Abstract
Patient safety is the key to maintain the quality of health services. One of the most important things to achieve patient safety is to identify medication errors and its causes. Most cases of medication errors are reported by nurses, because nurses are the therapeutic team. The purpose of this study is to determine factors affecting medication error by nurse in giving parenteral therapy at Government Hospital in Magelang. A cross-sectional analytic study was carried out on 67 nurses working in hospital wards. The data were collected using a questionnaire filled by respondents to see medication errors within 3 months. The final number of medication errors were 91 incidents in 3 months. The most frequent errors were wrong time (51.7%), wrong dose (14.2%), wrong document and wrong drug (9.9%), wrong route (8.8%), and the least was wrong patient (5%). Although the medication error incidences were not sentinel events and didn’t affect to SNARs criteria, but it still affecting on the quality of health services in the hospital. The significant independent determinant of medication errors is working experience at Government Hospital in Magelang (p 0,001), while the other determinants are not. Conclusion in this study was significant correlation between work experience in hospital and medication error, where respondents with work experience at Government Hospital in Magelangless than 5 years tend to be at higher risk doing medication errors than those who having worked more or equivalent to 5 years.
Highlights
Medical science and technology have rapidly developed in this globalization era
Patient safety is turning to the foremost position in health services since WHO has declared World Alliance for Patient Safety, a program to improve patient safety in hospitals [2], in our country The Ministry of Health has issued Permenkes No 11/2017 regarding patient safety, which became the main guideline for patient safety procedures in all Indonesian hospitals [3]
This study revealed that there is no significant association between medication error and respondent’s age in the inpatient ward Government Hospital in Magelang (p 0.549) (Table 2)
Summary
Medical science and technology have rapidly developed in this globalization era. This condition certainly have an effect on quality of health services, nowdays health services are becoming more complex and more careful in managing patients to improve patient safety and reduce adverse events [1]. Patient safety is turning to the foremost position in health services since WHO has declared World Alliance for Patient Safety, a program to improve patient safety in hospitals [2], in our country The Ministry of Health has issued Permenkes No 11/2017 regarding patient safety, which became the main guideline for patient safety procedures in all Indonesian hospitals [3]. Identify medication errors and its causes is one of the most important things to achieve patient safety [4]. Some observational studies mentioned that most medication error is administering parenteral therapy by nurses. Parenteral therapy is the most common procedure in hospital admissions, almost all patients in a hospital ward receive parenteral therapy such as infusion or drug injection [6]
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