جستجوی مقالات مرتبط با کلیدواژه « Medication errors » در نشریات گروه « پزشکی »

Medication errors are among the most serious problems affecting health systems worldwide. Pharmacists have an essential role in detecting and reducing these errors. So they should have the vital competencies.

An online course was created and uploaded to the Syrian Virtual University platform. After participants electronic registered, the course was presented in 3 modules, each lasting 7 days, making the total course was 21 days long. Subsequently,  a quasi-experimental study with a pretest-posttest design was conducted on 11 students. Data for both tests and questionnaire at the end of the course were collected using Google Forms™ links to evaluate students' responses and learning. The data were analyzed using SPSS software.

Before the intervention, the mean and standard deviations of 11 participants' results were 55.27 ± 15.61, compared to 81.36 ± 14.63 after the intervention. There is a significant difference between the average grades before and after implementing the course (p = 0.003). There were no statistically significant differences between the average grades of students after taking the online course and their academic year (p = 0.273) or gender (p = 0.059). The overall evaluation of the course was positive.

The course has been efficient and positively received by students with its significant impact on developing students’ competencies that will allow them to work professionally after graduation and reduce medication errors.

Medication error and professional commitment are two topics in the nursing profession.

The current study aims to determine the association between professional commitment and reported medication errors in nurses working in hospitals in Ardabil and Khalkhal cities, Iran, in 2021.

This descriptive-analytical research was correlational and was conducted on 350 nurses working in educational and medical centers in Ardabil and Khalkhal cities in the north of Iran in 2021. Sampling was done by simple random method. The questionnaire on professional commitment and medication error was used to collect information. The t-test, Pearson test, chi-squared test and multivariate linear regression were used to determine the associations between study variables. 

The results show that the Mean±SD of the study participants’ age was 34.76±27.20 years and most participants were female (78.28%). Also, the Mean±SD of the total score of medication error and professional commitment in nurses were 14.64±4.56 and 94.15±11.97, respectively. Statistically, there was a significant relationship between medication error and nurses’ professional commitment (P=0.008, r=-0.15). The results show that among the investigated variables and their effect on medication error, commitment to the nursing profession (β=0.154, 95% CI; 0.001%, 0.3%, P=0.048) has a direct and significant relationship, with the increase in commitment to the nursing profession, medication error increases and also married status (β=-0.261, 95% CI; -2.96%, -1.007%, P=0.002) has an indirect and significant relationship with medication error. 

The study’s findings showed a statistically significant relationship between professional commitment and medication errors in nurses. Therefore, strengthening the organizational commitment of nurses can reduce medication errors and ultimately increase the safety of patients.

Medication errors are a significant concern in healthcare, with effective management largely dependent on understanding its causes and reporting practices. This study aims to explore the experiences of Jordanian nurses in relation to medication error occurrence and reporting within the Jordanian context and the factors that may influence their decisions to report or not.

Methods & Materials: 

A qualitative descriptive approach was used. 24 nurses from three different hospitalswere interviewed. The hospitals included amajor governmental institution, a private facility, and a university hospital, ensuring diverse healthcare settings. Data were analyzed using Braun and Clarke’s thematic analysis, and the study was reported guided by the COREQ checklist.

Three major themes were identified: Obsolete policies and guidelines, Adapting to an Unhealthy Environment, and Trying to adjust: creating own definition forMEs. In our study, medication errors emerged as a pervasive issue across Jordanian hospitals, attributed to both systemic failures and individual practices. Despite existing policies, participants reported frequent MEs due to obsolete guidelines, lack of adherence, and an environment that hinders effective medication administration.

The study reveals the critical issues of medication errors in Jordanian hospitals due to outdated policies and challenging environments. It emphasizes the need for updated protocols and a culture supportive of error reporting. Addressing these factors is essential for improving patient safety and healthcare quality.

Noise exposure can impact nurses' performance and may result in disruptions to their tasks. This study aimed to examine the correlation between the average equivalent sound level and the occurrence of medication errors.

This cross-sectional study involved 150 nurses in Iran in 2020. First, two medical and two surgical wards were randomly selected using a coin toss method. Second, the nurses who worked in those wards were sampled using the convenience method. Nurses' medication errors were assessed using a questionnaire. A sound level meter was used to measure the sound level in decibel. Data were analyzed using analytical tests, including Kruskal-Wallis, Spearman correlation coefficient, and Poisson model.

