Evaluation of Medication Errors from the Perspective of Nurses in the ICUs of Yazd City

Abstract

Introduction: Medication error is one of the most common errors in the medical context which has a great importance in the ICUs due to the patients’ inability and vulnerability in participating in the medication therapy. The aim of this study was to determine frequency, types, and reasons of medication errors in the ICUs.
 Methods: This was a cross-sectional descriptive study, which was conducted on 105 nurses working in the ICUs located in hospitals of Yazd City in 2017 on the basis of census sampling method. The data were collected by means of the demographic and occupational questionnaire and the medication errors questionnaire whose content validity and reliability (Alpha Cronbach's coefficient) have been approved The data were analyzed using descriptive statistics and the Chi-square statistical test through SPSS software V.16.
 Results: The findings revealed that %66.7 of the nurses had medication errors. %40.6 of the nurses had made medication error only once, and 58.7% of the errors occurred during the night shift. As to the injectable medications, administrating nonprescription medications, making mistakes in dosage calculation, and giving medication after discontinuation were reported with higher frequencies. Regarding the injectable medications, paying no attention to interactions of concomitant drugs, making calculation mistakes, and administrating nonprescription medications were more frequent. Also, the nurses’ fatigue was reported as the first main cause of medication errors in this study.
 Conclusion: Given the high frequency of medication errors) 66.7% in the last six months( particularly during the night shift as well as the nurses’ fatigue as the most important cause of the error incidences, it appears important that healthcare authorities and nursing managers take account of the approaches that enhance the nurses’ working conditions.

Evaluation of the relationship between drugs’ safety competence and Medication Administration Error Perceptions in Clinical nurses of Northwest Iran

“…Furthermore, there was a signi cant statistical relationship between work experience, participation in medication error workshops, and perception of medication errors, which is consistent with the studies byKhalid Al-Mugheed et al (2023) and Wondmieneh et al (2019), but not with the study by Kermanshahi et al (2016)(42)(43)(44). This difference may be due to the type of department and other relevant factors, as their research was speci cally conducted on pediatric nurses.In addition, in this study, a signi cant statistical relationship was found between marital status and perception of medication errors, which is consistent with the study by Saedi et al (2020), but not with the study by Aghili Dehkhordi et al (2019) (45, 46).Stepwise multiple linear regression analysis showed that "patient-centered medication management" was a stronger predictor of medication safety competency and perception of medication errors compared to other variables, which is consistent with the studies by Bijani et al (2024) and Salmani et al (2018)(33,47).Furthermore, in this study, there was a direct and signi cant relationship between the scope of risk management and perception of medication errors, which is consistent with the study by Dehghan Nayeri et al (2021). Nayeri's research also con rms the results of the present study, showing a signi cant reduction in medication errors among nurses in the test group with proper risk management (48).…”

Evaluation of medication errors in nursing during the COVID-19 pandemic and their relationship with shift work at teaching hospitals: a cross-sectional study in Iran

“…A high rate of medication error was reported in our study. In a study in Yazd City (the center of Iran), Bagheri et al reported that 66.7% of nurses experienced medication errors, and 40.6% performed medication errors only once (19). In the study by Dashti et In the present study, most medication errors were reported in emergency wards.…”

“…A high rate of medication error was reported in our study. In a study in Yazd City (the center of Iran), Bagheri et al reported that 66.7% of nurses experienced medication errors, and 40.6% performed medication errors only once ( 19 ). In the study by Dashti et al in the city of Ardabil in northwestern Iran, the incidence rate of at least one medication error in the nurses under study during the past 6 months was 86.4%, with an average of 3.6 errors per nurse ( 20 ).…”

“…In a study on the COVID-19 pandemic, Mohammed et al reported a high percentage of medication errors among nurses in Ethiopian hospitals and mentioned night shift work as the leading cause of medication errors ( 29 ). Bagheri et al presented evidence that 58.7% of medication errors occurred during the night shift in Yazd City, central Iran ( 19 ).…”

Hardiness and Resilience in Women Who have Spontaneous Abortions

“…In line with the results of a study conducted by Mohatashami, et al (2015), it was found that hardiness and resilience have a positive and significant relationship (p<0.001 and β=0.34). Then, the results of a study by Bafroe et al (2015) showed significantly correlated hardiness and resilience in Type 2 diabetes patients. On the other hand, research conducted by Setyanugraha (2019) found that there was no significant positive relationship between the hardiness and resilience of cyberbullying victims (r = 0.045 p = 0.689).…”