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      Medication Administration Error Perceptions Among Critical Care Nurses: A Cross-Sectional, Descriptive Study

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          Abstract

          Purpose

          This study aimed to investigate the medication administration error perceptions among Jordanian critical care nurses.

          Methods

          A cross-sectional, descriptive design was used among Jordanian critical care nurses. The total number of completed questionnaires submitted for analysis was 340. Data were collected between July and August 2022 in two health sectors (governmental hospitals and educational hospital) in the middle and north region in Jordan through a self-administered questionnaire on medication administration errors which includes 65 items with three parts.

          Results

          Nurses showed negative perceptions toward medication administration errors. The majority of participants agreed that “The packaging of many medications is similar” (76.7%), followed by “different medications look alike” (76.2%), as the main reasons for medication error occurrence. Two thirds of participants agreed that “when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error” (74.1%). Similarly, 73.5% of them believed nurses were blamed if something happens to the patient as a result of the medication error was the main reason for underreporting of MAEs. The highest reported levels of medication errors were in a range between 41% and 70%, for both types intravenous (IV) medication errors and non-intravenous (non-IV) medication errors.

          Conclusion

          Implement interventions centered on MAEs in particular among critical care nurses, owing to the proven significance of it in foretelling their crucial role in delivering safe care to patients, which will lead to quantifiable returns on both patient outcomes and nurse health, as well as the overall efficiency and image of the organization.

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          Most cited references41

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          G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences

          G*Power (Erdfelder, Faul, & Buchner, 1996) was designed as a general stand-alone power analysis program for statistical tests commonly used in social and behavioral research. G*Power 3 is a major extension of, and improvement over, the previous versions. It runs on widely used computer platforms (i.e., Windows XP, Windows Vista, and Mac OS X 10.4) and covers many different statistical tests of the t, F, and chi2 test families. In addition, it includes power analyses for z tests and some exact tests. G*Power 3 provides improved effect size calculators and graphic options, supports both distribution-based and design-based input modes, and offers all types of power analyses in which users might be interested. Like its predecessors, G*Power 3 is free.
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            Medication Without Harm: WHO's Third Global Patient Safety Challenge.

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              Causes of Medication Administration Errors in Hospitals: a Systematic Review of Quantitative and Qualitative Evidence

              Background Underlying systems factors have been seen to be crucial contributors to the occurrence of medication errors. By understanding the causes of these errors, the most appropriate interventions can be designed and implemented to minimise their occurrence. Objective This study aimed to systematically review and appraise empirical evidence relating to the causes of medication administration errors (MAEs) in hospital settings. Data Sources Nine electronic databases (MEDLINE, EMBASE, International Pharmaceutical Abstracts, ASSIA, PsycINFO, British Nursing Index, CINAHL, Health Management Information Consortium and Social Science Citations Index) were searched between 1985 and May 2013. Study Selection Inclusion and exclusion criteria were applied to identify eligible publications through title analysis followed by abstract and then full text examination. English language publications reporting empirical data on causes of MAEs were included. Reference lists of included articles and relevant review papers were hand searched for additional studies. Studies were excluded if they did not report data on specific MAEs, used accounts from individuals not directly involved in the MAE concerned or were presented as conference abstracts with insufficient detail. Data Appraisal and Synthesis Methods A total of 54 unique studies were included. Causes of MAEs were categorised according to Reason’s model of accident causation. Studies were assessed to determine relevance to the research question and how likely the results were to reflect the potential underlying causes of MAEs based on the method(s) used. Results Slips and lapses were the most commonly reported unsafe acts, followed by knowledge-based mistakes and deliberate violations. Error-provoking conditions influencing administration errors included inadequate written communication (prescriptions, documentation, transcription), problems with medicines supply and storage (pharmacy dispensing errors and ward stock management), high perceived workload, problems with ward-based equipment (access, functionality), patient factors (availability, acuity), staff health status (fatigue, stress) and interruptions/distractions during drug administration. Few studies sought to determine the causes of intravenous MAEs. A number of latent pathway conditions were less well explored, including local working culture and high-level managerial decisions. Causes were often described superficially; this may be related to the use of quantitative surveys and observation methods in many studies, limited use of established error causation frameworks to analyse data and a predominant focus on issues other than the causes of MAEs among studies. Limitations As only English language publications were included, some relevant studies may have been missed. Conclusions Limited evidence from studies included in this systematic review suggests that MAEs are influenced by multiple systems factors, but if and how these arise and interconnect to lead to errors remains to be fully determined. Further research with a theoretical focus is needed to investigate the MAE causation pathway, with an emphasis on ensuring interventions designed to minimise MAEs target recognised underlying causes of errors to maximise their impact.
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                Author and article information

                Journal
                J Multidiscip Healthc
                J Multidiscip Healthc
                jmdh
                Journal of Multidisciplinary Healthcare
                Dove
                1178-2390
                30 May 2023
                2023
                : 16
                : 1503-1512
                Affiliations
                [1 ]Faculty of Nursing, Al-Zaytoonah University of Jordan , Amman, Jordan
                [2 ]College of Nursing, Riyadh Elm University , Riyadh, Saudi Arabia
                [3 ]Department of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University , Riyadh, Saudi Arabia
                [4 ]Department of Nursing Management and Education, College of Nursing, Princess Nourah bint Abdulrahman University , Riyadh, Saudi Arabia
                Author notes
                Correspondence: Majdi M Alzoubi, Faculty of Nursing, Al-Zaytoonah University of Jordan , Amman, Jordan, Email mujdi.alzoubi@zuj.edu.jo
                Khalid Al-Mugheed, College of Nursing, Riyadh Elm University , Riyadh, Saudi Arabia, Email khalid.edu@yahoo.com
                Author information
                http://orcid.org/0000-0001-9727-7804
                http://orcid.org/0000-0001-6497-0952
                Article
                411840
                10.2147/JMDH.S411840
                10239250
                37274426
                bc2cc9c3-fcd8-4883-b5d2-558af86b407c
                © 2023 Alzoubi et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 02 April 2023
                : 17 May 2023
                Page count
                Figures: 0, Tables: 6, References: 42, Pages: 10
                Funding
                Funded by: Princess Nourah bint Abdulrahman University Researchers Supporting;
                Funded by: Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia;
                The research was funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number PNURSP2023R279, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
                Categories
                Original Research

                Medicine
                medication administration errors,critical care nurses,perceptions,underreporting
                Medicine
                medication administration errors, critical care nurses, perceptions, underreporting

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