Volume 32, Issue 117 (April 2019)                   IJN 2019, 32(117): 58-68 | Back to browse issues page


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Ghorbanzadeh M, Gholami S, Sarani A, Badeli F, Nasimi F. The Prevalence, Barriers to Medication Error Reports, and Perceptions of Nurses toward the Causes of Medication Errors in the Hospitals Affiliated to North Khorasan University of Medical Sciences, Iran. IJN 2019; 32 (117) :58-68
URL: http://ijn.iums.ac.ir/article-1-2886-en.html
1- Lecturer, Department of Anesthesiology, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
2- Lecturer, Department of Operation Room, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
3- Lecturer, Department of Midwifery, School of Medicine, Islamic Azad University, Zahedan Branch, Zahedan, Iran
4- BS in Nursing, Student Research Committee, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
5- Lecturer, Department of Nursing, School of Nursing and Midwifery, Islamic Azad University, Kazerun Branch, Kazeron, Iran (Corresponding author) Tel: 09171259335) Email: nasimif@yahoo.com
Abstract:   (5620 Views)
Background & Aims: Medication errors are major healthcare concerns across the world, which cause mortality and physical and psychological complications in patients, their families, and the community every year. Considering the key role of nurses in direct patient care, the present study aimed to investigate the prevalence, barriers to medication error reports, and influential factors in medication errors in the viewpoint of nurses.
Materials & Methods: This cross-sectional, descriptive-analytical study was conducted on 140 nurses employed in the teaching hospitals in Bojnurd, Iran in 2017. Data were collected using a questionnaire consisting of four sections, including the demographic data, evaluation of the type of medication errors, cause of not reporting medication errors, and their influential factors. Data analysis was performed in SPSS version 16.
Results: The most important causes of medication errors included ward-related factors (3.40±0.69), factors related to nursing management (3.31±0.91), and nurse-related factors (3.16±0.78). In addition, the most important cause of not reporting medication errors was the process of error reports. Significant associations were also observed between the demographic characteristics of the nurses, medication errors, medication protocols, nurse-related factors, ward-related factors, fear of the consequences of error reporting, factors related to the error report process, and fear of the managerial factors.
Conclusion: Considering that most medication errors were correlated with ward-related and managerial factors, nursing managers must focus on correcting the influential processes in medication errors and their reporting, simultaneously seeking strategies to control and mitigate these errors.
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Type of Study: Research | Subject: nursing
Received: 2019/01/14 | Accepted: 2019/04/17 | Published: 2019/04/17

