Reporting of Medication Errors by Pediatric Nurses

Stratton, Karen; Blegen, Mary A.; Pepper, Ginette A.; Vaughn, Thomas

doi:10.1016/j.pedn.2004.11.007

Cited by 179 publications

(169 citation statements)

References 18 publications

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“…Most of them were related to dose as well as the preparation of wrong medications. According to the results of qualitative studies which examined the reasons of errors, interruptions ranked at the top of the factors leading to errors (1,15,16). In the study of Westbrook et al (3), which was the first study to assess the relationship between interruptions and medication errors, it was determined that the interruption frequency increases the severity of medication error.…”

Section: Discussionmentioning

confidence: 99%

“…One of the most common factors causing interruptions was the nurses themselves. The chitchats of nurses during the medication preparation were reported to constitute one of the primary reasons of error in other studies, as well (4,16). According to the observation data, the nurse obtains information about a study regarding a medication that is not applied before from an experienced nurse or they might prepare it together.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Interruptions During Pediatric Medication Preparation and Administration

Özkan¹,

Kocaman²,

Öztürk³

2016

jpr

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Interruptions During Pediatric Medication Preparation and Administration

Özkan¹,

Kocaman²,

Öztürk³

2016

jpr

View full text Add to dashboard Cite

“…One of the main underlying factors of unwanted medication errors has been found as the low ratio of nurse to patient (Stratton et al, 2004). From nurses perspective the factors that were leading medication errors were tiredness due to crowded and noisy environment, inadequate support system, carelessness and high work load (Schulmeister, 1999;Haw et al, 2005).…”

Section: 1699 Medication Errors In Chemotherapy Preparation and Admimentioning

confidence: 99%

“…Traditionally, nurses blame themselves for making an error when hospital systems should take the responsibility for failing to establish a safe working environment (Beyea, Hicks and Becker, 2003). Based on the recent surveys done recently at the major hospitals in USA, only less than half of the actual medication administration errors have been claimed to be reported (Osborne et al, 1999;Stratton et al, 2004). Based on a previous study, medication administration errors may be underreported due to low nurse to patient ratio, busy working environment and inexperienced staff (Ford et al, 2005).…”

Section: 1699 Medication Errors In Chemotherapy Preparation and Admimentioning

confidence: 99%

Medication Errors in Chemotherapy Preparation and Administration: a Survey Conducted among Oncology Nurses in Turkey

Ulaş

Sılay²,

Akıncı³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Background: Medication errors in oncology may cause severe clinical problems due to low therapeutic indices and high toxicity of chemotherapeutic agents. We aimed to investigate unintentional medication errors and underlying factors during chemotherapy preparation and administration based on a systematic survey conducted to reflect oncology nurses experience. Materials and Methods: This study was conducted in 18 adult chemotherapy units with volunteer participation of 206 nurses. A survey developed by primary investigators and medication errors (MAEs) defined preventable errors during prescription of medication, ordering, preparation or administration. The survey consisted of 4 parts: demographic features of nurses; workload of chemotherapy units; errors and their estimated monthly number during chemotherapy preparation and administration; and evaluation of the possible factors responsible from ME. The survey was conducted by face to face interview and data analyses were performed with descriptive statistics. Chi-square or Fisher exact tests were used for a comparative analysis of categorical data. Results: Some 83.4% of the 210 nurses reported one or more than one error during chemotherapy preparation and administration. Prescribing or ordering wrong doses by physicians (65.7%) and noncompliance with administration sequences during chemotherapy administration (50.5%) were the most common errors. The most common estimated average monthly error was not following the administration sequence of the chemotherapeutic agents (4.1 times/month, range 1-20). The most important underlying reasons for medication errors were heavy workload (49.7%) and insufficient number of staff (36.5%). Conclusions: Our findings suggest that the probability of medication error is very high during chemotherapy preparation and administration, the most common involving prescribing and ordering errors. Further studies must address the strategies to minimize medication error in chemotherapy receiving patients, determine sufficient protective measures and establishing multistep control mechanisms.

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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). A better understanding of nurses' decision-making regarding error reporting and workplace factors that influence their decisions can inform the development of strategies to improve the frequency and accuracy of error reporting by nurses.…”

mentioning

confidence: 99%