Nurse’s knowledge and Practice regarding Medication Errors in Critical Care Units: Descriptive study

Fathy, A.; Khalil, Nahla Shaaban; Taha, Naser M.; Abdelbaky, Marwa M.

doi:10.21608/msnj.2020.188051

Cited by 3 publications

(1 citation statement)

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“…As a result, four new "rights" were proposed: right documentation, right action/reason, right form, and right reaction [13]. Medication errors are more common in high-volume care settings including emergency rooms and intensive care units [14].…”

Section: Introductionmentioning

confidence: 99%

Critical Care Nurses’ Perception of Medication Administration Errors in Kelantan, Malaysia: A Cross-Sectional Study

Ishak,

Ibrahim

2024

Journal of Nursing Management

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Background. The study investigates critical care nurses’ perceptions of medication administration errors (MAEs) in a tertiary hospital in Kelantan, Malaysia, within the unique sociocultural context of East-Coast Malaysia. The research aims to understand the causes and underreporting of MAEs and assess the proportion of reported incidents according to MAE types. Methods. A cross-sectional study involving 424 critical care nurses from Hospital Raja Perempuan Zainab II (HRPZII), Hospital Sultan Ismail Petra (HSIP), and Hospital Tanah Merah (HTM) was conducted. Nurses in administrative roles or unavailable during the survey period were excluded. The study utilized a validated Medication Administration Errors Survey questionnaire to gauge nurses’ perceptions on the causes of MAEs, reasons for underreporting, and the percentage of reported incidents based on MAE types. Results. Results indicate that illegible medication orders from doctors were identified as the primary cause of MAEs, while a lack of 24-hour pharmacist availability received the lowest score. The most common reason for not reporting MAEs was identified as the nursing administration’s focus on individuals rather than systemic issues when errors occur. The majority of MAEs were non-intravenous, with incorrect timing of administration being the leading cause. Conclusion. The study sheds light on critical care nurses’ perspectives on MAEs in a Malaysian hospital setting, highlighting key factors contributing to these errors and barriers to their reporting. Understanding these perceptions is crucial for developing strategies to mitigate MAEs and enhance patient safety in critical care environments.

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Section: Introductionmentioning

confidence: 99%

Critical Care Nurses’ Perception of Medication Administration Errors in Kelantan, Malaysia: A Cross-Sectional Study

Ishak,

Ibrahim

2024

Journal of Nursing Management

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Cross-sectional study of the association of respiratory diseases health risk with environmental pollutants and climate change in Saudi Arabia

Al-Ghamdi,

Helmi,

Moselhy

2024

Environ Sci Pollut Res

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Medication safety climate: managing high-alert medication administration and errors among nurses in intensive and critical care units

El-Fattah Mohamed Aly,

El-Shanawany,

Ghanem

et al. 2023

Egyptian Nursing Journal

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Background High-alert medications are drugs that may lead to serious harm when they are wrongly administered to patients. Safe medication administration is the crucial role of nursing staff. Aim This study aims to investigate relationships of medication safety climate and nurses’ knowledge about high-alert medications with managing their administration and errors. Design A cross-sectional correlational study. Sample A convenience sample of 300 nurses. Setting Surgical intensive and critical care units. Tools Self-report questionnaires about medication safety climate, nurses’ knowledge and administration competency of high-alert medications and high-alert medication error experience as well as high-alert medication practice observational tool. Results The nurses’ knowledge, practice, and competencies about administering high-alert medications were below sufficient standards. They described medication safety climate at undesirable levels and reported encountering high-alert medication administration errors of about 25.3%. The medication safety climate and nurses’ knowledge of high-alert medication were associated with and affected nurses’ practice (r =.43; r =.31, respectively) and competencies (r=.32; r=.23, respectively), during administration of high-alert medications. Insufficient levels of medication safety climate and nurses’ knowledge and administration practice of high-medications were the predictive factors of incidence of high-alert medication administration errors among nurses (r =-.18; r =-.32; r = -.21, respectively). Conclusion Sufficient nurses’ knowledge and medication safety climate were deemed to be one of the most important measures to improve managing high-alert medication administration and reduce the occurrence of high-alert medication administration errors. Recommendation The hospital management should implement medication safety in its clinical standards and plan for promoting the safe administration of high-alert medications.

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Nurse’s knowledge and Practice regarding Medication Errors in Critical Care Units: Descriptive study

Cited by 3 publications

References 1 publication

Critical Care Nurses’ Perception of Medication Administration Errors in Kelantan, Malaysia: A Cross-Sectional Study

Critical Care Nurses’ Perception of Medication Administration Errors in Kelantan, Malaysia: A Cross-Sectional Study

Cross-sectional study of the association of respiratory diseases health risk with environmental pollutants and climate change in Saudi Arabia

Medication safety climate: managing high-alert medication administration and errors among nurses in intensive and critical care units

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