Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study
Objective This study was conducted to assess the magnitude and contributing factors of medication administration errors among nurses in federal hospitals in Addis Ababa, Ethiopia.Design A hospital-based cross-sectional study design was employed. Data on medication administration and associated facto...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-12-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/12/e066531.full |
| _version_ | 1811177996959088640 |
|---|---|
| author | Zemichael Gizaw Binyam Gintamo Zelalem Negash Mekuria Tihitena Mohammed Sindew Mahmud |
| author_facet | Zemichael Gizaw Binyam Gintamo Zelalem Negash Mekuria Tihitena Mohammed Sindew Mahmud |
| author_sort | Zemichael Gizaw |
| collection | DOAJ |
| description | Objective This study was conducted to assess the magnitude and contributing factors of medication administration errors among nurses in federal hospitals in Addis Ababa, Ethiopia.Design A hospital-based cross-sectional study design was employed. Data on medication administration and associated factors were collected using a structured self-administered questionnaire. Multivariable binary logistic regression analysis was done to identify factors associated with medication administration errors on the basis of adjusted OR with 95% CI and a p value less than 0.05.Setting This study was conducted in federal hospitals in Addis Ababa, Ethiopia.Participants Four hundred and twenty-three randomly selected nurses participated.Outcome measures The primary outcome variable is medication administration error, which was ascertained using the following errors: wrong medication, wrong dose, wrong time, wrong route, wrong patient, wrong drug preparation, wrong advice, wrong assessment and wrong documentations.Results A total of 59.9% (95% CI: 55.0% to 64.8%) of the nurses in the federal hospitals in Addis Ababa committed one or more medication administration errors in the last 12 months prior to the survey. The most commonly reported medication errors were wrong time (56.8%), wrong documentation (33.3%), wrong advice (27.8%) and wrong dose (20.1%). Medication administration errors among nurses were significantly associated with short work experience (adjusted OR (AOR): 6.48, 95% CI: 1.32 to 31.78), night shift work (AOR: 5.0, 95% CI: 1.82 to 13.78), absence of on-the-job training (AOR: 3.16, 95% CI: 1.67 to 6.00), unavailability of medication administration guidelines in wards (AOR: 2.07, 95% CI: 1.06 to 4.06) and interruptions during medication administration (AOR: 2.42, 95% CI: 1.30 to 4.49).Conclusion It was found that a high proportion of nurses in federal hospitals committed medication administration errors. Short work experience, night shift work, absence of on-the-job training, unavailability of medication administration guidelines and interruptions during medication administration explained the high magnitude of medication administration errors. |
| first_indexed | 2024-04-11T06:11:59Z |
| format | Article |
| id | doaj.art-6b992508da18425681d23a5a5589ca57 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-11T06:11:59Z |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-6b992508da18425681d23a5a5589ca572022-12-22T04:41:14ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-066531Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional studyZemichael Gizaw0Binyam Gintamo1Zelalem Negash Mekuria2Tihitena Mohammed3Sindew Mahmud4Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Public Health, Yanet Health College, Addis Ababa, EthiopiaDepartment of Public Health, Yanet Health College, Addis Ababa, EthiopiaAddis Ababa Medical and Business College, Addis Ababa, EthiopiaDepartment of Nursing, College of Medical and Health Sciences, Kotebe Metropolitan University, Addis Ababa, EthiopiaObjective This study was conducted to assess the magnitude and contributing factors of medication administration errors among nurses in federal hospitals in Addis Ababa, Ethiopia.Design A hospital-based cross-sectional study design was employed. Data on medication administration and associated factors were collected using a structured self-administered questionnaire. Multivariable binary logistic regression analysis was done to identify factors associated with medication administration errors on the basis of adjusted OR with 95% CI and a p value less than 0.05.Setting This study was conducted in federal hospitals in Addis Ababa, Ethiopia.Participants Four hundred and twenty-three randomly selected nurses participated.Outcome measures The primary outcome variable is medication administration error, which was ascertained using the following errors: wrong medication, wrong dose, wrong time, wrong route, wrong patient, wrong drug preparation, wrong advice, wrong assessment and wrong documentations.Results A total of 59.9% (95% CI: 55.0% to 64.8%) of the nurses in the federal hospitals in Addis Ababa committed one or more medication administration errors in the last 12 months prior to the survey. The most commonly reported medication errors were wrong time (56.8%), wrong documentation (33.3%), wrong advice (27.8%) and wrong dose (20.1%). Medication administration errors among nurses were significantly associated with short work experience (adjusted OR (AOR): 6.48, 95% CI: 1.32 to 31.78), night shift work (AOR: 5.0, 95% CI: 1.82 to 13.78), absence of on-the-job training (AOR: 3.16, 95% CI: 1.67 to 6.00), unavailability of medication administration guidelines in wards (AOR: 2.07, 95% CI: 1.06 to 4.06) and interruptions during medication administration (AOR: 2.42, 95% CI: 1.30 to 4.49).Conclusion It was found that a high proportion of nurses in federal hospitals committed medication administration errors. Short work experience, night shift work, absence of on-the-job training, unavailability of medication administration guidelines and interruptions during medication administration explained the high magnitude of medication administration errors.https://bmjopen.bmj.com/content/12/12/e066531.full |
| spellingShingle | Zemichael Gizaw Binyam Gintamo Zelalem Negash Mekuria Tihitena Mohammed Sindew Mahmud Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study BMJ Open |
| title | Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study |
| title_full | Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study |
| title_fullStr | Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study |
| title_full_unstemmed | Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study |
| title_short | Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study |
| title_sort | medication administration errors and associated factors among nurses in addis ababa federal hospitals ethiopia a hospital based cross sectional study |
| url | https://bmjopen.bmj.com/content/12/12/e066531.full |
| work_keys_str_mv | AT zemichaelgizaw medicationadministrationerrorsandassociatedfactorsamongnursesinaddisababafederalhospitalsethiopiaahospitalbasedcrosssectionalstudy AT binyamgintamo medicationadministrationerrorsandassociatedfactorsamongnursesinaddisababafederalhospitalsethiopiaahospitalbasedcrosssectionalstudy AT zelalemnegashmekuria medicationadministrationerrorsandassociatedfactorsamongnursesinaddisababafederalhospitalsethiopiaahospitalbasedcrosssectionalstudy AT tihitenamohammed medicationadministrationerrorsandassociatedfactorsamongnursesinaddisababafederalhospitalsethiopiaahospitalbasedcrosssectionalstudy AT sindewmahmud medicationadministrationerrorsandassociatedfactorsamongnursesinaddisababafederalhospitalsethiopiaahospitalbasedcrosssectionalstudy |