Araştırma Makalesi
Yıl 2024,
Cilt: 15 Sayı: 3, 186 - 193, 01.07.2024
Öz
Purpose: This research was a descriptive study performed with the aim of determining nursing practices about preventing medication administration errors.
Methods: This research was completed in an education-research hospital and a private hospital located in a metropolitan city in Turkey. For collection of data, forms about descriptive characteristics, features related to medication administration errors of nurses, individual practices and institutional precautions about preventing medication errors were used. The research included 275 nurses actively administering medication. Analysis of data used percentages, mean, standard deviation, one-way ANOVA, Kruskal Wallis and correlation analysis tests.
Results: As a result of the research, 87.2% of nurses stated they always checked the patient’s name, medication name, medication dose, and medication administration route, while 8% stated they very rarely researched the correct preparation form based on medication properties. Nurses with postgraduate education, choosing the profession themselves and satisfied with the profession were identified to perform more interventions about preventing medication errors (p<0.05). As the precautions taken by institutions in the research increased, the precautions taken by nurses about preventing medication errors reduced. Of nurses, 96.6% recommended increasing the number of nurses to prevent medication errors.
Conclusion: It is recommended to implement standards related to medication administration, develop institutional policies, use technology in the medication administration process, expand lessons and topics related to medication administration errors and precautions in the basic nursing education curriculum and increase in-service training and activities.
Anahtar Kelimeler
nursing medication administration medication error prevention
Kaynakça
- 1. Tang FI, Sheu SJ and Yu S. Nurses relate the contributing factors involved in medication errors. Journal of Clinical Nursing. 2007;16:447-457. DOI:10.1111/j.1365-2702.2005.01540.x
- 2. Sabuncu N and Akça AF. Klinik Beceriler, Sağlığın Değerlendirilmesi, Hasta Bakım ve Takibi: Parenteral İlaç Uygulamaları. İstanbul, ISBN:9754207293; 2010.
- 3. Korkmaz S and Çuhadar U. Sağlık hizmet kalitesi ve sağlik kurumunu tekrar tercih etme niyeti arasindaki ilişki: eğitim ve araştirma hastanesi örneği. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi. 2017;3:72-86.
- 4. Institute for Safe Medication Practices (ISMP). ISMP Guidelines for Safe Electronic Communication of Medication Information. ISMP; 2019. https://www.ismp.org/node/1322
- 5. Holdforth CJ and Leufer T. The strategic role of education in the prevention of medication errors in nursing: Part 2. Nurse Education in Practice. 2013;13:217-220. DOI:10.1016/j.nepr.2013.01.012
- 6. Bifftu BB, Dachew BA, Tiruneh BT, et al. Medication administration error reporting and associated factors among nurses working at the University of Gondar referral hospital, Northwest Ethiopia, 2015. BMC Nursing. 2016;15:1–7. DOI: 10.1186/s12912-016-0165-3
- 7. Hassink J, Jansen M, and Helmons P. Effects of bar code-assisted medication administration (BCMA) on frequency, type and severity of medication administration errors: a review of the literature. European Journal of Hospital Pharmacy: Science and Practice. 2012;19:489-494. DOI:10.1136/ejhpharm-2012-000058
- 8. Çırpı F, Merih Y. and Kocabey M. Hasta güvenliğine yönelik hemşirelik uygulamalarının ve hemşirelerin bu konudaki görüşlerinin belirlenmesi. Uluslarası Sağlıkta Performans ve Kalite Kongresi Bildiriler Kitabı. 2009;Antalya
- 9. Özkan S, Kocaman G. and Özturk C. Efficiency of strategies for preventing medication administration errors in pediatric inpatients. Türk Pediatri Arşivi. 2013;48:299–302.
- 10. Harkreader H, Hogan MA, and Thobaben M. Fundamentals of Nursing: Caring and Clinical Judgment. USA, Elsevier Inc.;2007.
- 11. Taylor CR, Lillis C, LeMone P. et al. Fundamental of nursing. Lippincott Williams & Wilkins Philadelphia: Elsevier;2011.
- 12. Küçükakça G and Özer N. Cerrahi Kliniklerde Çalışan Hemşirelerin Yüksek Riskli İlaç Uygulamaları Konusundaki Bilgi Durumlarının ve İlaç Hatalarıyla İlgili Tutum ve Davranışlarının İncelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2016;19:34-41.
