Analysis of contributing factors associated to related patients safety incidents in Intensive Care Medicine

Delgado, M.C. Martín; Cos, P. Merino de; Rodríguez, G. Sirgo; Álvarez-Rodríguez, Joaquín; Cía, I. Gutiérrez; Azuara, B. Obón; Ovies, A. Alonso

doi:10.1016/j.medine.2015.05.001

Cited by 3 publications

(3 citation statements)

References 26 publications

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“…Ineffective communication is one of the factors associated with the occurrence of medication administration errors in hospitals. Communication failures in medication administration are caused by several things, namely the delivery of ambiguous verbal instructions to nurses, the weakness of giving direct instructions to nurses, and nurses' lack of understanding in interpreting communication that is being established among health workers (Delgado et al, 2015).…”

Section: Factors That Contribute To Mae Ineffective Communicationmentioning

confidence: 99%

“…Organizational environment is related to the structure of hospital organization, assignment of duties, leadership of department heads, communication in teamwork, and patient safety programs in hospitals (Oludeyi, 2015;Parry, Barriball & While, 2015). Delgado, et al (2015) states that excessive workload is a major factor in workplace conditions that triggers medication errors, followed by work time pressure and the addition of new members in the work unit. An increase in workload results in work stress experienced by nurses so that it affects the incidence of medication administration errors (Parry, et al, 2015).…”

Section: Factors That Contribute To Mae Ineffective Communicationmentioning

confidence: 99%

“…Violations of Operational Standards The appli-cable procedures, writing errors, lack of work experience, and work stress are examples of several aspects involved in the human error (health care practitioners) factor to the incidence of medication errors (Mansah, et al, 2014). Human error contributes to medication errors by 19.4% which consists of the level of knowledge of health workers, work stress, and lack of work motivation of health workers in doing their work optimally (Delgado et al, 2015).…”

Section: Human Factormentioning

confidence: 99%

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Literature Review: Cause Factor Analysis and an Effort to prevent Medication Administration Error (MAE) at Hospital

Brigitta

Dhamanti

2020

UJPH

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The high number of medical errors, especially in medication administration errors (MAE) in the last few decades that have occurred in hospitals in developed and developing countries makes patient safety an important issue. This requires the hospital to take steps that prioritize patient safety by focusing on preventive measures, so as to reduce the risk of an MAE. The writing of this article of literature review aims to explain the determinants of MAE in hospitals and their prevention efforts through preventive measures, so that patient safety standards in hospitals (zero defects) can be achieved. The design of the article search in this literature study was carried out through Google scholar, JAKI, and PSNet with the keywords of patient safety incident, medication administration error, contributing factor of MAEs, and determinant factor of MAEs. Based on 13 articles that have been obtained in accordance with the criteria, there are 38 determinant factors in MAE which are grouped into three categories, namely ineffective communication factors, work environment factors, and human factors. Various preventive efforts that can be done to prevent MAEs include: implementing crew resource management, clarifying the chain of command, using the communication form of SBAR, designing an ergonomic workplace, implementing Patient Advocacy Reporting System (PARS), providing training and education for health workers, and setting work schedules that do not exceed workload. Implementation of effective MAE preventive measures can reduce the number of MAEs in the hospital directly.

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Section: Factors That Contribute To Mae Ineffective Communicationmentioning

confidence: 99%

Section: Factors That Contribute To Mae Ineffective Communicationmentioning

confidence: 99%

Section: Human Factormentioning

confidence: 99%

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Literature Review: Cause Factor Analysis and an Effort to prevent Medication Administration Error (MAE) at Hospital

Brigitta

Dhamanti

2020

UJPH

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Safety incidents in airway and mechanical ventilation in Spanish ICUs: The IVeMVA study

Alonso-Oviés

Nin²,

Martín

et al. 2018

Journal of Critical Care

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Patient safety in nursing care during medication administration

Oliveira¹,

Llapa-Rodriguez

Lobo³

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:to evaluate the conformity of care practices of the nursing team during the administration of drugs through central vascular catheter. Method:a descriptive, prospective, observational study conducted in an Intensive Care Unit. The non-probabilistic intentional sample consisted of 3402 observations of drug administrations in patients with central vascular catheters. The previously validated collection instrument was constructed based on the Guideline for Prevention of Intravascular catheter-related infections. Data was collected through direct observations of nursing practices performed by the nursing team. The analysis used analytical, descriptive and inferential statistics (Chi-square test and Fisher’s exact test). Results:a total of 3402 procedures of drug administrations were observed. Female nursing technicians performed the highest number of actions. In none of the procedures did the professional perform all necessary actions. 0.2% of drug administrations were preceded by hand hygiene and 1.3% by disinfection of the multidose vial, ampoule or injectors. Conclusion:the practice evaluated was classified as undesirable. Failure to achieve the desired conformity was probably due to the low adherence of professionals to the practice of hand hygiene and disinfection of materials, injectors and connectors.

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Analysis of contributing factors associated to related patients safety incidents in Intensive Care Medicine

Cited by 3 publications

References 26 publications

Literature Review: Cause Factor Analysis and an Effort to prevent Medication Administration Error (MAE) at Hospital

Literature Review: Cause Factor Analysis and an Effort to prevent Medication Administration Error (MAE) at Hospital

Safety incidents in airway and mechanical ventilation in Spanish ICUs: The IVeMVA study

Patient safety in nursing care during medication administration

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