Medication administration error reporting and associated factors among nurses working at the University of Gondar referral hospital, Northwest Ethiopia, 2015

Berhanu Boru Bifftu,Berihun Assefa Dachew,Bewket Tadesse Tiruneh,Debrework Tesgera Beshah

doi:10.1186/s12912-016-0165-3

Berhanu Boru Bifftu, Berihun Assefa Dachew + Show 2 more

Open Access

https://doi.org/10.1186/s12912-016-0165-3

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Journal: BMC nursing	Publication Date: Jul 18, 2016
Citations: 54	License type: cc-by

Affiliation: University of Gondar

Abstract

BackgroundMedication administration is the final step/phase of medication process in which its error directly affects the patient health. Due to the central role of nurses in medication administration, whether they are the source of an error, a contributor, or an observer they have the professional, legal and ethical responsibility to recognize and report. The aim of this study was to assess the prevalence of medication administration error reporting and associated factors among nurses working at The University of Gondar Referral Hospital, Northwest Ethiopia.MethodsInstitution based quantitative cross - sectional study was conducted among 282 Nurses. Data were collected using semi-structured, self-administered questionnaire of the Medication Administration Errors Reporting (MAERs). Binary logistic regression with 95 % confidence interval was used to identify factors associated with medication administration errors reporting.ResultsThe estimated medication administration error reporting was found to be 29.1 %. The perceived rates of medication administration errors reporting for non-intravenous related medications were ranged from 16.8 to 28.6 % and for intravenous-related from 20.6 to 33.4 %. Education status (AOR =1.38, 95 % CI: 4.009, 11.128), disagreement over time - error definition (AOR = 0.44, 95 % CI: 0.468, 0.990), administrative reason (AOR = 0.35, 95 % CI: 0.168, 0.710) and fear (AOR = 0.39, 95 % CI: 0.257, 0.838) were factors statistically significant for the refusal of reporting medication administration errors at p-value <0.05.ConclusionIn this study, less than one third of the study participants reported medication administration errors. Educational status, disagreement over time - error definition, administrative reason and fear were factors statistically significant for the refusal of errors reporting at p-value <0.05. Therefore, the results of this study suggest strategies that enhance the cultures of error reporting such as providing a clear definition of reportable errors and strengthen the educational status of nurses by the health care organization.

Highlights

Medication administration is the final step/phase of medication process in which its error directly affects the patient health
Concerns about patient safety have prompted the formation of a World Health Organization (WHO) patient safety program in response to a World Health Assembly in 2002 with the vision of ‘every patient receives safe health care, every time, everywhere [3]
The main aim of this study was to assess medication administration error reported and associated factors among nurses working at the University of Gondar Hospital

Summary

Introduction

Medication administration is the final step/phase of medication process in which its error directly affects the patient health. The aim of this study was to assess the prevalence of medication administration error reporting and associated factors among nurses working at The University of Gondar Referral Hospital, Northwest Ethiopia. Patient safety is the freedom from accidental or preventable injuries produced by medical care [1]. It is a central concern and an indicator of health care quality services [2]. In all health care systems, medical errors are the main factors endangering the patient safety [4]. A systematic review of 45 studies revealed that the prevalence of medication errors ranges from 2 to 75 % [7]

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Conclusion