Nurses’ experiences and perceptions of medication administration errors

Authors

  • Newroz Ghazi Aziz Department of Adult Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq
  • Goran Aboobaker Osman Department of Adult Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq
  • Halmat Authman Rasheed Department of Adult Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq

DOI:

https://doi.org/10.15218/zjms.2018.029

Keywords:

Medication administration error, Nurses' experience, Nurses' perspective

Abstract

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. 

Metrics

Metrics Loading ...

References

Wong IC, Wong LY, Cranswick NE. Minimising medication errors in children. Archives of Disease in Childhood. 2009; 94(2):161–4.

The Joint Commission. Preventing pediatric medication errors. SentinelEvent Alert 2008; 11(39):1–4.

Barker KN, Flynn EA, Pepper GA, Bates DW, Mikeal RL. Medication errors observed in 36 health care facilities. Arch Intern Med 2002; 162(16):1897–903.

van Gijssel-Wiersma DG, van den Bemt PM, Walenbergh-van Veen MC. Influence of computerised medication charts on medication errors in a hospital. Drug safety 2005; 28(12):1119–29.

van den Bemt PM, Fijn R, van der Voort PH, Gossen AA, Egberts TC, Brouwers JR. Frequency and determinants of drug administration errors in the intensive care unit*. Critical care medicine 2002; 30(4):846–50.

Bootman JL, Wolcott J, Aspden P, Cronenwett LR, editors. Preventing Medication Errors: Quality Chasm Series. Washington, DC: National Academies Press; 2006 Dec 11.

Riaz MK, Hashmi FK, Bukhari NI, Riaz M, Hussain K. Occurrence of Medication Errors and Comparison of Manual and Computerized Prescription Systems in Public Sector Hospitals in Lahore, Pakistan. PloS One 2014; 9(8): e106080.

Tshiamo WB, Kgositau M, Ntsayagae E, Sabone MB. The role of nursing education in preventing medication errors in Botswana. IJANS 2015; 31(3)18–23.

Zhang J, Patel VL, Johnson TR. Medical error: Is the solution medical or cognitive?

J Am Med Inform. Assoc 2002; 9(Supplement 6): S75–7.

Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care 2005; 17(1):15–22.

McLeod M, Barber N, Franklin BD. Facilitators and Barriers to Safe Medication Administration to Hospital Inpatients: A Mixed Methods Study of Nurses’ Medication Administration Processes and Systems (the MAPS Study). PloS One 2015; 10 (6): e0128958.

McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs2006; 23 (3):33–41.

Wolf ZR. Medication errors and nursing responsibility. Holistic Nursing Practice 1989; 4(1):8–17.

Howell AM, Burns EM, Bouras G, Donaldson LJ, Athanasiou T. Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? Results from a Quantitative Analysis of the English National Reporting and Learning System Data. PLoS One 2015; 10(12): e0144107.

Mahmood A, Chaudhury H, Valente M. Nurses' perceptions of how physical environment affects medication errors in acute care settings. Applied Nursing Research 2011; 24(4):229–37.

Willey C, Redding C, Stafford J, Garfield F, Geletko S, Flanigan T, et al. Stages of change for adherence with medication regimens for chronic disease: Development and validation of a measure. Clin Ther 2000; 22(7):858–71.

Kim KS, Kwon SH, Kim JA, Cho S. Nurses’ perceptions of medication errors and their contributing factors in South Korea. J Nurs Manag 2011; 19(3):346–53.

Millenson ML. The silence. Health Affairs 2003; 22(2):103–12.

Bates DW. Mountains in the clouds: patient safety research. Qual Saf Health Care2008; 17(3):156–7.

Steven A, Magnusson C, Smith P, Pearson PH. Patient safety in nursing education: contexts, tensions and feeling safe to learn. Nurse Educ Today 2014; 34(2):277–84.

Wakefield DS, Wakefield BJ, Uden-Holman T, Blegen MA. Perceived barriers in reporting medication administration errors. Best Pract Benchmarking Healthc1995; 1(4):191–7.

Morimoto T., Gandhi, T.K., Seger, A.C., Hsieh, T.C. Bates, D.W. Adverse drug events and medication errors: detection and classification methods. Qual Saf Health Care 2004; 13(4):306–14.

Kopp BJ, Erstad BL, Allen ME, Theodorou AA, Priestley G. "Medication errors and adverse drug events in an intensive care unit: Direct observation approach for detection", Crit Care Med 2006; 34(2):415–25.

Saleh AM, Awadalla NJ, El-masri YM, Sleem WF. Impacts of nurses’ circadian rhythm sleep disorders, fatigue, and depression on medication administration errors. Egypt J Chest Dis Tuberc 2014; 63(1):145–53.

