Establishment and application of medication error classification standards in nursing care based on the International Classification of Patient Safety

Objective: To standardize the classification, reporting and analysis of medication errors in nursing in order to improve patient safety management by achieving real-time monitoring and systemic analysis. Methods: A system of classifying nurse-related adverse drug effects into four category grades wa...

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Main Authors: Xiao-Ping Zhu, Xia Duan, Mei-Mei Tian, Yan Shi
Format: Article
Language:English
Published: Elsevier 2014-09-01
Series:International Journal of Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352013214000775
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author Xiao-Ping Zhu
Xia Duan
Mei-Mei Tian
Yan Shi
author_facet Xiao-Ping Zhu
Xia Duan
Mei-Mei Tian
Yan Shi
author_sort Xiao-Ping Zhu
collection DOAJ
description Objective: To standardize the classification, reporting and analysis of medication errors in nursing in order to improve patient safety management by achieving real-time monitoring and systemic analysis. Methods: A system of classifying nurse-related adverse drug effects into four category grades was developed based on the framework provided by the International Classification of Patient Safety. Three investigators used the system to classify 1343 nursing-related drug adverse events reported between January 2006 and December 2010 at 15 tertiary medical institutions in Shanghai. Results: The classification standard incorporated all relevant information provided in the reporting system and revealed that the greatest frequency of drug adverse events resulted from staff-related factors. In particular, the largest number of events resulted from routine violations, followed by technology type errors of negligence and fault. Conclusion: Application of this classification system will help nursing administrators to accurately detect system- and process-related defects leading to medication errors, and enable the factors to be targeted to improve the level of patient safety management.
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spelling doaj.art-49143c23206b4f268875f16eb618bf1b2022-12-21T21:47:39ZengElsevierInternational Journal of Nursing Sciences2352-01322014-09-011327728010.1016/j.ijnss.2014.05.025Establishment and application of medication error classification standards in nursing care based on the International Classification of Patient SafetyXiao-Ping ZhuXia DuanMei-Mei TianYan ShiObjective: To standardize the classification, reporting and analysis of medication errors in nursing in order to improve patient safety management by achieving real-time monitoring and systemic analysis. Methods: A system of classifying nurse-related adverse drug effects into four category grades was developed based on the framework provided by the International Classification of Patient Safety. Three investigators used the system to classify 1343 nursing-related drug adverse events reported between January 2006 and December 2010 at 15 tertiary medical institutions in Shanghai. Results: The classification standard incorporated all relevant information provided in the reporting system and revealed that the greatest frequency of drug adverse events resulted from staff-related factors. In particular, the largest number of events resulted from routine violations, followed by technology type errors of negligence and fault. Conclusion: Application of this classification system will help nursing administrators to accurately detect system- and process-related defects leading to medication errors, and enable the factors to be targeted to improve the level of patient safety management.http://www.sciencedirect.com/science/article/pii/S2352013214000775Adverse eventsClassificationICPSMedication errorsNursing care
spellingShingle Xiao-Ping Zhu
Xia Duan
Mei-Mei Tian
Yan Shi
Establishment and application of medication error classification standards in nursing care based on the International Classification of Patient Safety
International Journal of Nursing Sciences
Adverse events
Classification
ICPS
Medication errors
Nursing care
title Establishment and application of medication error classification standards in nursing care based on the International Classification of Patient Safety
title_full Establishment and application of medication error classification standards in nursing care based on the International Classification of Patient Safety
title_fullStr Establishment and application of medication error classification standards in nursing care based on the International Classification of Patient Safety
title_full_unstemmed Establishment and application of medication error classification standards in nursing care based on the International Classification of Patient Safety
title_short Establishment and application of medication error classification standards in nursing care based on the International Classification of Patient Safety
title_sort establishment and application of medication error classification standards in nursing care based on the international classification of patient safety
topic Adverse events
Classification
ICPS
Medication errors
Nursing care
url http://www.sciencedirect.com/science/article/pii/S2352013214000775
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