Association of medication errors with drug classifications, clinical units, and consequence of errors: Are they related?

Muroi, Maki; Shen, Jay J.; Angosta, Alona D.

doi:10.1016/j.apnr.2016.12.002

Cited by 24 publications

(28 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Firstly, regarding the professional characteristics of the participants, no statistically significant differences were found between the nursing units. However, some studies maintain that there may be a higher number of MEs in hospital units where many complex medication administration activities take place [25], partly due to the different distractions and disruptions that occur there [37], as may be the case in intensive care units [38]. Conversely, no statistically significant differences were found in terms of professional experience.…”

Section: Discussionmentioning

confidence: 99%

“…In the clinical setting, nurses are responsible for setting up and administering most medicines directly to patients. Although providing medication is a multidisciplinary process, nurses take on almost all the responsibility for administering and controlling the medication used [25]. It is estimated that 78% of nurses have committed a medication error at some point [26], and it was established that 40% of their clinical time is devoted to managing medication [27].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment

et al. 2019

View full text Add to dashboard Cite

Background Medication errors have long been associated with low-quality medical care services and significant additional medical costs. Objective The aim of this study was to culturally adapt and validate the questionnaire on knowledge, attitudes and behaviors in the administration of intravenous medication, as well as to explore these factors in a hospital setting. Methods The study was divided into two phases: 1) validation and cross-cultural adaptation, and 2) cross-sectional study. A total of 276 hospital-based nursing professionals participated in the study. Results A Cronbach’s alpha value of 0.849 was found, indicating good internal consistency. In the multivariate analysis, statistically significant differences were found between knowledge and attitudes, demonstrating that having greater suitable knowledge correlates with having a more positive attitude. It was also discovered that having a positive attitude as well as the necessary knowledge increases the possibility of engaging in adequate behaviors. Conclusions The knowledge, attitudes and behavior questionnaire has a satisfactory internal consistency in order to be applied to the Spanish context. Implications for nursing management: Knowledge acquisition and positive attitude are both factors which promote adequate behavior, which in turn seems to have an impact on medication errors prevention. Health institutions must encourage continuous education for their employees.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Medication errors represent the majority of preventable errors and continue to be a major concern for our patients' safety. [11] Increasing discussions about medication administration should be a priority. The clinical instructor needs the support of the didactic/theory instructors to continue to focus on safety.…”

Section: Discussionmentioning

confidence: 99%

Nursing students’ perception of safety in clinical settings: From the quality and safety officer

Cooper

2017

JNEP

View full text Add to dashboard Cite

Teaching methods to improve the safety of care for patients has been a priority for nurse educators. This article discusses the student nurses' use of error reporting tools in the clinical setting, revealing study results completed by the Quality and Safety Officer in a School of Nursing and Health Professions. The aim was to report on the use of safety tools and the perception of safety issues in clinical settings identified by 121 prelicensure baccalaureate nursing students. Responses suggest that it is challenging for nursing students to report errors and near miss events. Barriers exist for the nursing student. The survey reveals difficulty in reporting but discloses that safety for the patient continues to be a primary concern for the nursing student.

show abstract

“…Published work has identified certain pharmacological groups as having extensive multicausality error risks; among these, antibacterial drugs are particularly important because of their widespread use and frequency of errors in their use [16, 17]. Another high-risk group are pharmaceuticals that cannot be administered via a nasogastric tube (NGT) [18, 19] as well as high-risk medications in general [6, 20–22].…”

Section: Introductionmentioning

confidence: 99%

Medication errors and drug knowledge gaps among critical-care nurses: a mixed multi-method study

Gracia

Serrano

Garrido

2019

BMC Health Serv Res

View full text Add to dashboard Cite

Background Medication errors are a serious and complex problem in clinical practice, especially in intensive care units whose patients can suffer potentially very serious consequences because of the critical nature of their diseases and the pharmacotherapy programs implemented in these patients. The origins of these errors discussed in the literature are wide-ranging, although far-reaching variables are of particular special interest to those involved in training nurses. The main objective of this research was to study if the level of knowledge that critical-care nurses have about the use and administration of medications is related to the most common medication errors. Methods This was a mixed (multi-method) study with three phases that combined quantitative and qualitative techniques. In phase 1 patient medical records were reviewed; phase 2 consisted of an interview with a focus group; and an ad hoc questionnaire was carried out in phase 3. Results The global medication error index was 1.93%. The main risk areas were errors in the interval of administration of antibiotics (8.15% error rate); high-risk medication dilution, concentration, and infusion-rate errors (2.94% error rate); and errors in the administration of medications via nasogastric tubes (11.16% error rate). Conclusions Nurses have a low level of knowledge of the drugs they use the most and with which a greater number of medication errors are committed in the ICU. Electronic supplementary material The online version of this article (10.1186/s12913-019-4481-7) contains supplementary material, which is available to authorized users.

show abstract

Association of medication errors with drug classifications, clinical units, and consequence of errors: Are they related?

Cited by 24 publications

References 20 publications

Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment

Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment

Nursing students’ perception of safety in clinical settings: From the quality and safety officer

Medication errors and drug knowledge gaps among critical-care nurses: a mixed multi-method study

Contact Info

Product

Resources

About