The mean sound equivalent level in the cardio-respiratory internal ward (58.94 ± 1.88) was higher than the same level in the other internal and surgical wards (p < 0.001). An increase in the mean sound equivalent level in the wards was accompanied by an increase in the mean number of medication errors among unmarried individuals (e0.22 = 1.25), which was 1.25 times more than the errors made by married individuals. Finally, an increase in age and the mean sound equivalent level resulted in the occurrence of medication errors (p < 0.002).  

The results showed that there was no relationship between the sound pressure level and nurses’ medication errors in the research environment. Therefore, it is necessary to conduct more studies to investigate the factors that increase the incidence of medication errors.

 Medication errors are one of the most serious concerns in the process of treatment and patient care. According to the conducted studies, the proportion of medication error reporting among nursing students is relatively high. The present study aimed to assess the effect of the peer mentoring method on nursing students' medication errors. 

 In this quasi-experimental study, 63 fifth-semester nursing students (starting in fall and winter semesters) of Abhar Nursing College were selected in 2022 and randomly assigned to two intervention and control groups based on the entry semester. Data collection tools included demographic and Medication Administration Error (MAE) questionnaires. Initially, the mentor students were selected and participated in three sessions of group education. Thereafter, a joint meeting was held with the students, mentors, and clinical instructors, and while explaining the work method, the questionnaires were completed by the students. In the next phase, two mentors were placed in the group for every seven students, and during the three-week internship, they took responsibility for clinical education (with an emphasis on drug administration education) with the instructor. After one semester, the study participants completed the MAE questionnaire again. The collected data were analyzed in SPSS software (version 26) using descriptive and inferential statistics.

  After the intervention, the mean score of medication errors in the intervention group decreased significantly, and a significant difference was detected between intervention and control groups. Therefore, students in the intervention group had fewer medication errors than their peers in the control group (P<0.001).

  The obtained results pointed to the effectiveness of the peer mentoring method in the mitigation of medication errors among nursing students. Therefore, it is recommended that this method be used in their clinical education, and future studies assess the effect of the virtual peer mentoring method on the occurrence of medication errors among these students.

Medication errors (MEs) are common among nursing staff due to the fear or lack of knowledge and time in reporting MEs.

This study aims to identify the barriers and facilitators of voluntary ME reporting according to the nursing staff in India.

This cross-sectional study was conducted on 398 nurses of a hospital in India, working in three different shifts with various specialties, who were selected by a convenience sampling method. A validated questionnaire was used to collect data which was prepared in Google Forms. The chi-square test was used to determine whether there was any statistical difference among the responses.

Results showed that 87% of nurses were female and 13% were male. The majority were at an age range of 31–40 years (44.9%) and had good knowledge of MEs and the reporting system in the hospital (96.2%). Regarding the barriers, 29.9% (P<0.001) were a beginner in using the reporting system, while 70% had prior experience with the system; 85.4% (P=0.024) reported the lack of a relaxing working environment, 54.7% (P=0.031) reported burnout, 27.6% (P=0.0001) reported personnel problems, 21.6% (P<0.001) reported peer pressure and so on. Receiving support and encouragement from the multi-disciplinary team (91.7%), receiving feedback for the reported MEs that focuses on the system and not on the individuals (90.7%), professional encouragement for the reported MEs (90.4%), and developing a “no-blame” culture (86.9%) were the facilitators of the voluntary ME reporting by the nursing staffs (none of them were statistically significant). 

Although it is impractical to eliminate all MEs, the engagement of nursing staff is essential in ME reduction and prevention.

During the move between healthcare settings and changes in the medical status of patients, it is very important to update the correct drug regimen according to the clinical conditions to avoid the possibility of medical errors. Nearly half of medication errors occur during initial admission, transfer between hospital departments, and before discharge. Among these errors, about 30% of cases have the potential of seriously harming the patient. Some risk factors, such as old age and the number of drugs used, are associated with an increased risk of medication discrepancies. The medication reconciliation process can significantly reduce the risk of potential errors. It includes obtaining, verifying, and documenting a list of the patient's current medications and comparing it to the patient's medication orders and condition to identify and resolve any discrepancies. Comparing what is being prescribed in one setting with what is being taken in another will prevent errors of drug-drug interactions, omission, and other discrepancies. Pharmaceutical reconciliation is an important element of patient safety and rational drug use, and it can significantly contribute to the health economy

