تقييم وجهة نظر التمريض تجاه الاخطاء الدوانية - المستشفيات في فلسطين
Date
2015-07-04
Authors
رضا رضوان صبري سلمي
Reda Radwan Sabri Silmi
Journal Title
Journal ISSN
Volume Title
Publisher
AL-Quds University
جامعة القدس
جامعة القدس
Abstract
Background: Medication errors are one of the most common causes of accidental errors affecting
patients’ safety and can cause serious consequences for patients. Medication errors are
underreported worldwide, particularly in developing countries. Which lead to the lack of
information regarding the problems of medication errors.
Aim: To assess the input from nurses’ regarding several issues in medication error, exploring their
perception towards medication error causes, types, rate, and reporting. which might help in
pinpointing some areas in medication safety issues where there is potential for making
improvement to be reflected in the nurses practices regarding medication managements at
hospitals.
Methods: A cross-sectional design was used. Data was collected using a self-administered
questionnaire. The study was conducted in three hospitals; public, private, and NGO. A total of
267 nurses participated in the study
Findings: The overall response rate was (57.17%). Female were 59.8%, and males 40.2%. The
most perceived causes of MEs were lack of pharmacological knowledge and skills (82%), and
heavy workload and shortage of staff (77.7%). As for the most common types of MEs, wrong
medication dose (57.5%) and wrong time (53.2%) were the most prevalent. The mean number ofcommitted MEs in the past 12 months was 1.94, and the mean number of reporting medication
errors in the past 12 months was 1.6. With regard to the most common type of medications
involved in MEs, antibiotics was given the highest frequency in MEs.
Regarding the level of harm resulted from medication error that occurs in the past 12 months, the
higher frequency was for MEs causing temporary harm to patients (28.2%). Moreover,
participants from the NGO and public hospitals scored higher than private hospital participants inregard to shortage of nursing staff and heavy work overload cause (P<0.001). Also 57.9% of
participants with bachelor’s degree indicated the effect of lacking pharmacological knowledge and
skills more than diploma and graduate studies participants (P<0.001). Finally a statistically
significant relationship was found in the frequency of committing MEs (P=0.001) and frequency
of reporting MEs (P<0.001) in relation to the hospital ownership.
Conclusions: the results of the study indicate that there are areas of potential improvements in
Palestinian hospitals. Medication safety interventions should be formulated to address strategies
to reduce and eliminate medication errors.
Description
Keywords
السياسات والاداره الصحية , Policies & Health Management