Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study

Hartnell, Nicole R.; MacKinnon, Neil J.; Sketris, Ingrid; Fleming, Mark T.

doi:10.1136/bmjqs-2011-000299

Cited by 158 publications

(199 citation statements)

References 40 publications

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“…physicians, pharmacists and nurses) and in-depth interviews. 'Major changes of this study to improve the process and improve medication error reporting are not going to occur overnight but will require much deliberation, dedication and resource allocation', (Hartnell, 2012). The study suggests that the small number of positive facilitators suggested by these study participants indicate that 'some fairly simple changes could make a positive difference in medication error reporting at these organizations and others facing similar challenges', (ibid).…”

Section: Introductionmentioning

confidence: 99%

“…Also, we need to specify the possible strategies that could improve and encourage nurses and physicians to report medical errors. Needless to say that 'limited information is available on why these barriers still exist or about methods to overcome these barriers successfully', (Hartnell, 2012). Hartnell continues that 'such information must be obtained before the improvements of patient safety can be realized through lessons learned from the reporting of medication errors', (ibid).…”

Section: Introductionmentioning

confidence: 99%

“…'Knowledge of what inhibits reporting', (Hartnell, 2012) could remarkably 'result in improved patient care and safety', (ibid) in Riyadh hospitals in Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Barriers and strategies of reporting medical errors in public hospitals in Riyadh city: A survey-study

Alduais¹,

Shabrain²,

Enazi³

et al. 2014

IOSRJNHS

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Barriers and strategies of reporting medical errors in public hospitals in Riyadh city: A survey-study

Alduais¹,

Shabrain²,

Enazi³

et al. 2014

IOSRJNHS

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“…Although nurses are the healthcare professionals who most frequently report errors, many continue to harbor fears about reporting them (Bayazidi, Zraezadeh, Zamanzadeh, & Parvan, 2012;Cook, Hoas, Guttmannova, & Joyner, 2004;Espin, Lingard, Baker, & Regehr, 2006;Hartnell MacKinnon, Sketris, & Fleming, 2012;Osmon et al, 2004;Rowin et al, 2008;Prang & Jelsness-Jorgensen, 2014;Uribe, Schweikhart, Pathak, Dow, & Marsh, 2002). In many institutions, the workplace culture regarding error reporting remains one of blame, and nurses are often concerned about personal repercussions associated with reporting errors (Blair, Kable, Courtney-Pratt, & Doran,2015;Castel, Ginsburg, Zaheer, & Tamin, 2015;Cook et al, 2004;Espin et al, 2006;Jeffe et al, 2004;Stratton, Blegen, Pepper, & Vaughn, 2004;Taylor et al, 2004;Uribe et al, 2002).…”

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confidence: 99%

Nurses' experiences with errors in nursing

2016

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“…However we acknowledge that the issue of the frequency of medical errors in the critical care setting is controversially discussed in medical literature [30,31] and our findings might also be influenced by other factors such as underreporting as a consequence of fear of punitive measures [32,33]. In our study, most administration errors occurred on the wards, where work under time pressure due to shortage of personnel and heavy workload are recognized risk factors [34].…”

Section: /22mentioning

confidence: 69%

Medication wrong route administration: a poisons center-based study

Bloch-Teitelbaum

Lüde

Rauber-Lüthy

et al. 2013

Expert Opinion on Drug Safety

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OBJECTIVES: To describe clinical effects, circumstances of occurrence, management and outcomes of cases of inadvertent administration of medications by an incorrect parenteral route. METH-ODS: Retrospective single-center consecutive review of parenteral route errors of medications, reported to our center between January 2006 and June 2010. We collected demographic data and information on medications, route and time of administration, severity of symptoms/signs, treatment, and outcome. RESULTS: Seventy-eight cases (68 adults, 10 children) were available for analysis. The following wrong administration routes were recorded: paravenous (51%), intravenous (33%), subcutaneous (8%), and others (8%). Medications most frequently involved were iodinated x-ray contrast media (11%) and iron infusions (9%). Twenty-eight percent of the patients were asymptomatic and 54% showed mild symptoms; moderate and severe symptoms were observed in 9% and 7.7%, respectively, and were mostly due to intravenous administration errors. There was no fatal outcome. In most symptomatic cases local nonspecific treatment was performed. CONCLUSIONS: Enquiries concerning administration of medicines by an incorrect parenteral route were rare, and mainly involved iodinated x-ray contrast media and iron infusions. Most events occurred in adults and showed a benign clinical course. Although the majority of exposures concerned the paravenous route, the occasional severe cases were observed mainly after inadvertent intravenous administration. Statement about prior postings and presentationsWe confirm that our paper is not under review by another journal.Part of the data was presented at the 13th Joint Annual Meeting of the German, Swiss, and Austrian Societies for Clinical Pharmacology and Toxicology, October 20-22, 2011, Zurich, Switzerland. Key words:Iatrogenic errors; medications; poisons centre; route of administration. 2/22 Abstract ObjectivesTo describe clinical effects, circumstances of occurrence, management and outcomes of cases of inadvertent administration of medications by an incorrect parenteral route. MethodsRetrospective single-centre consecutive review of parenteral route errors of medications, reported to our centre between January 2006-June 2010. We collected demographic data and information on medications, route and time of administration, severity of symptoms/signs, treatment, and outcome. Results78 cases (68 adults, 10 children) were available for analysis. The following wrong administration routes were recorded: paravenous (51%), intravenous (33%), subcutaneous (8%), and others (8%). Medications most frequently involved were iodinated x-ray contrast media (11%) and iron infusions (9%). 28% of the patients were asymptomatic and 54%showed mild symptoms; moderate and severe symptoms were observed in 9% and 7.7%, respectively, and were mostly due to intravenous administration errors. There was no fatal outcome. In most symptomatic cases local nonspecific treatment was performed. ConclusionsEnquiries concerning administration...

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Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study

Cited by 158 publications

References 40 publications

Barriers and strategies of reporting medical errors in public hospitals in Riyadh city: A survey-study

Barriers and strategies of reporting medical errors in public hospitals in Riyadh city: A survey-study

Nurses' experiences with errors in nursing

Medication wrong route administration: a poisons center-based study

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