A retrospective audit of nursing-related morbidity recorded in a state hospital in KwaZulu-Natal

Abstract

Background Health care professionals are expected to deliver safe and effective health services; however there is increased realisation that adverse events in the health system are a major cause of preventable morbidity and mortality. Objectives To conduct a retrospective audit of nursing-related morbidities in a state hospital in KwaZulu-Natal, South Africa. Method A retrospective audit of nursing-related morbidities documented by the surgical service was carried out using the Hybrid Electronic Medical Registry data for a period of 3 years – 01 November 2013 to 31 October 2016. Results There were a total of 12 444 admissions to surgical service during the study period, with 461 nursing-related morbidities reported. There was an increase in the number of documented nursing-related morbidities noted during November 2015 to October 2016, with 79% of all reported nursing-related morbidities documented during this period. A total of 54% of nursing-related morbidities were associated with males ( n = 248) and 46% ( n = 213) with females. The most commonly documented nursing-related morbidity was drugs/medication ( n = 167, 36%) with the second most common being adjunct management ( n = 130, 28%). Conclusion The study has identified the most commonly documented nursing-related morbidities in the surgical service of a state hospital. The findings of the study could provide direction for further research and educational initiatives.

Meta-Analysis of Medication Administration Errors in African Hospitals

“…[56][57][58][59] According to our finding, over half of medications administered in African hospitals involve one or more breaches in patient safety. This confirms the ongoing threat that MAEs pose to hospitalized patients, 5,29,31,60,61 because over one-third (35%) of such errors lead to severe patient outcomes, including disability and death. 19,[62][63][64] Moreover, such healthcareassociated safety incidents contribute to a decline in patients' healthcare-seeking behavior.…”

“…In fact, errors during the medication process pose the greatest threat to patient safety in hospitals 22,[25][26][27][28][29] ; are reported as the leading cause of healthcareassociated morbidity and mortality. 5,22,[29][30][31] These errors also complicate the care process more than the admission diagnosis. 32 Furthermore, despite efforts, medication errors and error-related patient harm are on the rise.…”

“…32 Furthermore, despite efforts, medication errors and error-related patient harm are on the rise. [30][31][32][33][34][35] Medication errors also affect care providers and hospitals. They are associated with a third of burnout, job dissatisfaction, and emotional distress among care providers.…”

Pelaksanaan Audit Mutu Pelayanan Keperawatan di RS A Jakarta Barat

“…Audit retrospektif dilakukan setelah klien mendapatkan layanan, audit bersamaan dilakukan ketika layanan diberikan dan audit prospektif berupaya mengidentifikasi bagaimana kinerja dimasa depan akan terpengaruh oleh intervensi saat ini (15). Audit retrospektif dapat dilakukan pada data dokumentasi pasien dengan memeriksa data, memastikan akurasi dan kelengkapan data pasien (18). Audit prospektif dengan penerapan system intervensi yang baru khususnya untuk penerimaan pasien di Emergence department memberikan peningkatan yang signifikan untuk waktu tunggu pasien menjadi berkurang dan adanya peningkatan kepatuhan perawat terhadap standar yang diterima (19).…”