With the emergence of the COVID-19 pandemic, a large number of patients required hospitalization and intensive care unit admissions. Patients with pre-existing medical conditions were associated with a higher chance of severe disease. On the other hand, medication errors in part resulting from polypharmacy are commonly observed in hospitalized patients. At the time of the Delta variant peak and the high influx of COVID-19 patients to the hospitals, clinical pharmacy ICU ward rounds were implemented to detect, and prevent medication errors to improve patient safety and care. Patients with known COVID-19 infection that were admitted to the ICU for a duration of 4 months were included in this prospective study. Every day (Saturday to Thursday) ICU patient rounds was performed by the clinical pharmacist. Medication reconciliation was done for all patients to detect probable drug omission or duplication during admission. Pharmaceutical Care Network Europe Foundation (PCNE) classification was used for classifying drug-related problems. A total of 86 patients were evaluated for medication errors during ICU admission. A total of 398 drug-related comments were given and 90% of the interventions were accepted by the attending physician. The most common medication error was attributed to overdosage of medications, mostly glucocorticoid therapy. The survival rate amongst patients was 56.1%. Clinical pharmacy interventions and medication reconciliation at times of pandemics can help towards improvement of clinical practice, patient safety, and saving of medication resources. Early detection of medication errors by clinical pharmacists can prevent further patient complications and death.

Medication Error (ME) is a major patient safety concern in Intensive Care Units (ICUs). Critical care nurses play a crucial role in the safe administration of medication. Thisstudy was conducted to comprehensively review the literature concerning the prevalence of ME and associated factors and outcomes in Iranian ICU nurses.

An extensive search of the literature was carried in international databases including PubMed, Web of Science, Scopus, and Google Scholar, as well as Persian databases such as Magiran and Scientific Information Database (SID) using ME‑related keywords and the Persian equivalent of these keywords, from the first article written in this field to artcles published on March 30, 2021. The appraisal tool (AXIS tool) was used to assess the quality of the included studies.

Fifteen studies were included in this systematic review. The prevalence of MEs made by ICU nurses was 53.34%. The most common types of MEs were wrong infusion rate (14.12%), unauthorized medication (11.76%), and wrong time (8.49%) errors, respectively. MEs occurred more frequently in morning work shifts (44.44%). MEs happened more frequently for heparin, vancomycin, ranitidine, and amikacin. The most important influential factor in the occurrence of MEs in ICUs was management and human factors.

The prevalence of MEs made by Iranian ICU nurses is high. Therefore, nurse managers and policymakers should develop appropriate strategies, including training programs, to reduce the occurrence of MEs made by nurses in ICUs.

Medication errors are among the most common accidents in the nursing profession. The primary and natural consequence of such errors will be an increase in the hospitalization duration and an increase in costs, which in some cases can lead to severe injury and even death of the patient. This study aimed to determine the frequency and effective factors on reporting medication errors in nurses.

This descriptive cross-sectional study was performed in Golestan province teaching hospitals. 340 nurses working in the hospitals were included in the study by random sampling method. Data were collected using demographic questionnaire as well as questionnaires on the frequency of medication errors and effective factors in reporting medication errors, and then analyzed using descriptive and inferential statistical methods by SPSS-23 software.

The frequency of medication errors in the nurses in the second half of the year 2021 was 87.1%. formal reporting of medication errors was 7.1% and informal reporting was 18.2%. From the nurses’ view, among the factors affecting medication errors the highest scores were related to individual and mental condition errors, management process, patient and ward error, medication and physician errors, and finally nurses' professional errors.

The three areas of factors related to the nurse, ward, and management should be considered by the managers of the respective hospitals in cooperation with the hospital matrons. If these factors are eliminated, the employees will report work errors accurately and will fully follow up their errors.

Unsafe medication administration and medication errors pose a threat to medication safety. Safe medication is one of the most important nursing practices that plays an important role in preventing medication errors. The aim of this study was to assess the medication administration of nurses in cardiac wards and its relationship with some demographic characteristics.