Agalu A, Ayele Y, Bedada W, Woldie M. Medication administration errors in an intensive care unit in Ethiopia. Int Arch Med 2012 ;5(1):15.

Biron A. Medication administration complexity, work interruptions, and nurses' workload as predictors of medication administration errors. Library and Archives Canada= Bibliothèque et Archives Canada; 2010.

Balas MC, Scott LD, Rogers AE. Frequency and type of errors and near errors reported by critical care nurses. Can J Nurs Res 2006; 38(2):24–41.

Chua SS, Chua HM, Omar A. Drug administration errors in paediatrics wards: a direct observation approach. Eur J Paediatr 2010; 169(5):603–11.

Jones JH, Treiber L. When the 5 rights go wrong: medication errors from the nursing perspective. J Nurs Care Qual 2010; 25(3):240–7.

Stratton KM, Blegen MA, Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. J Pediatr Nurs 2004; 19(6):385–92.

Mahmood A, Chaudhury H, Valente M. Nurses' perceptions of how physical environment affects medication errors in acute care settings. Appl Nurs Res 2011; 24(4):229–37.

Mayo AM, Duncan D. Nurse perceptions of medication errors: what we need to know for patient safety. J Nurs Care Qual 2004; 19(3):209–17.

Petrova E. Nurses' perceptions of medication errors in Malta. Nurs Stand 2010; 24(33):41–8.

Karavasiliadou S, Athanasakis E. An inside look into the factors contributing to medication errors in the clinical nursing practice. Health Sci J 2014; 8(1):32–44.

Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses’ medication error accounts. Qual Health Res2010; 20(10):1327– 42.

Treiber LA, Jones JH. Medication errors, routines, and differences between peri operative and non-perioperative nurses. AORN J 2012;96 (3):285–94.

Hand K, Barber N. Nurses’ attitudes and beliefs about medication errors in a UK hospital. Int J Pharm Prac 2000; (8)128–34.

Chua SS, Chua HM, Omar A. Drug administration errors in paediatrics wards: a direct observation approach. Eur J Paediatr 2010;169 (5):603–11.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. Nurses relate the contributing factors involved in medication errors. J Clin Nurs 2007; 16 (3):447–57.

Keers RN, Williams SD, Cooke J, Ashcroft DM. Prevalence and nature of medication administration errors in healthcare settings: a sys- tematic review of direct observational evidence. Ann Phar- Macother 2013; 47(2):237–56.

Ozkan S, Kocaman G, Ozturk C, Seren S. Frequency of pediatric medication administration errors and contributing factors. J Nurs Care Qual 2011; 26(2):136–43.

Llewellyn RL, Gordon PC, Wheatcroft D, Butt AD, Lundgren AC, James MFM. Drug administration errors: Aprospective survey from three South African teaching hospitals. Anaesth Intensive Care 2009; 37(1):93–8.

Dornan T, Ashcroft D, Heathfield H, Lewis P, Miles J, Taylor D, et al. An in-depth investigation into causes of prescribing errors by foundation trainees in relation to their medical education: EQUIP study. London: General Medical Council; 2009. P.1–215.

Aboshaiqah AE. Nurses’ Perception of Medication Administration Errors. Am J Nurs Res 2014; 2(4):63–7.

Blegen MA, Goode CJ, Park SH, Vaughn T, Spetz J. Baccalaureate education in nursing and patient outcomes. J Nurs Adm 2013; 43(2):89–94.

Sears K, O'Brien-Pallas L, Stevens B, Murphy GT. The Relationship Between Nursing Experience and Education and the Occurrence of Reported Pediatric Medication Administration Errors. J Pediatr Nurs 2016; 31(4):e283–90.

Kim J, An K, Kim MK, Yoon SH. Nurses' perception of error reporting and patient safety culture in Korea. West J Nurs Res 2007; 29(7):827–44.

Vojir CP, Blegen MA, Vaughn T. Nursing staff as estimators of unit medication error reporting. Commun Nurs Res 2003; (36):202.

Zebari A. Modernization of drug distribution in Kurdistan: Is it possible to implement the Swedish drug distribution system in Kurdistan? 2013 (accessed August 20, 2016), available from http://www.divaportal.org/smash/record.jsf?pid=diva2%3A618815&dswid=4566

Downloads

Published

2018-08-16

How to Cite

Aziz, N. G., Osman, G. A., & Rasheed, H. A. (2018). Nurses’ experiences and perceptions of medication administration errors. Zanco Journal of Medical Sciences (Zanco J Med Sci), 22(2), 217–226. https://doi.org/10.15218/zjms.2018.029

Issue

Section

Original Articles