- 13. Björkstén KS, Bergqvist M, Andersén-Karlsson E, et al. Medication errors as malpractice-a qualitative content analysis of 585 medication errors by nurses in Sweden. BMC Health Services Research. 2016;16:431. DOI:10.1186/s12913-016-1695-9
- 14. McClead RE, Catt C, Davis JT, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. The Journal of Pediatrics. 2014;165:1222–9. DOI:10.1016/j.jpeds.2014.08.063
- 15. Fisun V, Seval Ç. and Birol V. Sık karşılaşılan ilaç uygulama hataları ve ilaç güvenliği. Acibadem Univ Saglik Bilim Derg. 2014;5:271-5.
- 16. Wondmieneh A, Alemu W, Tadele N and Demis A. (2020). Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC nursing. 2020;19;1-9. DOI: https://doi.org/10.1186/s12912-020-0397-0
- 17. Zhu XP, Duan X, Tian MM, et al. Establishment and application of medication error classification standards in nursing care based on the international classification of patient safety. International Journal of Nursing Sciences. 2014;1:277–280. DOI:10.1016/j.ijnss.2014.05.025
- 18. Laher AE, Enyuma CO, Gerber L, et al. Medication errors at a tertiary hospital intensive care unit. Cureus. 2021;13;12. DOI: 10.7759/cureus.20374
- 19. Aydın SS, Akın S, and Işıl Ö. Bir hastanede çalışan hemşirelerin ilaç hatası bilgi düzeyi ve ilaç hatalarının raporlanması ile ilgili görüşlerinin değerlendirilmesi. Hemşirelikte Eğitim ve Araştırma Dergisi. 2017;14:14-24.
- 20. Cebeci F. Karazeybek E, Dağ GS. Tanık Oldukları Tıbbi̇ Hata Durumları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2014;3:736–748.
- 21. Al-Faouri IG, Hayajneh WA. and Habboush DM. A five years retrospective study of reported medication incidents at a Jordanian teaching hospital: patterns and trends. International Journal of Humanities and Social Science; 2014;4:280-7.
- 22. Crandall KM, Almuhanna A, Cady R, et al. 10,000 good catches: increasing safety event reporting in a pediatric health care system. Pediatric Quality & Safety. 2018;3:e072. DOI:10.1097/pq9.0000000000000072
- 23. Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: Literature and expert-based recommendations. British Journal of Anaesthesia. 2017;118:32–43. DOI:10.1093/bja/aew379
- 24. Douglass AM, Elder J, Watson R, et al. A Randomized Controlled Trial on the Effect of a Double Check on the Detection of Medication Errors. Annals of Emergency Medicine. 2018;71:74–82. DOI:10.1016/j.annemergmed.2017.03.022
- 25. Chang YK and Mark BA. Antecedents of severe and nonsevere medication errors. Journal of Nursing Scholarship. 2009;41:70-78. DOI:10.1111/j.1547-5069.2009.01253.x
Yıl 2024,
Cilt: 15 Sayı: 3, 186 - 193, 01.07.2024
Öz
Kaynakça
- 1. Tang FI, Sheu SJ and Yu S. Nurses relate the contributing factors involved in medication errors. Journal of Clinical Nursing. 2007;16:447-457. DOI:10.1111/j.1365-2702.2005.01540.x
- 2. Sabuncu N and Akça AF. Klinik Beceriler, Sağlığın Değerlendirilmesi, Hasta Bakım ve Takibi: Parenteral İlaç Uygulamaları. İstanbul, ISBN:9754207293; 2010.
- 3. Korkmaz S and Çuhadar U. Sağlık hizmet kalitesi ve sağlik kurumunu tekrar tercih etme niyeti arasindaki ilişki: eğitim ve araştirma hastanesi örneği. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi. 2017;3:72-86.
- 4. Institute for Safe Medication Practices (ISMP). ISMP Guidelines for Safe Electronic Communication of Medication Information. ISMP; 2019. https://www.ismp.org/node/1322
- 5. Holdforth CJ and Leufer T. The strategic role of education in the prevention of medication errors in nursing: Part 2. Nurse Education in Practice. 2013;13:217-220. DOI:10.1016/j.nepr.2013.01.012
- 6. Bifftu BB, Dachew BA, Tiruneh BT, et al. Medication administration error reporting and associated factors among nurses working at the University of Gondar referral hospital, Northwest Ethiopia, 2015. BMC Nursing. 2016;15:1–7. DOI: 10.1186/s12912-016-0165-3
- 7. Hassink J, Jansen M, and Helmons P. Effects of bar code-assisted medication administration (BCMA) on frequency, type and severity of medication administration errors: a review of the literature. European Journal of Hospital Pharmacy: Science and Practice. 2012;19:489-494. DOI:10.1136/ejhpharm-2012-000058
- 8. Çırpı F, Merih Y. and Kocabey M. Hasta güvenliğine yönelik hemşirelik uygulamalarının ve hemşirelerin bu konudaki görüşlerinin belirlenmesi. Uluslarası Sağlıkta Performans ve Kalite Kongresi Bildiriler Kitabı. 2009;Antalya
- 9. Özkan S, Kocaman G. and Özturk C. Efficiency of strategies for preventing medication administration errors in pediatric inpatients. Türk Pediatri Arşivi. 2013;48:299–302.
