Methodological variations and their effects on reported medication administration error rates

McLeod, Monsey; Barber, Nick; Franklin, Bryony Dean

doi:10.1136/bmjqs-2012-001330

Cited by 108 publications

(132 citation statements)

References 34 publications

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“…8,16 This definition is consistent with previously conducted studies. 5 The British National Formulary 17 was used as a reference, for example, to identify medications with food-specific administration requirements.…”

Section: Classifying Medication Administration Errorssupporting

confidence: 66%

A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: A prospective observational study

Gilmartin‐Thomas

Smith

Wolfe

et al. 2017

International Journal of Nursing Studies

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The significant difference in, and high overall, medication administration error rate between original medication packaging and multi-compartment compliance aids supports the use of the latter in care homes, as well as local investigation of tablet and capsule impact on medication administration errors and staff training to prevent errors occurring. As a significant difference in error rate was not observed between use of a single or combination medication administration system, common practice of using both multi-compartment compliance aids (for most medications) and original packaging (for medications with stability issues) is supported.

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Section: Classifying Medication Administration Errorssupporting

confidence: 66%

A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: A prospective observational study

Gilmartin‐Thomas

Smith

Wolfe

et al. 2017

International Journal of Nursing Studies

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“…Studies measuring procedural MAEs (eg, failure to check a patient's identification, use of aseptic technique) report error rates of between 74% and 83% 7 9 10. However comparisons between studies are greatly hampered by differences in error definitions applied 6 11. A review by the US Agency for Healthcare Research and Quality concluded that there is a particular lack of research evidence regarding factors associated with MAEs, significantly limiting the development of effective interventions 12…”

Section: Introductionmentioning

confidence: 99%

Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review

2013

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BackgroundMedication administration errors are frequent and lead to patient harm. Interruptions during medication administration have been implicated as a potential contributory factor.ObjectiveTo assess evidence of the effectiveness of interventions aimed at reducing interruptions during medication administration on interruption and medication administration error rates.MethodsIn September 2012 we searched MEDLINE, EMBASE, CINAHL, PsycINFO, Cochrane Effective Practice and Organisation of Care Group reviews, Google and Google Scholar, and hand searched references of included articles. Intervention studies reporting quantitative data based on direct observations of at least one outcome (interruptions, or medication administration errors) were included.ResultsTen studies, eight from North America and two from Europe, met the inclusion criteria. Five measured significant changes in interruption rates pre and post interventions. Four found a significant reduction and one an increase. Three studies measured changes in medication administration error rates and showed reductions, but all implemented multiple interventions beyond those targeted at reducing interruptions. No study used a controlled design pre and post. Definitions for key outcome indicators were reported in only four studies. Only one study reported κ scores for inter-rater reliability and none of the multi-ward studies accounted for clustering in their analyses.ConclusionsThere is weak evidence of the effectiveness of interventions to significantly reduce interruption rates and very limited evidence of their effectiveness to reduce medication administration errors. Policy makers should proceed with great caution in implementing such interventions until controlled trials confirm their value. Research is also required to better understand the complex relationship between interruptions and error to support intervention design.

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“…Overall adult MAE rates were 5.6% to 35% of a total of non-IV opportunities for error and IV opportunities for error respectively [1] . Medication error has ranked amongst the second top risk areas and accounted for 19.8% in United Christian Hospital (UCH) as it could cause unnecessary harm to patients [2] .…”

Section: Introductionmentioning

confidence: 99%

How to change nurses’ behavior leading to medication administration errors using a survey approach in United Christian Hospital

Tsang

Yuk

Sham

2014

JNEP

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Methodological variations and their effects on reported medication administration error rates

Cited by 108 publications

References 34 publications

A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: A prospective observational study

A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: A prospective observational study

Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review

How to change nurses’ behavior leading to medication administration errors using a survey approach in United Christian Hospital

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