Medication Errors in Intensive Care Units in the Viewpoint of Nurses: A Descriptive Study

Background & Aims: Medication errors commonly occur in clinical nursing. The present study aimed to determine the causes of medication errors, their lack of report, and their frequency in intensive care units (ICUs). Materials & Methods: This cross-sectional, descriptive study was conducted...

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Main Authors: M Ghanbari Afra, J Mohammad Aliha, M Mardani Hamooleh, L Ghanbari Afra, SH Haghani
Format: Article
Language:fas
Published: Iran University of Medical Sciences 2019-12-01
Series:نشریه پرستاری ایران
Subjects:
Online Access:http://ijn.iums.ac.ir/article-1-3033-en.html
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author M Ghanbari Afra
J Mohammad Aliha
M Mardani Hamooleh
L Ghanbari Afra
SH Haghani
author_facet M Ghanbari Afra
J Mohammad Aliha
M Mardani Hamooleh
L Ghanbari Afra
SH Haghani
author_sort M Ghanbari Afra
collection DOAJ
description Background & Aims: Medication errors commonly occur in clinical nursing. The present study aimed to determine the causes of medication errors, their lack of report, and their frequency in intensive care units (ICUs). Materials & Methods: This cross-sectional, descriptive study was conducted on 300 nurses engaged in the ICUs and critical care units of three teaching hospitals affiliated to Qom University of Medical Sciences in Qom, Iran in 2019. The participants were selected via census sampling. Data were collected using a demographic form and medication error questionnaire with confirmed reliability and validity. Data analysis was performed in SPSS version 21 using descriptive and inferential statistics (analysis of variance and independent t-test). Results: Systemic errors (mean score: 4.1±1.2) and pharmacy errors (mean score: 2.5±1.1) were the most and least important causes of medication errors, respectively. In addition, management errors (mean score: 3.8±1) and disagreement regarding the definition of medication errors (mean score: 2.6±1.1) were the most and least significant causes of the non-reporting of medication errors, respectively. On the other hand, intravenous errors (22.56%) had higher frequency compared to non-intravenous errors (21.89%). Among the demographic variables, the analysis of variance indicated significant associations between age (P=0.029) and job experience in the current ward (P=0.007) with medication errors. Conclusion: According to the results, reducing the incidence of medication error by nurses requires the provision of proper conditions to minimize systemic errors in hospitals. Furthermore, nursing managers must facilitate error reporting for nurses, while meticulously monitoring the administration of drugs by nurses, especially in the case of intravenous medications.
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spelling doaj.art-0a7bb46cd974423b941eff132212c9562022-12-21T23:39:24ZfasIran University of Medical Sciencesنشریه پرستاری ایران2008-59312019-12-0132121112Medication Errors in Intensive Care Units in the Viewpoint of Nurses: A Descriptive StudyM Ghanbari Afra0J Mohammad Aliha1M Mardani Hamooleh2L Ghanbari Afra3SH Haghani4 . MS in Critical Care Nursing, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran Lecturer, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Assistant Professor, Nursing Care Research Center, Department of Psychiatric Nursing, Iran University of Medical Sciences, Tehran, Iran (*Corresponding author) Tel: 09132864077 Email: mardanimarjan@gmail.com MS in Critical Care Nursing, Kamkar Hospital, Qom University of Medical Sciences, Qom, Iran MS in Biostatistics, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran Background & Aims: Medication errors commonly occur in clinical nursing. The present study aimed to determine the causes of medication errors, their lack of report, and their frequency in intensive care units (ICUs). Materials & Methods: This cross-sectional, descriptive study was conducted on 300 nurses engaged in the ICUs and critical care units of three teaching hospitals affiliated to Qom University of Medical Sciences in Qom, Iran in 2019. The participants were selected via census sampling. Data were collected using a demographic form and medication error questionnaire with confirmed reliability and validity. Data analysis was performed in SPSS version 21 using descriptive and inferential statistics (analysis of variance and independent t-test). Results: Systemic errors (mean score: 4.1±1.2) and pharmacy errors (mean score: 2.5±1.1) were the most and least important causes of medication errors, respectively. In addition, management errors (mean score: 3.8±1) and disagreement regarding the definition of medication errors (mean score: 2.6±1.1) were the most and least significant causes of the non-reporting of medication errors, respectively. On the other hand, intravenous errors (22.56%) had higher frequency compared to non-intravenous errors (21.89%). Among the demographic variables, the analysis of variance indicated significant associations between age (P=0.029) and job experience in the current ward (P=0.007) with medication errors. Conclusion: According to the results, reducing the incidence of medication error by nurses requires the provision of proper conditions to minimize systemic errors in hospitals. Furthermore, nursing managers must facilitate error reporting for nurses, while meticulously monitoring the administration of drugs by nurses, especially in the case of intravenous medications.http://ijn.iums.ac.ir/article-1-3033-en.htmlmedication errorsintensive care unitnurse
spellingShingle M Ghanbari Afra
J Mohammad Aliha
M Mardani Hamooleh
L Ghanbari Afra
SH Haghani
Medication Errors in Intensive Care Units in the Viewpoint of Nurses: A Descriptive Study
نشریه پرستاری ایران
medication errors
intensive care unit
nurse
title Medication Errors in Intensive Care Units in the Viewpoint of Nurses: A Descriptive Study
title_full Medication Errors in Intensive Care Units in the Viewpoint of Nurses: A Descriptive Study
title_fullStr Medication Errors in Intensive Care Units in the Viewpoint of Nurses: A Descriptive Study
title_full_unstemmed Medication Errors in Intensive Care Units in the Viewpoint of Nurses: A Descriptive Study
title_short Medication Errors in Intensive Care Units in the Viewpoint of Nurses: A Descriptive Study
title_sort medication errors in intensive care units in the viewpoint of nurses a descriptive study
topic medication errors
intensive care unit
nurse
url http://ijn.iums.ac.ir/article-1-3033-en.html
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