- 10. Harkreader H, Hogan MA, and Thobaben M. Fundamentals of Nursing: Caring and Clinical Judgment. USA, Elsevier Inc.;2007.
- 11. Taylor CR, Lillis C, LeMone P. et al. Fundamental of nursing. Lippincott Williams & Wilkins Philadelphia: Elsevier;2011.
- 12. Küçükakça G and Özer N. Cerrahi Kliniklerde Çalışan Hemşirelerin Yüksek Riskli İlaç Uygulamaları Konusundaki Bilgi Durumlarının ve İlaç Hatalarıyla İlgili Tutum ve Davranışlarının İncelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2016;19:34-41.
- 13. Björkstén KS, Bergqvist M, Andersén-Karlsson E, et al. Medication errors as malpractice-a qualitative content analysis of 585 medication errors by nurses in Sweden. BMC Health Services Research. 2016;16:431. DOI:10.1186/s12913-016-1695-9
- 14. McClead RE, Catt C, Davis JT, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. The Journal of Pediatrics. 2014;165:1222–9. DOI:10.1016/j.jpeds.2014.08.063
- 15. Fisun V, Seval Ç. and Birol V. Sık karşılaşılan ilaç uygulama hataları ve ilaç güvenliği. Acibadem Univ Saglik Bilim Derg. 2014;5:271-5.
- 16. Wondmieneh A, Alemu W, Tadele N and Demis A. (2020). Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC nursing. 2020;19;1-9. DOI: https://doi.org/10.1186/s12912-020-0397-0
- 17. Zhu XP, Duan X, Tian MM, et al. Establishment and application of medication error classification standards in nursing care based on the international classification of patient safety. International Journal of Nursing Sciences. 2014;1:277–280. DOI:10.1016/j.ijnss.2014.05.025
- 18. Laher AE, Enyuma CO, Gerber L, et al. Medication errors at a tertiary hospital intensive care unit. Cureus. 2021;13;12. DOI: 10.7759/cureus.20374
- 19. Aydın SS, Akın S, and Işıl Ö. Bir hastanede çalışan hemşirelerin ilaç hatası bilgi düzeyi ve ilaç hatalarının raporlanması ile ilgili görüşlerinin değerlendirilmesi. Hemşirelikte Eğitim ve Araştırma Dergisi. 2017;14:14-24.
- 20. Cebeci F. Karazeybek E, Dağ GS. Tanık Oldukları Tıbbi̇ Hata Durumları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2014;3:736–748.
- 21. Al-Faouri IG, Hayajneh WA. and Habboush DM. A five years retrospective study of reported medication incidents at a Jordanian teaching hospital: patterns and trends. International Journal of Humanities and Social Science; 2014;4:280-7.
- 22. Crandall KM, Almuhanna A, Cady R, et al. 10,000 good catches: increasing safety event reporting in a pediatric health care system. Pediatric Quality & Safety. 2018;3:e072. DOI:10.1097/pq9.0000000000000072
- 23. Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: Literature and expert-based recommendations. British Journal of Anaesthesia. 2017;118:32–43. DOI:10.1093/bja/aew379
- 24. Douglass AM, Elder J, Watson R, et al. A Randomized Controlled Trial on the Effect of a Double Check on the Detection of Medication Errors. Annals of Emergency Medicine. 2018;71:74–82. DOI:10.1016/j.annemergmed.2017.03.022
- 25. Chang YK and Mark BA. Antecedents of severe and nonsevere medication errors. Journal of Nursing Scholarship. 2009;41:70-78. DOI:10.1111/j.1547-5069.2009.01253.x
Toplam 25 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Halk Sağlığı (Diğer) |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Temmuz 2024 |
| Gönderilme Tarihi | 30 Ocak 2024 |
| Kabul Tarihi | 8 Mayıs 2024 |
| Yayımlandığı Sayı | Yıl 2024Cilt: 15 Sayı: 3 |
