The role of nursing education in preventing medication errors in Botswana

Tshiamo, Wananani; Kgositau, Mabedi; Ntsayagae, Esther; Sabone, Motshedisi

doi:10.1016/j.ijans.2015.06.001

Cited by 21 publications

(25 citation statements)

References 23 publications

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“…The studies revealed that it is impossible to expect nurses to avoid MAEs when they themselves are stressed out and fatigued. [2,4,5,8,13,24] The issue of overworking among nurses was reported in other reviews [41]and revealed that overworked nurses almost seem to be the norm rather than the exception, but this negatively impacts patient safety. Nurses are human beings and have to get sufficient time to rest to ensure safe drug administration.…”

Section: Discussionmentioning

confidence: 99%

“…[1] MAE is a global challenge and 18.7%-56% of hospitalized patients face medication administration errors. [4]A study done in Australia found that 60% to 80% of patients faced MAEs and omission errors accounted for between 40% to 60%. [5] In Nigeria, the prevalence of MAEs among nurses was 64%, whilst 44% did not know of the existence of a reporting system, and a minority of 30% reported MAEs among pediatric nurses.…”

Section: Introductionmentioning

confidence: 99%

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Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of literature

Nkurunziza¹,

Chironda²,

Mukeshimana³

et al. 2020

Rwanda Journal of Medicine and Health Sciences

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Background Medication Administration Errors (MAEs) are common among nurses and can threaten all patients' outcomes. Furthermore, MAEs are the leading cause of incidents in patient safety records worldwide. Objective To review the types of medication administration errors, factors contributing to MAEs and barriers to self-reporting among nurses. Methods A review of the literature was done and included original articles and grey literature from January 2011 until July 2017. An advanced search was done in Medline, HINARI, PubMed, CINAHL, Science direct, Google Scholar and gray literature using a Boolean combination of different keywords such as "medication administration error", "adverse drugs reactions", barriers and "self-reporting". Results 257 articles were eligible for review but only27 articles met the inclusion criteria. Types of MAEs mainly focused on seven rights (right patient, right drug, right dose, right time, right route, right reason and right documentation). With regards to the types of MAEs, the wrong time was most prevalent in this study. Being overworked was the main factor contributing to medication administration errors. The barriers to self-reporting during MAEs were dominated by fear of disciplinary action. Nurses' characteristics such as age, experience, education, variations in how errors are defined and organizational factors such as power, distance and lack of reporting policies were found to be barriers to self-reporting. In addition to that, others were identified. Conclusion Globally, MAEs remain a pervasive problem among nurses. Contributing factors range from individual to organizational factors, and barriers to self-report are due to fear of legal action and punishment. There is a need to devise measures that will prevent these errors and to promote positive clinical outcomes of patients in healthcare settings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of literature

Nkurunziza¹,

Chironda²,

Mukeshimana³

et al. 2020

Rwanda Journal of Medicine and Health Sciences

View full text Add to dashboard Cite

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“…Current literature indicates that drug dosage calculation is essential nursing proficiency that is so important to ensure patient safety and quality care (Athanasakis, 2012;Cheragi, et al, 2013;Fleming, et al, 2014;Shamsuddin & Shafie, 2012;Tshiamo, et al, 2015). A recent study indicates that main cause of medication errors caused due to lack of pharmacological knowledge and study further shows that there was no statistically significant relationships between medication errors and nurses years of working experience, age, and working shifts (Cheragi, et al, 2013).…”

Section: Adverse Out-comesmentioning

confidence: 99%

“…A recent study conducted in Norway showed nurses poor knowledge and highest mean risk of medication error calling the immediate attention as nurses regularly have complete responsibility for medication management and drug dosage calculation and administration (Simonsen, et al, 2014). current literature reports that there is evidence that deaths from medication errors have been on the rise (Aronson, 2009 Tshiamo, et al, 2015). A recent study done in Australia indicated that intravenous drug administrations have a higher risk and severity of error than other medication administrations.…”

Section: Intravenous Drug Errorsmentioning

confidence: 99%

An Evaluation of Drug Dosage Calculation Knowledge and Proficiency among Newly Hired Nurses in Private Tertiary Care Hospital, Islamabad, Pakistan

Sultana¹

2017

TIJCR

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Background: Drug dosage calculation and administration is important function of nurses. The key professional role of nurses is to ensure safe drug dosage calculation while performing medication administration. Medication errors are a common cause of adverse events that may result due to wrong drug dosage calculation. The assessment of nurse's knowledge related to drug dosage calculation has not been conducted at the time of commencing their employment in the study hospital. Purpose: The purpose of this study was to assess the drug dosage calculation knowledge and proficiency among our newly hired nurses before and after the training session. Method and design: Participatory Action Research (PAR) approach was selected using pre and post-test to assess the newly hired nurse's knowledge and proficiency related to drug dosage calculation. Data was collected after IRB approval at private tertiary hospital, Islamabad, Pakistan. Sample: Purposive sampling technique was adopted (n=135) all nurses on their commencement of employment from July 2016 to October 2016 participated in the study after the informed consent. Findings: The study results showed the significant improvement in drug dosage calculation knowledge and proficiency among the study participants while comparing pre-test and post-test results. Conclusion: The study concluded in the light of pre-test and post-test results that there is an intense need to review the nurse's drug dosage calculation knowledge and proficiency at the time of employment as nurses are key player in drug preparation and administration.

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“…6,7 Most of these errors happen as a result of human fault. 8 In hospitals, different numbers of physicians, pharmacists, and nurses are involved in the process of medication preparation and administration. 9 However, nurses are responsible for the biggest part of the medication process, which is the administration part.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ experiences and perceptions of medication administration errors

Aziz

Osman

Rasheed

2018

ZJMS

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Background and objective: Medication administration errors are the most common medical errors that happen in hospital settings. This study aimed to find out the most common types of medication administration errors done by the hospital nurses and identifying factors that lead to medication administration errors. Methods: This cross-sectional survey was conducted across Erbil teaching hospitals over a period of three months from June 2016 to September 2016. A convenience sample of 250 nurses who were working in acute, subacute, and general wards and had direct contact with the medication administration were included in this study. Data were collected using a self-reported questionnaire. Results: According to this study the most common types of medication errors were, noticing allergy after drugs administration and administering drugs at a wrong time. The highest leading factors of medication administration errors were illegible medication orders of the physicians, lack of adequate staffing and workload. High statistical differences were found between the frequency of medication administration errors with nurses' educational level, overall working experience, and nurses understanding language. Conclusion: This study concluded that medication administration errors have multiple causes and types of errors are various.

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The role of nursing education in preventing medication errors in Botswana

Cited by 21 publications

References 23 publications

Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of literature

Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of literature

An Evaluation of Drug Dosage Calculation Knowledge and Proficiency among Newly Hired Nurses in Private Tertiary Care Hospital, Islamabad, Pakistan

Nurses’ experiences and perceptions of medication administration errors

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