THE Missed dose error among nurses working at tertiary care Hospitals, Karachi

Abstract

BACKGROUND & OBJECTIVE: Medication administration error (MAE) has been recognized as a serious health related issue that can lead to surge mortality and morbidity. In addition, it may rise hospitalization that, will increase the ratio of the patient. This study was accomplished to determine the missed dose error among nurses working at tertiary care hospitals in Karachi.
 METHODOLOGY: This analytical cross-sectional study was accomplished at Dr. Ruth K.M. Pfau Civil Hospital and Dow University Hospital, Karachi, for the period of six months from February to July 2018. The calculated sample was 204 nurses of both genders. Nurses having one year of working experience and licensed with Pakistan Nursing Council had been invited for the study. The participants were approached by a non-probability convenient consecutive sampling method. The adopted and validated questionnaire was utilized to gather the data. The data was entered and analyzed by using SPSS version 21.0.
 RESULTS: Out of 204 subjects, 106 (52%) were male. With respect to age, 168 (82.3%) of respondents had age below 35 years. The percentage of missed medication doses was reported to be 12.3%. In this study, nurses to patients ratio, and timing of medication administration were found statistically significant with missed dose errors p-value≤0.05.
 CONCLUSION: The study finding showed a small frequency of missed dose errors among nurses working in tertiary care public sector hospitals, Karachi. The majority of missed doses were recorded in the morning shift, and nurses who had more patients ratio.

Effect of Structured Training Workshop on Nurses’ Drug Dosage Calculation Competence at Tertiary Care Hospitals of Faisalabad

“…Despite agreement that preventing medication errors is critical to patient safety, high incidence of drug dosage calculation errors, particularly in developing countries, is raising concerns about whether nurses have the knowledge and skills necessary to calculate drug dosages correctly.Pakistan, a resource-constrained country with a high disease burden and no system for reporting, has seen a large number of deaths caused by medication errors with inability to correctly calculate the drug being a major contributor (DAWN, 2017). Literature from Pakistan witnessed inadequacies in knowledge and skills among nurses regarding safe and accurate drug dosage calculations (Kumar et al, 2022;Salman et al, 2020;Mangrio et al, 2020). Building on previous research, this study aimed to enhance the nurses' competence in drug dosage calculations in clinical practice.…”