References
1. 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. [DOI:10.1097/00001786-200407000-00007]
2. Benner P, Sheets V, Uris P, Malloch K, Schwed K, Jamison D. Individual, practice and system causes of errors in nursing: a taxonomy. JONA: The Journal of Nursing Administration. 2002;32(10):509-23. [DOI:10.1097/00005110-200210000-00006]
3. Guchelaar HJ, Colen HB, Kalmeijer MD, Hudson PT, Teepe-Twiss IM. Medication errors. Drugs. 2005;65(13):1735-46. [DOI:10.2165/00003495-200565130-00001] [PMID]
4. Fontan JE, Maneglier V, Nguyen VX, Brion F, Loirat C. Medication errors in hospital: computerized unit dose drug dispensing system versus ward stock distribution system. Pharm World Sci. 2003;25(3):112-7. [DOI:10.1023/A:1024053514359] [PMID]
5. Cassiani SH. Patient safety and the paradox in medication use. Rev bras enferm. 2005;58(1):95-9. [DOI:10.1590/S0034-71672005000100019] [PMID]
6. Hosseinzadeh M, Ezate Aghajari P, Mahdavi N. Reasons of nurses' medication errors and persepectives of nurses on barriers of error reporting. Journal of hayat. 2012;18(2):66-75.
7. Souzani A, Bagheri H, Pourheydari M. Survey nurse's view about factors affects medication errors in different care units of Imam Hossein hospital in Shahroud. Knowledge And Health. 2007;2(3):8-13.
8. Jolaee S, Shali M, Haghani H. The relationship between incidence of medication errors and nurse's professional commitment. Medical Ethics Journal. 2014;8(28):101-19.
9. Nikpeyma N, Gholamnejad H. Reasons for medication errors in nurses' veiws. Advances in Nursing & Midwifery. 2009;19(64):16-24.
10. Mohammad Nejad I, Hojjati H, Sharifniya SH, Ehsani SR. Evaluation of medication error in nursing students in four educational hospitals in Tehran. Iranian Journal of Medical Ethics and History of Medicine. 2010;3(1):60-9.
11. MohammadNejad E, Ehsani S, Salari A, Sajjadi A, HajiesmaeelPour A. Refusal in Reporting Medication Errors from the Perspective of Nurses in Emergency Ward. Journal of Research Development in Nursing & Midwifery. 2013;10(1):61-8.
12. Mardani Hamooleh M, Shahraki Vahed A. The obstacles in reporting nursing error: a nurses' perspective. Iranian Journal of Medical Ethics and History of Medicine. 2009;2(4):55-62.
13. Bagherieh F, Hashemlo L, Baghaei R, Feizi A, Shams SH. Frequency of medication errors and its reporting according to self-report by nurses in hospitals of Khoy city. The Journal of Urmia Nursing and Midwifery Faculty. 2012;10(5):721-6.
14. Anderson P, Townsend T. Medication errors: Don't let them happen to you. American Nurse Today. 2010;5(3):23-8.
15. Bailey CG, Engel BS, Luescher JN, Taylor ML. Medication errors in relation to education & medication errors in relation to years of nursing experience. J Nurs Res. 2008;3:1-4.
16. Valizadeh F, Ghasemi SF, Nagafi SS, Delfan B, Mohsenzadeh A. Errors in medication orders and the nursing staff's reports in medical notes of children. Iranian Journal of Pediatrics. 2008;18(1):33-40.
17. Zare ZG, Purfarzad Z, Adib-Hajbaghery M. Medication management skills of nursing students: Comparing the students and their instructors' evaluation in two universities. Nurs Midwifery Stud. 2013;1(3):139-45. [DOI:10.5812/nms.8555]
18. Harding L, Petrick T. Nursing student medication errors: a retrospective review. J Nurs Educ. 2008;47(1):43-7. [DOI:10.3928/01484834-20080101-05] [PMID]
19. Stratton KM, Blegen MA, Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. J Pediat Nurs. 2004;19(6):385-92. [DOI:10.1016/j.pedn.2004.11.007] [PMID]
20. Beydokhti TB, Mohamadpour A, Shabab S, Nakhaee H. Cause of occurence and Barriers of Report of Medication Errors among Nursing Personnel of Gonabad Hospitals. Horizon. 2014 Mar;19(5):41-7.
21. Kawamura H. The approaches to factors which cause medication error from the analyses of many near-miss cases related to intravenous medication which nurses experienced. Gan to kagaku ryoho. Cancer & chemotherapy. 2001;28(3):304-9.
22. Hashemi F, Nikbakht NA, Asghari F. Nurses perceived worries from error disclosure: A qualitative study. Iranian Journal of Nursing Research. 2011;6(20):30-43.
23. JolaieS HF, Peyravi H, Haqqani H. Investigated the occurrence and reporting of medication errors in nursing and its relationship with working conditions in the hospitals of Iran University of Medical Sciences. Journal of Medical Ethics and History. 2009;3(1):65-76.
24. Mrayyan MT, Shishani K, AL‐Faouri IB. Rate, causes and reporting of medication errors in Jordan: nurses' perspectives. Journal of nursing management. 2007;15(6):659-70. [DOI:10.1111/j.1365-2834.2007.00724.x] [PMID]
25. Mirzaei M, Khatony A, Faramani RS, Sepahvand E. Prevalence, Types of Medication errors and Barriers to Reporting Errors by Nurses in an Educational Hospital in Kermanshah. Hayat. 2013 J;19(3):1-10.
26. Dean BS, Allan EL, Barber ND, Barker KN. Comparison of medication errors in an American and a British hospital. Am J Health Syst Pharm. 1995;52(22):2543-9. [DOI:10.1093/ajhp/52.22.2543] [PMID]
27. 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]
28. Haw CM, Dickens G, Stubbs J. A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom. Psychiatric Services. 2005;56(12):1610-3. [DOI:10.1176/appi.ps.56.12.1610] [PMID]
29. Hicks RW, Becker SC, Krenzischeck D, Beyea SC. Medication errors in the PACU: a secondary analysis of MEDMARX findings. Journal of perianesthesia nursing. 2004;19(1):18-28. [DOI:10.1016/j.jopan.2003.11.007] [PMID]
30. Oladi Ghadikalaee R, Ravaghi H, Hesam S. Study Of Nurses' Perceptions On Medication Errors In Pediatric Hospitals In Tehran, Iran. Journal of Payavard Salamat. 2015;9(3):315-28.
31. Enguidanos SM, Brumley RD. Risk of medication errors at hospital discharge and barriers to problem resolution. Home Health Care Serv Q. 2005;24(1-2):123-35. [DOI:10.1300/J027v24n01_09] [PMID]
32. Kohestani H. Investigation medication errors of nursing students in Cardiac. Iranian Journal of Forensic Medicine. 2008;13(4):249-55.
33. Heydari H, Kamran A, Pirzadeh A. Assessment of Nurses'perceived Barriers and Behaviors to Reporting Medication Errors in Hospitals of Lorestan University of Medical Sciences, Iran. Health System Research. 2012;8(5):806-13.

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