The present study was conducted as an observational study in 2021 with the 60 nurses who working in the medical cardiac wards of one selected hospital affiliated with the Isfahan University of Medical Sciences. Data were collected using three‑part tools (demographic information, medication checklist (55 items), and documentation checklist (8 items). The checklist was completed by the observer after observing the nurses’ medication administration. Data analysis was conducted using descriptive and inferential statistics in the SPSS software (version 16, SPSS Inc., Chicago, IL, USA). A P < 0.05 was considered statistically significant.

The mean total score of the principles of injection and oral medication administration were 82.53 ± 10.75 and 75.76 ± 9.62, respectively. The mean score of the principles of injection and oral medication administration in the morning shift was significantly higher than the evening and night shifts (P < 0.001). The relationship between the mean score of the principles of injection medication (r = 0.234, P = 0.067), oral medication (r = 0.222, P = 0.083), and the nurses’ work experience no significant. The rate of adherence to the principles of medication administration in the premedication administration stage was higher than during and after drug administration.

Although the mean score of medication administration of nurses in the medical cardiac wards was at the desired level, it is necessary to monitor and plan by nursing managers to improve medication administration. Reducing the number of night shifts, adhering to accreditation programs in the hospital, continuous monitoring of nurses in terms of compliance with the principles of medication are among the proposed solutions to improve the safe medication in nurses.

Providing safe care is one of the nursing goals and medication errors are considered as one of the threatening factor for patient safety. The aim of this study was to determine the nursing students’ experience of medication errors and its related factors.

This descriptive cross-sectional study was conducted on 120 nursing students, from third to eighth semester, in Kurdistan University of Medical Sciences, Iran, enrolled through the census. Data collection was performed using a three-part questionnaire including demographic features, types of medication errors and its causes. Data were analyzed through using descriptive statistics, Chi-square, Fisher's exact test, and correlation coefficient.

The average number of student medication errors in the past semester was 20 (16.4%), in which 16 (13.1%) of them reported their errors. The most common types of medication errors was errors in determining the type of medication (66.4%, n=81). Also, the most common cause of medication errors in the viewpoints of nursing students were the lack of pharmacological information among students (83.1%, n=102), illegibility of drug orders (76.3%, n=93) and distraction (73.8%, n=90).

Based on the findings of this study, effective clinical and theoretical pharmacological educations are essential for increasing the pharmaceutical information of the students in order to reduce the amount of medication errors. It is necessary to increase the pharmacological information of nursing students by organizing various pharmacological workshops and giving time to students from training and internship to pharmaceutical conferences.

Chemotherapy errors are considered the second most common cause of fatal medication errors (ME). Currently, computerized provider order entry (CPOE) is increasingly used to prevent or decrease ME and improve the safety of the medication process.

This study was conducted to systematically review the impacts of CPOE on the incidence of chemotherapy ME, the severity of errors, and adverse drug events (ADEs) in cancer care units. Data Sources: The literature search was conducted, using 5 databases of PubMed, EMBASE, Scopus, Web of Science, and ScienceDirect between 2000 and 2020. Search terms included keywords and MESH terms related to CPOE, ME, chemotherapy, and cancer care unit. Study Selection: Articles were included in this research if they investigated the CPOE system, reported ME, and were carried out in the oncology department. Non-English papers, duplications, review studies, and conference papers were excluded. Data Extraction: The selected papers were read repeatedly and related papers were extracted. All eligible articles were qualitatively evaluated with a tool provided by Downs. The extracted information included the author’s name, year of publication, study location, type of study, study objectives, and main findings.

A total of 829 studies were retrieved. Fourteen articles met the inclusion criteria. Ten studies (71%) reported the impact of CPOE on chemotherapy ME in comparison with the paper-based ordering method. In 4 studies (29%), researchers developed a CPOE for the oncology department, and the system was, then, assessed concerning user experience, safety challenges as well as the effects of CPOE on ME. Nine articles (64%) reported the impact of the CPOE system on ME only in the prescribing phase, and 5 studies (36%) examined ME in all phases of the chemotherapy process. Five studies (36%) reported the impact of the CPOE system on ADEs and the severity of errors.

Implementing CPOE is associated with a significant reduction in ME in all phases of the chemotherapy process. However, the CPOE does not prevent all MEs and may cause new errors. The rigorous analysis of the chemotherapy process and considering the designing principles could help develop the CPOE systems and minimize ME.

Patient safety is a major concern for health care professionals. Medication errors have been considered a major indicator of health care quality. The lack of pharmacological knowledge is a cause of medication error among nurses.

