THE VIEWS OF NURSES WORKING IN SURGICAL CLINICS AND SURGICAL INTENSIVE CARE UNITS ON MEDICATION ADMINISTRATION ERRORS AND ERROR REPORTING

Abstract

Aim: This study aims to identify the causes of medication administration errors and the reasons stated by nurses working in surgical clinics and surgical intensive care units for not reporting these errors, and to compare the number of errors nurses witness and the number of errors actually reported. Method: The research sample of this descriptive cross-sectional study consists of 125 nurses working in surgical clinics and surgical intensive care units. Data were collected using the face-to-face survey method. The Nurse Personal Information Form and the Medication Administration Error Scale were used to collect data. Results: The perceived medication administration error rate was found to be 59%; however, 61.6% of the nurses reported that only 0-20% of medication administration errors were actually reported. The main reasons for not reporting medication errors are administrative response (4.10±1.18) and fear (3.28±0.99). The most important reason for not reporting errors due to the administrative response is that no positive feedback is given after correct medication administration (4.18±1.53). The perceived cause of medication administration error is pharmacy-related and system-related, which explains 26% of the reason for not reporting the error due to fear. The fact that the reason for medication administration error originates from the physician, pharmacy and system explains 51% of the reason for not reporting the error due to disagreement over the error. Conclusion: There is a major difference between the medication administration errors nurses witness and the errors they actually report. The errors are not reported due to administrative response and fear.

Keywords

• Error Reporting
• Medical Errors
• Medication Errors
• Nursing
• Surgical Nursing

References

1. Kırşan, M., Korhan, EA., Şimşek, S., Özçiftçi, S., Ceylan, B. “Medication Erros in Nursing Practices: A Systematic Review.” Turkiye Klinikleri Hemsirelik Bilimleri, 11(1), 35-51, 2019. DOI: 10.5336/nurses.2018-62052
2. Arat, N. “Medication Administration Error Scale: An Analysis of Validity and Reliability in Population of Turkey.” Master Science Thesis. Şifa Üniversitesi, Sağlık Bilimleri Enstitüsü, Çocuk Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı, İzmir, 2016.
3. Çelik, Durmuş, S. “Medical Errors: Causes And Solution Suggestions.” International Social Sciences Studies Journal, 4(23), 4388-4396, 2018. Doi: 10.26449/sssj.913.
4. Bayar E., Kılıçarslan Törüner E. “Medication Administration Errors and Nursing Intervention in Newborns.” Journal of Hacettepe University Faculty of Nursing. 6(3), 204-209, 2019.
5. Aygin, D., Yaman, Ö., Bitirim, E. “Medication Errors: Emergency Department Sample.” Balıkesir Health Sciences Journal, 9 (2), 75-82, 2020. Retrieved from https://dergipark.org.tr/en/pub/balikesirsbd/issue/56047/735726?
6. Uzuntarla, E., Tural Büyük, E. “Nurse's Experiences of Medication Errors and Perceptions Intended for Reasons of Medication Errors.” Journal of Samsun Health Sciences, 6 (3), 641-654, 2021. DOI: 10.47115/jshs.1001431
7. Aydemir, A., Koç, Z. “Factors affecting patient safety culture and attitudes in emergency nurses.” East Mediterr Health J, 29(3), 2023. https://doi.org/10.26719/emhj.23.026
8. Tarhan, M., Doğan, P., Yaman, R., Dişci, R. “A Method for Increasing The Awareness of New Graduate Nurses for Medical Errors and Risks: Minor Errors Room.” Journal of health and nursing Management, 6(3), 196-206, 2019 https://doi.org/10.5222/SHYD.2019.15238

