five Years Operational Experience. Arch Dis Child 2000;83(6):492-7. Samaranayake NR, Cheung BMY. Avoıdıng Medıcatıon Errors-What is The Best Evıdenced Based Practıce. International Journal of Pharmacy&Technology 2011;3(1): 1722-43. *Schneider PJ, Pedersen CA, Montanya KR, Curran CR, Harpe SE, Bohenek W et al. Improving the Safety of Medication Administration Using an Interactive CD-ROM Program. Am J Health-Syst Pharm 2006;63(1):59-64. Seki Y, Yamazaki Y. Effects of Working Conditions on Intravenous Medication Errors in A Japanese Hospital. Journal of Clinical Nursing Management 2006;14(2):128-39. *Sullivan MM, Shapiro SE, O’Brien CR, Rushakoff RJ, Gitelman SE. Impact of an Interactive Online Nursing Educational Module on Insulin Errors in Hospitalized Pediatric Patients. Diabetes Care 2010;33(8):1744-6. Tokuda Y, Kishida N, Koniski R, Kouzimi S. Cognitive Error As The Most Frequent Contributory Factor in Cases of Medical Injury: A Study on Verdict’s Judgment Among Closed Claims in Japan. Journal of Hospital Medicine 2011;6(3):109-14. *Toruner EK, Uysal G. Causes, Reporting, and Prevention of Medication Errors from A Pediatric Nurse Perspective. Australıan Journal of Advanced Nursıng 2012;29(4):28-35. *Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. The Impact of Traditional and Smart Pump Infusion Technology on Nurse Medication Administration Performance in A Simulated Inpatient Unit. Qual Saf Health Care 2010;19(5):430-4. *You ME, Choe MH, Park GO, Kim SH, Son YJ. Perceptions Regarding Medication Administration Errors Among Hospital Staff Nurses of South Korea. International Journal for Quality in Health Care 2015;27(4):276-83. Wakefield D, Wakefield B, Uden-Holman T, Blegen M. Perceived Barriers in Reporting Medication Administration Errors. Best Practices and Benchmarking in Healthcare 1996;1(4):191-7. *Wang HF, Jin JF, Feng XQ, Huang X, Zhu LL, Zhao XY, Zhou Q. Quality Improvements in Decreasing Medication Administration Errors Made by Nursing Staff in an Academic Medical Center Hospital: A Trend Analysis During The Journey to Joint Commission International Accreditation and in the Postaccreditation Era. Therapeutics and Clinical Risk Management 2015;11:393-406. https://doi.org/10.2147/TCRM.S79238 *Xu C, Li G, Ye N, Lu Y. An Intervention to Improve Inpatient Medication Management: A Before and After Study. Journal of Nursing Management 2014;22(3):286-94.
• *Sistematik derleme kapsamında değerlendirilen makaleler