Clinical relevance of and risk factors associated with medication administration time errors

Teunissen, Rick; Bos, Jacqueline M.; Pot, H.; Pluim, M. A. L.; Kramers, Cornelis

doi:10.2146/ajhp120247

Cited by 9 publications

(10 citation statements)

References 12 publications

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“…As a result, nurses stated that there is no cut point of normal range from the exact ordered time for medication administration (31). Nurses reported that they were used their own experience to administer medications within 15min to 1hour time before and after the ordered time, based on nurse-patient ratio this shows similarity with previous studies (31,32).…”

Section: There Is No Training On Medication Administration In Our Hossupporting

confidence: 85%

Unsafe medication administration experience in nursing practice at Public Hospitals of Harari region, eastern Ethiopia: Phenomenological Study

Fekadu

Oljira

Geda

et al. 2020

Preprint

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Background: The unsafe medication administration is one of the most medication related problems which causes harm and death to the patients and threatens the healthcare system. Medication administration is predominantly the role of nurses. This study was aimed to explore the nurse’s experience of unsafe medication administration at public hospitals in Harari region, eastern Ethiopia. Methods: A phenomenological study design was conducted. The data were collected among 11 nurses from March 1 to 31, 2019. The tape recorder and note taking was used to collect the data by in-depth interview and key informant interview method. Open code software version 3.4 was used to write memos, coding and categorizing under their inductive thematic areas. Thematic analysis method were used. Result: The study had explored nurse’s experience of unsafe medication administration. Nurses have reported that they have ever experienced unsafe medication administration like, wrong time, medication, patient and self-stick injury during their practice. i) Organizational factors: inadequate resource, lack of clear policy and job description, lack of supervision and poor collaboration among staffs. ii) Precondition challenges: expensive medication, frequently changed and too much prescription for a single patient, new medications with limited information. iii) Individual nurses factors: work absenteeism, lack of training and knowledge gap.Conclusion: The organizational culture, precondition challenges and individual nurse’s factors was found to be a major factors linked to unsafe medication administration practice. So tailored intervention is needed to reduce the unsafe medication administration in nursing practice.

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Section: There Is No Training On Medication Administration In Our Hossupporting

confidence: 85%

Unsafe medication administration experience in nursing practice at Public Hospitals of Harari region, eastern Ethiopia: Phenomenological Study

Fekadu

Oljira

Geda

et al. 2020

Preprint

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“…Teunissen et al. found that medicine is often given 1–2 hours after the prescribed time. Another study showed that scheduling errors often occur because nurses must complete long morning rounds lasting up to 2–3 hours.…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, there is often insufficient time between successive administrations of medicine in the morning, during the day and in the evening. Teunissen et al (18) found that medicine is often given 1-2 hours after the prescribed time. Another study (13) showed that scheduling errors often occur because nurses must complete long morning rounds lasting up to 2-3 hours.…”

Section: Discussionmentioning

confidence: 99%

“…A medication error is defined as any error in the prescription, dispensation or administration of medicine, irrespective of whether the error causes any harm to a patient (9). Medication errors have been studied in several nursing environments and contexts (10)(11)(12)(13)(14)(15)(16)(17)(18), revealing that they occur most commonly during the process of administering medication (8,10,12,15). Medicines must be prepared and modified in appropriate ways to be safe and effective (19,20).…”

Section: Scand J Caring Sci; 2020; 34; 108-117mentioning

confidence: 99%

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Nurses’ self‐assessments of adherence to guidelines on safe medication preparation and administration in long‐term elderly care

Karttunen

Sneck

Jokelainen

et al. 2019

Scandinavian Caring Sciences

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Background Medication‐related errors are common in elderly care. Most are detected during the preparation and administration stages of the medication process. Nursing staff have a key role in preventing errors, and it is based on adherence to guidelines. Aim The aim was to determine nursing staff's self‐assessments of how they adherence to guidelines on safe medication preparation, administration and asepsis in the medication process in long‐term elderly care and to identify factors affecting this adherence. Method Cross‐sectional study was conducted by total sampling at the communal long‐term elderly care wards of one healthcare district in Finland in November 2016. Data were collected from nursing staff by using a previously developed web‐based questionnaire. The response rate was 39.4% (n = 492). Results One‐third of the nurses stated that they do not always follow guidelines when preparing medication, and around a half deviate from them occasionally, when administering medication. The most serious deviation on preparation stage was crushing of sustained release and enteric‐coated tablets and mixing of crushed tablets together. On administration stage, the deviation of guidelines of giving medicine in recommended time or in relation to food was common. Associations were detected between the adherence to guidelines and the nurses’ experience about the adequacy of their knowledge of pharmacology and infection control, and their skill at performing medication calculations. Conclusion Deviation from guidelines often causes an error. There is a need to review the teaching of pharmacology, infection control and medication calculations during undergraduate and continuing education. In addition, nursing staff must be reminded about the ethical aspects of safe medication processes and the appropriate attitudes to these processes. Nurses must understand why it is important to follow guidelines when preparing and administering medications, in order to avoid errors.

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“…Many studies have focused on preventing MAE and understanding the barriers to MAE reporting to create a safer environment for patients (Etchegaray & Throckmorton, 2009;Lin & Ma, 2009). Factors found to affect MAE prevention include the quality of medication administration procedures (O'Connell, Hawkins, & Ockerby, 2013), the willingness of hospital administration to identify risk factors (Lawton, Carruthers, Gardner, Wright, & McEachan, 2012;Teunissen, Bos, Pot, Piuim, & Kramers, 2013), and the organizational climate (Drach-Zahavy & Pud, 2010;Sheu, Wei, Chen, Yu, & Tang, 2009).…”

Section: Introductionmentioning

confidence: 99%

Development and Validation of the Inventory of Perceptions of Medication Administration Errors for Nurses in Taiwan

Kao

Lin²,

Lee

et al. 2015

Journal of Nursing Research

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Clinical relevance of and risk factors associated with medication administration time errors

Abstract: Analysis of medication administration rounds found time errors to be the most common medication error.

Cited by 9 publications

References 12 publications

Unsafe medication administration experience in nursing practice at Public Hospitals of Harari region, eastern Ethiopia: Phenomenological Study

Unsafe medication administration experience in nursing practice at Public Hospitals of Harari region, eastern Ethiopia: Phenomenological Study

Nurses’ self‐assessments of adherence to guidelines on safe medication preparation and administration in long‐term elderly care

Development and Validation of the Inventory of Perceptions of Medication Administration Errors for Nurses in Taiwan

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