The effectiveness of interventions designed to reduce medication administration errors: a synthesis of findings from systematic reviews

Lapkin, Samuel; Levett‐Jones, Tracy; Chenoweth, Lynn; Johnson, Maree

doi:10.1111/jonm.12390

Cited by 50 publications

(44 citation statements)

References 38 publications

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“…As reported in the literature,[ 8 22 ] finally, 94% ( n = 94) agreed to perform a double check to verify the correct correspondence between prescription, preparation, and administration of IV drugs [ Table 4 ].…”

Section: R Esultsmentioning

confidence: 97%

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Medication errors in the emergency department: Knowledge, attitude, behavior, and training needs of nurses

Simone

Giannetta

Auddino

et al. 2018

Indian Journal of Critical Care Medicine

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Aim:The aim was to describe which elements of nurses' knowledge, training needs, behavior, and attitude can prevent Medication errors (Acronym MEs) in the emergency department during all steps of the administration of intravenous (IV) medications.Methods:An anonymous questionnaire made up of 43 items has been drafted and delivered to a sample of 103 nurses of a university hospital in Rome. The study has been supported by specific literature review.Results:Majority of the sample (94%) answered that topics related to the preparation and administration of IV medications were covered during the basic course while 63.2% only during the postbasic course. Only 15.6% of nurses judged excellent their level of knowledge about preparation and administration of IV medications while 89.3% considered that it is important to improve their knowledge; 85.6% said that the teaching about the use of IV medications should be increased during the degree course they attended; 30.3% agreed that specific postgraduate courses on the use of IV drugs should be designed. Moreover, only 22% of the sample believed that the coaching of new recruit nurses is critical to prevent errors.Conclusion:The sample showed appropriate knowledge, positive attitudes, and right behavior related to the preparation and administration of IV medications. The skills that nurses must have in pharmacology are still rising, both due to the safety of drug therapy and to the increasing number of drugs available; the result is that nurses have to update their knowledge regularly.

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Section: R Esultsmentioning

confidence: 97%

“…It is essential to point out that pharmacological therapy's administration represents 40% of total nursing clinical activity in hospitals [ 7 ] and nurses are the last safeguards for patients from MEs. [ 8 ] Several works [ 9 10 ] underlined the shortage of researches conducted in ED.…”

Section: Introductionmentioning

confidence: 99%

Medication errors in the emergency department: Knowledge, attitude, behavior, and training needs of nurses

Simone

Giannetta

Auddino

et al. 2018

Indian Journal of Critical Care Medicine

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“…They reported four to five such interruptions an hour, mostly from patients. Interventions to reduce interruptions document varying results depending on the context in which they are implemented (Dall'Oglio et al., ; Lapkin, Levett‐Jones, Chenoweth, & Johnson, ; Westbrook et al., ). A review of the current literature indicates a knowledge gap related to medication administration and interruptions in the nursing home context.…”

Section: Introductionmentioning

confidence: 99%

Medication administration and interruptions in nursing homes: A qualitative observational study

Odberg

Hansen

Aase

et al. 2018

Journal of Clinical Nursing

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“…Hand hygiene and drug safety have been identi ed as key problem areas for patient safety [4]. The WHO estimates that half of all drugs are incorrectly prescribed, stored, administered or used [6]. Studies have shown that up to 30% of patients are exposed to a potential medication error, and that half of these errors occur during administration of the drug [2,7,8].…”

Section: Introductionmentioning

confidence: 99%

Patient Safety in Outpatient Care: Results of A Multicenter Cross-Sectional Study About Medication Errors and Medication Management

Strube‐Lahmann

Müller‐Werdan

Klingelhöfer-Noe³

et al. 2020

Preprint

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Background: Medication errors occur frequently. Studies assume that up to 30% of care recipients are exposed to a possible medication error. Specific medication errors include taking the wrong doses or quantities of medication as well as omitting medication. For the outpatient sector, the study situation regarding such errors is limited. Therefore, it was investigated how often medication errors occur or have been reported and whether they are related to training, quality assurance measures and other structural conditions of outpatient care services. Methods: A Germany-wide cross-sectional study was conducted in the winter of 2016/2017 among care employees of outpatient care services. A total of 107 outpatient care services with 656 employees were included in the study. Within the framework of logistic regressions, correlations were investigated between errors committed and errors reported in terms of the years of work experience, completed medication training, the type of employment, geographical location of employment, application of the dual control principle, and the number of patients per shift. Results: A total of 107 outpatient care services could be included in the study, with 656 employees. Of 413 fully qualified nurses, 48.9% stated that they had themselves made an error in a 12-month period. Of all care workers questioned, 30.2% said they had reported errors, with 127 people providing no information on this issue. Provided that nurses had attended medication training within the last two years, the odds of not making medication-related errors were almost twice as high (odds ratio (OR) 1.79; confidence interval (CI) 1.42 - 3.09). Whenever nursing staff applied the dual control principle, the odds of not making a mistake were more than three times higher (OR 3.13; IK 1.88-5.20) than when the principle was not applied. The odds of reporting an error were almost twice as high (OR 1.92; IK 1.18-3.13) when the dual control principle was used compared to when it was not used. Conclusion: Medication-related errors occur frequently in outpatient care. Regular training and adequate quality management measures (e.g. application of the dual control principle) can help to make the medication process safer for everyone involved in outpatient care.

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The effectiveness of interventions designed to reduce medication administration errors: a synthesis of findings from systematic reviews

Abstract: Medication-related incidents must be captured in a way that facilitates meaningful categorisation including contributing factors, potential and actual/risk of harm and contextual information on the incident.

Cited by 50 publications

References 38 publications

Medication errors in the emergency department: Knowledge, attitude, behavior, and training needs of nurses

Medication errors in the emergency department: Knowledge, attitude, behavior, and training needs of nurses

Medication administration and interruptions in nursing homes: A qualitative observational study

Patient Safety in Outpatient Care: Results of A Multicenter Cross-Sectional Study About Medication Errors and Medication Management

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