9. Vural, F., Çiftçi, S., Fil, Ş., Aydın, A., Vural, B. “Patient Safety Climate Perceptions of Healthcare Staff and Reporting of Medication Errors.” Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 5(2):152-157, 2014
10. You, M,A., Choe, M,H., Park, G,O., Kim, S,H., Son, Y,J. “Perceptions regarding medication administration errors among hospital staff nurses of South Korea”. International Journal for Quality in Health Care, 27(4), 276-283, 2015 https://doi.org/10.1093/intqhc/mzv036
11. Ala’a, Z,M., Aljasser, I,A., Sasidhar, B. “Barriers to reporting medication administration errors among nurses in an accredited hospital in Saudi Arabia”. Journal of Economics, Management and Trade, 11(4), 1-13, 2016 DOI: 10.9734/BJEMT/2016/22774
12. Bifftu, B,B., Dachew, B,A., Tiruneh, B,T., Beshah, D,T. “Medication administration error reporting and associated factors among nurses working at the University of Gondar referral hospital, Northwest Ethiopia, 2015”. BMC nursing, 15(1), 1-7, 2016. https://doi.org/10.1186/s12912-016-0165-3
13. Chiang, H,Y., Lin, S,Y., Hsu, S,C., Ma, S,C. “Factors determining hospital nurses’ failures in reporting medication errors in Taiwan.” Nurs Outlook. 58 (1), 17–25, 2010. https://doi.org/10.1016/j.outlook.2009.06.001
14. Lee, W., Kim, S,Y., Lee, S., Lee, S,G., Kim, H,C., Kim, I. “Barriers to reporting of patient safety incidents in tertiary hospitals: A qualitative study of nurses and resident physicians in South Korea.” International Journal of Health Plann Management, 33(4), 1–11, 2018. Doi:10.1002/hpm.2616
15. Nourian, M., Babaie, M., Heidary, F., Nasiri, M. “Barriers of medication administration error reporting in neonatal and neonatal intensive care units.” Journal of Patient Safety & Quality Improvement, 8(3), 173-18, 2020. https://dx.doi.org/10.22038/psj.2020.49860.1279
16. Dikmen, Y,D, Yorgun, S, Yeşilçam, N. “Identification the Level of Tendency in Malpractice Among Nurses.” Journal of Hacettepe University Faculty of Nursing, 1(1), 44-56, 2014.
17. Karagözoğlu, Ş., Meryem, O,T,U., Coşkun, G. “Reporting of Thoughts and Drug Errors of Nurses For Notice of Drug Errors in A Research and Practice Hospital” Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 4(1), 26-39, 2019. Retrieved from http://cusbed.cumhuriyet.edu.tr/en/pub/issue/45013/533641
18. El-Bialy, G,G., Hashish, E,A,A. “Nurses’ perceptions of safety climate and barriers to report medication errors”. Life Sci J, 10(1), 2160–2168, 2013. http://www.lifesciencesite.com/
19. Kim, K,S., Kwon, S,H., Kim, J,A., Cho, S. “Nurses’ perceptions of medication errors and their contributing factors in South Korea”. J Nurs Manag, 19(3),346–53, 2011. https://doi.org/10.1111/j.1365-2834.2011.01249.x
20. Mostafaei, D., Barati, Marnani, A., Mosavi, Esfahani, H., Estebsari, F., Shahzaidi, S., Jamshidi, E., Aghamiri, S,S. “Medication errors of nurses and factors in refusal to report medication errors among nurses in a teaching medical center of Iran”. Iran Red Crescent Med J., 16(10),1–6, 2014. doi: 10.5812/ircmj.16600
21. Özlük, B. “Medical Error Attitudes of Nurses From Different Generations.” Journal of Hacettepe University Faculty of Nursing, 7(1), 8-14, 2020. https://doi.org/10.31125/hunhemsire.715027
22. Ali, A,Y,S., Khamis, M,L., Salim, M,N. “Nurses’ experiences toward perception of medication administration errors reporting”. IOSR J Nurs Health Scienc. 1(4),56–70, 2013. www.iosrjournals.org
23. Al-Faouri, I,G., Hayajneh, W,A., Habboush, D,M. “A Five Years Retrospective Study of Reported Medication Incidents at a Jordanian Teaching Hospital: Patterns and Trends”. International Journal of Humanities and Social Science, 4(5), 280–287, 2014. http://www.ijhssnet.com/
24. Mrayyan, M,T. “Reported incidence, causes, and reporting of medication errors in teaching hospitals in Jordan: a comparative study”. Contemp Nurse, 41(2),216–32, 2012. https://doi.org/10.5172/conu.2012.41.2.216
25. Härkänen, M., Turunen, H., Vehviläinen- Julkunen, K. “Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the global trigger tool method, and observations”. J Patient Saf. 16(2),1-9, 2016. doi: 10.1097/PTS.0000000000000261
26. Lan, Y,H., Wang, K,W., Yu, S., Chen, I,J., Wu, H,F., Tang, F,I. “Medication errors in pediatric nursing: assessment of nurses’ knowledge and analysis of the consequences of errors”. Nurse Educ Today. 34(5),821-828, 2014. https://doi.org/10.1016/j.nedt.2013.07.019
27. Hossain-Gholipour, K., Mashallahi, A., Amiri, S., Moradi, Y., “Moghaddam, A,S., Hoorijani, F. Prevalence and cause of common medication administration errors in nursing”. JCHPS., 2016 (7), 18-21, 2016. ISSN: 09742115, http://eprints.dums.ac.ir/id/eprint/486
28. Bişkin, S., Cebeci, F. “Strategies for reducing medication administration errors in hospital setting: Systematic Review”. Gümüşhane University Journal Of Health Sciences. 6(4),180-185, 2017. https://dergipark.org.tr/en/pub/gumussagbil/issue/32215/368848