Medication Error Management Climate and Perception for System Use according to Construction of Medication Error Prevention System

Abstract

Purpose: The purpose of this cross-sectional study was to examine current status of IT-based medication error prevention system construction and the relationships among system construction, medication error management climate and perception for system use. Methods: The participants were 124 patient safety chief managers working for 124 hospitals with over 300 beds in Korea. The characteristics of the participants, construction status and perception of systems (electric pharmacopoeia, electric drug dosage calculation system, computer-based patient safety reporting and bar-code system) and medication error management climate were measured in this study. The data were collected between June and August 2011. Descriptive statistics, partial Pearson correlation and MANCOVA were used for data analysis. Results: Electric pharmacopoeia were constructed in 67.7% of participating hospitals, computer-based patient safety reporting systems were constructed in 50.8%, electric drug dosage calculation systems were in use in 32.3%. Bar-code systems showed up the lowest construction rate at 16.1% of Korean hospitals. Higher rates of construction of IT-based medication error prevention systems resulted in greater safety and a more positive error management climate prevailed. Conclusion: The supportive strategies for improving perception for use of IT-based systems would add to system construction, and positive error management climate would be more easily promoted.

Mediating role of the perceived benefits of using a medication safety system in the relationship between transformational leadership and the medication-error management climate

“…A higher score indicated a positive medication EMC. The previously reported Cronbach's α of this instrument was .89 (Kim, 2012), and it was .88 for this study.…”

“…Transformational leadership is directly related to the patient safety climate and patient safety initiatives (McFadden et al., 2009); however, a limited number of studies have examined the importance of the perceived benefit of using a medication safety system. Medication-related safety and quality improvement are recognised as priorities for healthcare organisations (Ehsani et al., 2013), and hospitals have tried to build several medication safety systems (Kim, 2012). For the successful adoption of a medication safety system, it is important to demonstrate how members perceive the benefits of such a system and how frequently they use it.…”

“…Medication EMC was measured using the Korean version of the EMC questionnaire (Van Dyck et al., 2005). In a previous study (Kim, 2012), two bilingual professionals conducted translation and reverse translation using a synthesis of the translations of the EMC questionnaire to assess semantic equivalence. After modifying the wording from error to medication error, content validity was determined to be above .80 by two experts.…”

Provider risk factors for medication administration error alerts: analyses of a large‐scale closed‐loop medication administration system using RFID and barcode

“…Such systems have been reported to reduce the incidence of MAEs by approximately 50%. 5,[12][13][14][15] However, closed-loop medication administration systems have been adopted by only 16.1% of Korean 16 and 31.3% of US hospitals, 17 because of difficulties with application and the high implementation costs and maintenance fees. 18,19 The aim of this study was to determine the risk factors and rate of MAE alerts using data for 1 year of administration in one Korean tertiary teaching hospital.…”

“…Such systems have been reported to reduce the incidence of MAEs by approximately 50% . However, closed‐loop medication administration systems have been adopted by only 16.1% of Korean and 31.3% of US hospitals, because of difficulties with application and the high implementation costs and maintenance fees …”