Barriers to Reporting Medication Administration Errors among Nurses in an Accredited Hospital in Saudi Arabia

Mohammad, Ala’a; Aljasser, Ibrahim Abdullah; Sasidhar, Bokkasam

doi:10.9734/bjemt/2016/22774

Cited by 20 publications

(21 citation statements)

References 7 publications

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“…In this review, fear of negative consequences such us punishment and losing a job after self-reporting [9,11,[32][33][34]12,13,25,26,[28][29][30][31]and fear of blames [13,22,30,33] were reported to be barriers to self-reporting.…”

Section: Self-reporting Outcomesmentioning

confidence: 99%

“…Lack of policies in different institutions, [11] managerial/ administrative factors, [12,25,26,31,32] unclear or long process to report, [23,30,31,34] such as having too much emphasis on MAEs as a measure of nursing care quality [22]were some of the factors that were reported in this review. Power distance, [35] the way nurses view and accept an unequal sharing of power from managers was another contributing factor.…”

Section: Organizational Factorsmentioning

confidence: 99%

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Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of literature

Nkurunziza¹,

Chironda²,

Mukeshimana³

et al. 2020

Rwanda Journal of Medicine and Health Sciences

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Background Medication Administration Errors (MAEs) are common among nurses and can threaten all patients' outcomes. Furthermore, MAEs are the leading cause of incidents in patient safety records worldwide. Objective To review the types of medication administration errors, factors contributing to MAEs and barriers to self-reporting among nurses. Methods A review of the literature was done and included original articles and grey literature from January 2011 until July 2017. An advanced search was done in Medline, HINARI, PubMed, CINAHL, Science direct, Google Scholar and gray literature using a Boolean combination of different keywords such as "medication administration error", "adverse drugs reactions", barriers and "self-reporting". Results 257 articles were eligible for review but only27 articles met the inclusion criteria. Types of MAEs mainly focused on seven rights (right patient, right drug, right dose, right time, right route, right reason and right documentation). With regards to the types of MAEs, the wrong time was most prevalent in this study. Being overworked was the main factor contributing to medication administration errors. The barriers to self-reporting during MAEs were dominated by fear of disciplinary action. Nurses' characteristics such as age, experience, education, variations in how errors are defined and organizational factors such as power, distance and lack of reporting policies were found to be barriers to self-reporting. In addition to that, others were identified. Conclusion Globally, MAEs remain a pervasive problem among nurses. Contributing factors range from individual to organizational factors, and barriers to self-report are due to fear of legal action and punishment. There is a need to devise measures that will prevent these errors and to promote positive clinical outcomes of patients in healthcare settings.

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Section: Self-reporting Outcomesmentioning

confidence: 99%

Section: Organizational Factorsmentioning

confidence: 99%

Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of literature

Nkurunziza¹,

Chironda²,

Mukeshimana³

et al. 2020

Rwanda Journal of Medicine and Health Sciences

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“…It drains the inancial resources of hospitals worldwide extensively. (Mohammad et al, 2016) . This study conducted to explore nurses' perception of factors contributing to medication administration errors and reasons for which medication administration errors are not reporting.…”

Section: Resultsmentioning

confidence: 99%

“…They reported four factors which are fear, followed by administrative reasons, then disagreement with the de inition, and inally reporting effort. Mohammad et al (2016), reported similar factors with different rank. The administrative response was identi ied as the top perceived obstacle, followed by fear.…”

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confidence: 90%

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Nurses’ Perception of Factors Contributing to Medication Administration Errors

Elasrag¹,

Abu-Snieneh²

2020

ijrps

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Safety and quality care of patients are key aspects and the mean goals of effective health care systems. The reality that medical treatment can harm patients is one that has had to be addressed by the healthcare community in recent years. This study aimed to explore nurses' perception of factors contributing to medication administration errors and reasons for which medication administration errors are not reporting. Descriptive exploratory cross-sectional design carried out to achieve the study aim. The study was conducted in two regional hospitals in Egypt. They had a total bed capacity of 512 beds distributed over three units (emergency, intensive care, and surgical units). A convenient sample of 146 nurses distributed in the morning and afternoon shifts in the units mentioned above was recruited in this study. Medication Administration Errors (MAEs) Reporting Scale used to collect data regarding the nurses' perception of factors contributing to the MAEs. The participants were ranked the most important factor for MAEs occur system reasons (24.73±1.46), followed by nurses staffing as the second reason of MAEs (24.11± 2.25). Third, fourth, and fifth-ranked reasons were physician communication (13.37± 2.7), medication packaging (12.84±1.87), transcription-related (8±0.1), respectively. Finally, pharmacy processes (6.9±2.93) viewed as the least factor for the frequency of MAE. The findings of the present study concluded seven perceived reasons for MAE, namely system reason, nurses' staffing, physician communication, medication packaging, transcription, and pharmacy process. The study recommended the development of active quality assurance systems in all health care environments concerning medications and drug administration.

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The role of organizational and professional cultures in medication safety: a scoping review of the literature

Machen¹,

Jani²,

Turner

et al. 2019

International Journal for Quality in Health Care

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Purpose This scoping review explores what is known about the role of organizational and professional cultures in medication safety. The aim is to increase our understanding of ‘cultures’ within medication safety and provide an evidence base to shape governance arrangements. Data sources Databases searched are ASSIA, CINAHL, EMBASE, HMIC, IPA, MEDLINE, PsycINFO and SCOPUS. Study selection Inclusion criteria were original research and grey literature articles written in English and reporting the role of culture in medication safety on either organizational or professional levels, with a focus on nursing, medical and pharmacy professions. Articles were excluded if they did not conceptualize what was meant by ‘culture’ or its impact was not discussed. Data extraction Data were extracted for the following characteristics: author(s), title, location, methods, medication safety focus, professional group and role of culture in medication safety. Results of data synthesis A total of 1272 citations were reviewed, of which, 42 full-text articles were included in the synthesis. Four key themes were identified which influenced medication safety: professional identity, fear of litigation and punishment, hierarchy and pressure to conform to established culture. At times, the term ‘culture’ was used in a non-specific and arbitrary way, for example, as a metaphor for improving medication safety, but with little focus on what this meant in practice. Conclusions Organizational and professional cultures influence aspects of medication safety. Understanding the role these cultures play can help shape both local governance arrangements and the development of interventions which take into account the impact of these aspects of culture.

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Barriers to Reporting Medication Administration Errors among Nurses in an Accredited Hospital in Saudi Arabia

Cited by 20 publications

References 7 publications

Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of literature

Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of literature

Nurses’ Perception of Factors Contributing to Medication Administration Errors

The role of organizational and professional cultures in medication safety: a scoping review of the literature

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