The purpose of this study was to investigate the relationship between pharmacological knowledge and the probability of medical errors in nurses working in Urmia hospitals in 2020.

This cross-sectional study included 490 nurses randomly selected from among those working in hospitals of Urmia in 2020. The data collection tool was a multiple-choice questionnaire about knowledge and pharmacological skills consisting of 3 sections: demographic information, nurses’ drug knowledge, and the confidence level of response in nurses. To analyze questions and hypotheses via SPSS version 21, the t-test and analysis of variance (ANOVA) were employed.

The highest pharmaceutical knowledge scores of nurses were related to methods of administration (2.9 ± 1.01 [72.56%]), and the lowest score was related to drug management (1.05 ± 0.63 [52.84%]). The mean of error probability was very low in 28.81% of nurses, low in 37.66%, high in 11.34%, and very high in 22.85%. Pharmaceutical knowledge had a significant relationship with gender, wards, type of hospital, and number of children (P < 0.05 for all).

Since the nurses’ level of pharmaceutical knowledge has an important role in the correct prescription of medicine, we suggest that nurse managers and educational supervisors in the field of nursing use in-service training programs and prepare training booklets and posters to promote nurses’ pharmaceutical knowledge in this field.

The pace of population aging is increasing around the world. Medication errors are more common among the elderly for a variety of reasons and can lead to serious complications.

The aim of this study was to determine the incidence of errors and related factors in the use of blood glucose control medications in a diabetic elderly population in Qom, Iran. Setting and Design: This descriptive, correlational study was conducted on the elderly with type II diabetes, who were referred to the diabetes centers of Qom. The sample size was measured to be 200, based on the available sampling method.

Data were collected using a demographic questionnaire, as well as a researcher-made Medication errors questionnaire. Statistical Analysis Used: SPSS version 20 was used to analyze the data.

Overall, 69% of the samples were female, and the mean age of the participants was 63.59 ± 4.84 years. The incidence of medication errors was 69% among older patients. There was a significant relationship between medication error and polypharmacy (P < 0.001), comorbidities (P < 0.025), duration of diabetes(P < 0.026), and use of aids(P < 0.038). Forgetfulness(26.33%) and lack of drug information (12.61%) were the most common causes of medication errors in patients.

The results showed that the incidence of medication errors, which was influenced by various factors, was high among the elderly. Therefore, to prevent and reduce the incidence of medication misuse, proper measures should be taken.

Medication error represents one of the parameters of patient safety.

The aim of present study was to investigate the effect of the effect of simulation-based debriefing on adherence to correct principles and medication administration competence in nursing students.

 Internship nursing students entered this experimental study using the census method. Afterward, the participants were assigned to intervention (n=18)and control (n=17) groups. Two methods were employed for data collection, namely observation and self-report questionnaires. The collected data were analyzed using STATA software (version 12) and non-parametric statistical tests.

A significant statistical difference was found between the mean scores of adherence to correct principles of medication administration and medication administration competence before, 2, and 5 weeks after the simulation in the intervention group (P=0.0001).

The results revealed that the simulation-based debriefing improved the nursing students’ competence in medication administration. Therefore, this method in various groups of students and a clinical and practical environment is highly recommended for other students in clinical settings.

Community pharmacy is one of the most important control stations in pharmacotherapy. Hence, Pharmacist mistakes may cause or lead to inappropriate medication use by patients or even permanent harm. Therefore, quality control in pharmacists’ practice is a safety issue and in addition has an added importance for society. This study has been designed to investigate the relationship between age, gender, shift work of pharmacists and the frequency of errors to determine possible defect and planning for them. Job descriptive and analysis were done using Hierarchical Task Analysis (HTA). The study population was observed directly and all the defined mistakes were recorded. The collected data were analyzed using regression and two-sided, chi-square analysis. The pharmacists supervised for 64 determinate mistakes and 3968 mistakes were recorded with a rate 36.7%. Based on the results, occurrence of mistakes are associated with shift work, age and gender of pharmacists. There are significant increases in incidence of occupational errors in afternoon and night shifts, male population, over 40 years’ old population and long shift. Considering the relationship between pharmacist profession- related error and shift conditions or some of the demographic factors, it seems that further systematic evaluation on community pharmacy administration is necessary.