Volume 28, Issue 93 And 94 (April- June 2015)                   IJN 2015, 28(93 And 94): 1-10 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Yaghoobi M, Navidian A, Charkhat-gorgich E, Salehiniya H. Nurses’ Perspectives of the Types and Causes of Medication Errors. IJN 2015; 28 (93 and 94) :1-10
URL: http://ijn.iums.ac.ir/article-1-2008-en.html
1- Instructor, Pregnancy Health Research Center, Zahedan University of Medical sciences, Zahedan, Iran.
2- Associate professor, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
3- Member of Student Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
4- Researcher, Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, and PhD student of epidemiology, Tehran University of Medical Sciences, Tehran, Iran (٭Corresponding author). Tel: 09357750428 Email: alesaleh70@yahoo.com
Abstract:   (7824 Views)


  Background & Aim: Medication is one of the most important aspects of the nursing profession. This study was carried out with the aim of determining nurses’ perspective of types and causes of medication errors in selected hospitals of Zahedan University of Medical Sciences.

  Material & Methods: It was a descriptive cross-sectional study that was conducted in 2013. The research population consisted of 127 nurses working in selected hospitals affiliated to Zahedan University of Medical Sciences who were recruited by census. Data was collected by a three-part questionnaire and analyzed by t-test and ANOVA using SPSS-PC (v. 16).

  Results: The mean and standard deviation of the most frequent medication errors were respectively related to the rapid infusion of the medicines that nurses should have injected slowly (0.47±0.92), non- adherence to the necessary steps related to the medicines requiring special attention (0.46±0.82), and no dilution of medicines that must be diluted (0.37±0.72). Also the most common causes of medication errors were reported as fatigue related to heavy workload (99.2%), many ill patients (80.3%) and distorted and unreadable physician's orders (79.5%). Significant relationships were found between the occurrence of medication errors and type of employment and shift work (p<0.05).

  Conclusion: Regarding the types and causes of medication errors from nurses’ perspective, approaches to increase nursing staff, using electronic medical kardexes, and retraining courses on pharmacologic information would be helpful.

Full-Text [PDF 575 kb]   (3966 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2015/01/3 | Accepted: 2015/04/17 | Published: 2015/04/17

1. Hansen RA, Greene S, Williams CE, Blalock SJ, Crook KD, Akers R. Types of medication errors in north carolina nursing homes: A target for quality improvement. Am J Geriaty Pharmacother 2006; 4(1): 52-61. [DOI:10.1016/j.amjopharm.2006.03.007] [PMID]
2. Hughes RG, Ortiz E. Medication errors: why they happen, and how they can be prevented. J Infus Nnurs. 2005;28:14-24. [DOI:10.1097/00129804-200503001-00005] [PMID]
3. Lehmann CU, Conner KG, Cox JM. Preventing provider errors: online total parenteral nutrition calculator. Pediatrics. 2004;113(4):748-53. [DOI:10.1542/peds.113.4.748] [PMID]
4. Mohammad nejad E, Hojati H, Sharifnia H, Ehsani R. [Survey of medication errors in nursing student in four Tehran educational hospitals]. Journal of medicine annalistic & behavior 2009; 60-9.
5. Wolf ZR, Hicks R, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006;22(1):39-51. [DOI:10.1016/j.profnurs.2005.12.008] [PMID]
6. Webster CS, Anderson DJ. A practical guide to the implementation of an effective incident reporting scheme to Reduce medication error on the hospital ward. Int J Nurs pract 2002; 8(4): 176-83. [DOI:10.1046/j.1440-172X.2002.00368.x]
7. Eslami S, Abu-Hanna A, Dekeizer NF. Evaluation of outpatient computerized physician medication order entry systems:a systematic review. AM Med inform Assoc 2007; 14(4): 400-6. [DOI:10.1197/jamia.M2238] [PMID] [PMCID]
8. Carlton G, Blegen MA. Medication-related errors: a literature review of incidence and antecedents. Annu Rev Nurs Res 2006; 24(3): 19-38. [PMID]
9. Cheraghi MA, Nikbakht nasrabadi AR, Mohammadnejad E, Salari A, Ehsani R. [Medication errors among nurses in intensive care unites. Rahimi S, Seyyed-rasouli A. [Nurse's Drug Precautions Awareness]. I J N. 2004;16(36):53-6.
10. Armitage G, Knapman H. Adverse events in drug administration: a literature review. J Nurs Manag 2003; 11(2): 130-40. [DOI:10.1046/j.1365-2834.2003.00359.x] [PMID]
11. Kazaoka T, Ohtsuka K, Ueno K, Mori M. Why nurses make medication errors: A simulation study. Nurse Educ Today 2007; 27(4): 312-7. [DOI:10.1016/j.nedt.2006.05.011] [PMID]
12. Stratton KM, Blegen MA, Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. J Pediatr Nurs 2004; 19(6): 385-92. [DOI:10.1016/j.pedn.2004.11.007] [PMID]
13. Clifton-Koeppel R. What nurses can do right now to reduce medication errors in the neonatal intensive care unit. Newborn Infant Nurs Rev. 2008;8(2):72-82. [DOI:10.1053/j.nainr.2008.03.008]
14. Joolaee S, Hajibabaee F, peyravi H, Haghani H. [The Relationship of Medication errors among nurses with some organizational and Demographic characteristics]. Iranian Journal of Nursing Research 2011; 20(6): 83-92.
15. Abbasinazari M, Talasaz AH, Mousavi Z, Zare-Toranposhti S. [Evaluating the Frequency of Errors in Preparation and Administration of Intravenous Medications in Orthopedic, General Surgery and Gastroenterology Wards of a Teaching Hospital in Tehran]. IJPR. 2013;12(1):229-34. [PMID] [PMCID]
16. Musarezaie A, Irajpoor A, Abdoli S, Ahmadi M, Momeni-GhaleGhasemi T. [How Do We Decline the Medicinal Errors and Refusal in Reporting Medication Errors in Nurses in Critical Coronary Unit? An Action-Research Study]. J Health Syst Res 2013; 9(6): 594-604.
17. Demehin AI, Babalola OO, Erhun WO. Pharmacists and Nurses perception of medication errors in a Nigerian University Teaching Hospital. Int J f Health Res. 2008;1(2):51-61.
18. Haw CM, Dickens G, Stubbs J. A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom. Psychiatr Serv 2005; 56(12): 1610-3. [DOI:10.1176/appi.ps.56.12.1610] [PMID]
19. Al-Shara M. Factors contributing to medication errors in Jordan: a nursing perspective. Iran J Nurs Midwifery Res. 2011;16(2):158. [PMID] [PMCID]
20. 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. [DOI:10.1111/j.1365-2702.2005.01540.x] [PMID]
21. Shahrokhi A, Ebrahimpour F, Ghodousi A. [Factors effective on medication errors: A nursing view]. J Res Pharm Pract. 2013;2(1):18. [DOI:10.4103/2279-042X.114084] [PMID] [PMCID]
22. Monica B. Medication Errors by Nurses in Sweden-Classification and Contributing factors. 2012"
23. Panel AE. ASHP guidelines on managing drug product shortages in hospitals and health systems. Am J Health Syst Pharm. 2009;66:1399-406. [DOI:10.2146/ajhp090026] [PMID]
24. Kohn LT, Corrigan JM, Donaldson MS. To Error is human: Building a safer health system. Washengton DC. Institute of Medicine National Academy Press 2000.

Add your comments about this article : Your username or Email:

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb