Staff Understanding Research Articles

"I felt belittled and ridiculed for being in pain": An online survey of Autistic people's experience of care for pregnancy loss (perinatal loss) in the United Kingdom✰.

Around 3 % of people are Autistic; women may be under-diagnosed. Autistic people report lack of staff understanding, stigma and environmental barriers to using midwifery services. It is not known if these issues are present in perinatal loss services. To understand Autistic people's experiences of care for perinatal loss. An online survey for Autistic adults in the United Kingdom who had been pregnant, using closed and open questions. Data were analysed descriptively, using Kruskal-Wallis tests and thematically. The majority of losses appeared to be early in pregnancy. Among 67 participants, over half (58.2 %, n = 39) always sought healthcare during a perinatal loss, but 28.4 % (n = 19) never accessed care. Of those who received healthcare (n = 48; 71.6 %), over half (n = 27; 56.3 %) did not know they were Autistic at the time, and just one person told health professionals that they were Autistic. Four participants identified instances where staff were supportive or kind, but the majority of experiences were negative, with reported issues focused on communication, the way support was provided, inadequate pain relief and the hospital environment. We generated one overarching theme: "trauma". Autistic people from the UK identified significant Disability-related access issues with perinatal loss care in addition to issues reported by a general population. UK Perinatal loss services need urgent investment to be able to provide person-centred care to all. Staff supporting perinatal loss should receive neurodiversity-affirming Autism training and be aware that many Autistic people experiencing perinatal loss may not have or share a diagnosis.

"Just Listen to Me. Help Me Explore it." An Interpretative Phenomenological Analysis Exploring Experiences of Gender Dysphoria, Identity And Resilience in Autistic Adolescents Assigned Female at Birth.

Much of the current autism and gender literature has been based within a medical deficiency model; where both are seen as deficiencies rather than differences. However, there is currently minimal knowledge about the experiences of being an autistic adolescent who is both assigned female at birth and has gender dysphoria (GD), whilst even less is known about their experiences of social identity, self-concept and resilience. This study aims to explore experiences of GD with a particular focus on identity and resilience to promote parent and healthcare staff understanding; particularly around gender-affirming care, to foster positive mental health outcomes. Five assigned female at birth autistic adolescents, who identify as trans men/boys, took part in one-to-one semi-structured interviews, which were analysed using an Interpretative Phenomenological Approach. Five subordinate themes arose; "Having both autism and GD", "Finding where I belong", "Being more than labels", "Trying to cope" and "Making support successful". Our findings build on current literature and theory regarding the experience of concurrent autism and GD; highlighting its legitimacy, the ways in which autism impacts upon GD and how healthcare approaches and policy can increase accessibility and suitability of gender-affirming care.

On Being Open in Closed Places: Vulnerability and Violence in Inpatient Psychiatric Settings.

High levels of violence and conflict occur in inpatient psychiatric settings, causing a range of psychological and physical harms to both patients and staff. Drawing on critiques of vulnerability from the philosophical literature, this paper contends that staff's understanding of their relationship with patients (including how they should respond to violence and conflict) rests on the dominant, reductive account of vulnerability. This account frames vulnerability as an increased susceptibility to harm and so regards 'invulnerable' staff's responsibility to be protecting and managing vulnerable patients. We offer an alternative view of vulnerability as an openness and capability to be changed, which illuminates how the common account of vulnerability is used to justify staff's coercive power over patients and to control staff behaviour. Our main argument is that staff's adoption of this negative approach to vulnerability is associated with a range of factors that are connected to the violence and conflict endemic to these settings. Staff's need to situate themselves as invulnerable and therefore incapable of harm, we argue, leads to significant issues through: damaging staff ability to emotionally regulate; coercing patients into an asymmetrical openness leading to aggression to restore status; damaging therapeutic relationships by enforcing separation between staff and patients; increasing staff's reliance on unhelpful and rigid techniques (such as de-escalation); repressing staffs' ability to learn and grow through encounters with patients. Finally, we offer recommendations for how vulnerability and openness could be cultivated as a relational and radical practice in spaces that are traditionally closed and hostile to it.

Computer Aided Brain Tumor Diagnosis using Coati Optimization Algorithm with Explainable Artificial Intelligence Approach

Brain tumors (BT) are a difficult and dangerous medical condition, and the accurate and early analysis of these tumors is crucial for suitable treatment. Explainability in clinical image diagnosis role a vital play in the correct analysis and treatment of tumors that supports medical staff's optimum understanding of the image analysis performances rely upon deep methods. Artificial intelligence (AI), in certain deep neural networks (DNNs) has attained remarkable outcomes for clinical image analysis in many applications. However, the need for explainability of deep neural approaches has been assumed that major restriction before executing these approaches in medical practice. Explainable AI, or XAI, is a vital module in this context as it supports medical staff and patients in understanding the AI's decision-making model, enhancing trust and transparency. It leads to optimum patient care and performance but making sure that medical staff can make learned decisions depends on AI-driven insights. Therefore, this study develops a novel Computer-Aided Brain Tumor Diagnosis using Coati Optimization Algorithm with an Explainable Artificial Intelligence (CABTD-COAXAI) approach. The purpose of the CABTD-COAXAI technique is to exploit XAI and hyperparameter-tuned deep learning (DL) approaches for automated BT analysis. To accomplish this, the CABTD-COAXAI technique follows a Gaussian filtering (GF) based noise removal process. Besides, the CABTD-COAXAI technique utilizes the EfficientNetB7 methods for the feature extraction process. Additionally, the hyperparameter tuning of the EfficientNetB7 method is performed by the use of COA. Furthermore, the classification of the BT process can be performed by the usage of a convolutional autoencoder (CAE). Finally, the CABTD-COAXAI system combines the XAI method named LIME to effectively understand and explainability of the black-box model for automated BT diagnosis. The simulation result of the CABTD-COAXAI technique has been tested on a benchmark BT database. The extensive outcomes inferred that the CABTD-COAXAI method reaches superior performance over other models in terms of different measures

The illusion of attendance: a critical study of large-class lectures

ABSTRACT Large-class university lectures remain commonplace, yet their educational value is contested. While the majority of criticism contrasts transmissive lectures with active learning pedagogies, this case study evaluates a lecture series on its intrinsic qualities, looking at staff and student understandings of the lecture’s contribution to academic outcomes and the affect attendance has on students’ study habits. The study took place within a health sciences module at a UK university. Data sources included lecture observations, interviews, focus groups, a survey, and institutional documentation. The conceptual framework used in the analysis is Snyder’s Hidden Curriculum, in which the formal curriculum of knowledge creation, is undermined by implicit expectations which foster instrumental learning behaviours. The findings indicate that the low demands placed on staff and students in transmissive lectures encourage an ‘illusion of attendance’ – in which assumptions of learning from, and physical attendance at, large-class lectures are greater than empirical data evidence.

Nurses’ knowledge and perceptions of caring for a person with polycystic ovarian syndrome: Integrative review

Background: Polycystic Ovarian Syndrome is a condition which affects 4-20% of reproductive-aged women worldwide, yet the education, understanding and support for both healthcare staff and patients is relatively limited in comparison. This study aimed to explore nurses’ knowledge and perceptions of caring for a person living with PCOS across healthcare settings. Methods: An integrative review guided by Whittemore and Knafl (2005) was conducted. Six electronic databases were searched: CINAHL, MEDLINE, Ovid, Scopus, PubMed and ProQuest. Included studies were critically appraised using the Joanna Briggs Institute critical appraisal tools. Inductive thematic analysis was used to generate themes, sub-themes and categories. Results: Eleven studies involving approximately 1002 nurses were included. Three themes, eight categories and 172 codes were generated from 287 findings: (1) clinical manifestations (menstruation, reproduction, and fertility; physical presentation; and risks of PCOS), (2) management (functional lifestyle intervention; managing PCOS; diagnosis), (3) health literacy (PCOS knowledge; and sources of knowledge). Conclusion: Deficits in the knowledge and perceptions of nurses were identified and congruent with those of other healthcare practitioners, with educational interventions proving to be beneficial to improve knowledge and understanding of PCOS. This necessitates further educational support for nurses and further development and distribution of care protocols to improve the lives of people living with PCOS.

Educating the Educators on Generative Artificial Intelligence in Higher Education

In the current spring of Artificial Intelligence, the rapid development of Generative AI (GenAI) has initiated vivid discussions in higher education. Opportunities as well as challenges have been identified and to cope with this new situation there is a need for a large-scale teacher professional development. With basic skills about GenAI teachers could use the new technology as an extension of the existing technology enhanced teaching and learning. The aim of this paper is to present and discuss the project FAITH (Frontline Application of AI and Technology-enhanced Learning for Transforming Higher Education). FAITH is a higher education pedagogical development initiative for institutional development for teachers with good fundamental skills in traditional pedagogy. A project with the overall objective of increasing the staff understanding of AI and to develop new competencies in the field of GenAI and technology enhanced learning. The research question that guided this study was: "What are the perceived opportunities, challenges and expectations of involving GenAI in higher education?" The overall research strategy for the FAITH project is design-based research, which involves iterative and cumulative development processes. In the early iteration that this study was a part of has been carried out inspired by Collective Autoethnography where members of the steering group behind the FAITH project, and members of the project team have constituted the main focus group. Data were collected by structured interviews where two GenAI tools also have been interviewed. Findings show that the expectations are high, but that the FAITH ambition of institutional development is depending on teachers’ motivation for taking an active part in the project. Another challenge could be that many teachers see GenAI as something that threatens the current course design, and that a general ban of GenAI is the appropriate solution. One of, several identified opportunities, is that a general revision of syllabi and assessment in an adaptation for GenAI enhanced learning would improve the current course design.

Exploring the strategic nature of the SENCo's role and the management of education and health care plans since the Covid‐19 pandemic

AbstractThis research identifies new approaches to education health and care plan (EHCP) provision since the start of the Covid‐19 (C‐19) pandemic (March 2020 to March 2021). This qualitative research was conducted after the C‐19 pandemic and used online questionnaires to identify the perceptions of 64 SENCos recruited from mainstream primary and secondary schools across southeast London and Essex in England. Thirteen of the 64 participants then consented to be interviewed. The findings show that where SENCos had the autonomy to act strategically, they could enact change for pupils with EHCPs as well as SEND. Furthermore, aspects of practice relating to staff SEND knowledge and understanding of SEND provision were enhanced during the pandemic, as was the SENCo's ability to adapt and allocate resources effectively.

PEMANFAATAN MEDIA SOSIAL SEBAGAI SARANA INFORMASI DAN PROMOSI DI SDN SUMBER 2

The use of social media as a means of information and promotion has become an important strategy in the world of education, including in elementary schools. The purpose of this community service is to provide training on the use of Social Media as a Means of Information and Promotion in order to improve the ability of human resources responsible for managing Social Media, in this case we focus on Instagram. The methods used in this activity include training, mentoring, and evaluation of the use of school social media. This training has succeeded in improving the understanding and skills of teachers and school staff in using social media and managing digital assets of SDN Sumber 2. In addition, training participants now understand how to use social media effectively as a tool for information and promotion. They learned about the importance of consistency in posting, how to create interesting content, and strategies to increase audience engagement.

Nature-based approaches: a mixed methods study of facilitators and barriers to implementation in CAMHS

BackgroundThere is growing evidence that spending time with or in nature can be beneficial for health and wellbeing. Emerging evidence suggests potential benefits for staff and service users in healthcare settings, yet little is known about how to put Nature-based approaches (NBAs) into practice within the Child and Adolescent Mental Health Services (CAMHS) setting. The CAMHS Goes Wild project in Southwest England aimed to explore the implementation of NBAs within CAMHS, examining staff attitudes and understanding to identify potential benefits and challenges through a mixed methods study.MethodsThe study involved three phases of data collection: an online survey with two waves, the first wave prior to the training, and the second four months post-training, and semi-structured interviews. Data collection was designed to fit around NatureWell training, attended by sixty-four CAMHS staff, which took place alongside the study. All participants were sampled from one NHS Trust and the study was open to both those who had attended the NatureWell training and those who had not. Data were synthesised to produce an understanding of staff attitudes towards NBAs and perceived barriers and facilitators to the implementation of this approach.ResultsNinety-seven staff responded to the wave 1 survey and 57 responded to the wave 2 survey. Fourteen staff members were interviewed. Data synthesis generated three themes: Tension between the culture of CAMHS and NBAs (Theme 1) and the need for buy-in and governance support (Theme 2). Theme three described the potential benefits of NBAs for staff and service users in CAMHS and is presented in a separate paper. The first two themes are presented in this paper.ConclusionsThe implementation of NBAs in mental health service settings for CYP presents both significant challenges and opportunities. Our findings suggest multiple barriers to implementation, often in the form of organisational or cultural factors, such as the risk averse nature of the service. Our work also elucidates several potential facilitators which may address or mitigate some of these barriers. These potential enablers, such as harnessing the role of firsthand experience, warrant further exploration in the implementation of NBAs in CAMHS.

The prevalence and associated factors of intraoperative hypotension following thoracic surgery in resources limited area, 2023: multicentre approach.

Hypotension is an independent predictor of long-term patient morbidity and duration of hospital stay. Multiple factors contribute to the development of intraoperative hypotension. Prevention and treatment of these factors may reduce patients' hypotension and its associated morbidity and mortality. This study aimed to assess the prevalence and associated factors of intraoperative hypotension in patients undergoing elective thoracic surgery. This institution-based cross-sectional study was conducted among 174 adult patients who underwent elective thoracic surgery. A systematic random sampling technique was used, and quantitative data were collected through interviews and data retrieval from charts via a pretested questionnaire. Both bivariable and multivariable logistic regression analyses were performed to evaluate the associations between independent and dependent variables. The level of statistical significance was defined as a P-value less than 0.05. The data were entered into Info 7.2.1 and analyzed via SPSS version 26 software, which was used to calculate descriptive statistics, and bivariate and multivariate logistic regression were performed. In general, information was collected from 174 patients during the study period. The results of the present study revealed that 65 (41%) patients developed intraoperative hypotension (95% CI: 36.43-48%). Intraoperative blood loss was significantly associated with intraoperative hypotension [AOR=9.58, 95% CI (2.57-35.8)] (P=0.001). The findings of this study revealed high rates of intraoperative hypotension episodes, which were 41%, in patients who underwent elective thoracic surgery. Age, ASA class, type of intraoperative blood loss, type of procedure pre-existence comorbidity, and duration of surgery were predictors of intraoperative hypotension in patients who underwent elective thoracic surgery. The anaesthetist's, surgeon, and PACU staff's understanding of these factors is very crucial for close follow-up of this group of patients.

Handling Guest Complaints with the Identify, Listen, Empathize, Analyze, Deliver Solution Method at Intercontinental Bali Resort

The purpose of the study was to examine the application of the ILEAD method in handling guest complaints. The study was conducted using two methods, namely the interview method and the observation method. Interviews with staff in implementing ILEAD, direct and indirect observations of staff assessments in implementing ILEAD, and online travel agents assessing guest comments regarding the service provided by front office staff. Using qualitative analysis techniques. The results of the study showed that staff had implemented the ILEAD method correctly with the discovery of positive comments on online travel agents and assessments from Front Office Managers with a level of 80 percent of staff having implemented ILEAD. Although there were still some staff who still did not understand ILEAD correctly with negative comments found on online travel agents, direct observations, and there was a gap of 20 percent of staff understanding based on interviews with Front Office Managers. For some improvements to cover the gap, starting from more frequent or varied training, increasing cooperation between staff and superiors and evaluation of guest comments from online travel agents.

Pelatihan Service Excellence dan Business English Correspondence Bagi Staf Yayasan Kanker Anak Indonesia

The importance providing service from the heart to stakeholders noble organization or company needs to do. One of them is service excellence provided to cancer patients, especially children. Apart from that, to collaborate with external parties, Yayasan Kanker Anak Indonesia (YKAI) requires English business correspondence with members of Childhood Cancer International. This training aims to improve service excellence skills for YKAI staff and increase understanding business correspondence in English for YKAI staff. The problem for community service partners is a lack of understanding excellent service and a lack of understanding business correspondence in English. Because the educational backgrounds the staff are different. The training method delivered using the lecture method as well discussion question and answer of delivering material online via the zoom meeting application as the evaluation measurement method implementation the abdimas by providing questionnaire with Google form to the abdimas participants including pre-test and post-test. The results implementing community service activities are reviewed from three indicators, indicator ability to implement service excellence YKAI staff increased by 35%, the indicator knowledge regarding business correspondence in English has increased by 60%, and the indicator ability to write business correspondence in English has increased by 75%. This training activity very beneficial for partners of compassion and humanity towards others.

Higher education and the public good in Finland

AbstractThis paper discusses understandings of higher education and the public good in the context of Finland. A lexical-based comparison of public goods terminology reveals that the Finnish translation of public good—julkishyödyke—is used in comparatively recent (post-1970s) scholarship, mainly limited to the fields of economics, forestry and agriculture. It is notably absent in discussions of higher education. Instead, universities’ contribution to the public good is expressed as sivistys, service, social impact and national development. The second half of the paper discusses findings from a qualitative study of university staff and policymaker understandings of public good(s) (n = 21). Participants framed the contribution of universities to the public good as sivistys, service and social impact and also highlighted the dimension of social equality. These goods were viewed as applicable to local, national and global levels, flowing both out of and into Finland, thus benefiting everyone. As such, responses were closely aligned with the UNESCO (2015) definition of higher education as a global common good. Recent higher education policies that are based on the logic of higher education as a private good (education export, tuition fees for international students) threaten this model, revealing a conflict in the role of the state as protector of the public good at the national level and promoter of higher education as a private good at the global level.

How schools can respond to pupils who self-harm: a qualitative study with young people and school staff

ABSTRACT Schools are well-placed to offer support to young people who self-harm. However, research shows that pupils who disclose self-harm behaviour to school staff are often faced with negative reactions and unhelpful responses. There is a clear need for an increased level of knowledge and understanding for staff to respond more appropriately. This study explored the expectations of young people and the needs of staff when responding to self-harm. Twenty semi-structured interviews were conducted with nine young people and 11 school staff. Interviews were analysed using reflexive thematic analysis. Three key themes were identified: (1) Lack of knowledge and confidence to appropriately respond to self-harm (2) Systemic barriers and facilitators to help-seeking in schools and (3) Positive relationships facilitate help-seeking. Young people and staff believe there is an unmet need for training to help staff confidently address self-harm. Future research should involve stakeholders to develop interventions to improve the school response to self-harm.

Utilizing the Advantages of Ideological and Political Work of Party Building to Promote Cultural Construction of State-owned Enterprises

At present, with the continuous changes in the global economic situation and fierce market competition, state-owned enterprises, as an important pillar of the national economy, are facing the challenge of accelerating transformation and upgrading, and constantly innovating and developing. Playing the advantages of ideological and political work of party building can activate the endogenous power of the development of state-owned enterprises, and further promote the better and faster development of state-owned enterprises. Party building work and enterprise culture construction have the role of mutual promotion and facilitation, play a good party building ideological and political work advantages, help to improve the ideological understanding of enterprise staff, promote the formation of excellent enterprise culture in line with the actual development of the enterprise, help to enhance the sense of responsibility and sense of identity of state-owned enterprise workers, further focus on the center, serve the overall situation, and promote the high-quality development of state-owned enterprises.

How NGO Staff Understand Maslow's Hierarchy of Needs and MHPSS Pyramid in Iraq: A Pilot Descriptive Study.

The Maslow's hierarchy of needs (Maslow's pyramid) and the Mental Health and Psychosocial Support (MHPSS) pyramid are integral frameworks in humanitarian settings whose aim is to address individual and community needs. However, confusion often arises among non-governmental organization (NGO) workers about the application and differentiation of these models. This study aims to investigate the extent of confusion among NGO workers in Iraq as regards the Maslow's and MHPSS pyramids, identify the causes of this confusion, and explore its implications in the context of humanitarian mental health support. A pilot descriptive study was conducted in December 2023 through an online survey involving 61 local NGO workers from MHPSS components in Iraq. We created a measure to assess the participants' familiarity with both models, their perceived differences, and their views on the models' applicability in humanitarian contexts. Male participants represented 55.7% (n=34) of the sample, while females accounted for 44.3% (n=27). Most participants were aged 25-34 (57%, n=35) and 35-44 (34%, n=21). A majority held bachelor's degrees (67.2%, n=41), with 21.3% (n=13) holding master's degrees. In terms of occupation, 49.2% (n=30) were engaged in the protection sector (gender-based violence and child protection), followed by health (19.7%, n=12), education (4.9%, n=3), and MHPSS staff roles in other sectors (26.2%, n=16). The study revealed that 54.1% (n=33) of the participants struggled to understand or differentiate between Maslow's and MHPSS pyramids. The causes of this confusion were related to perceived structural similarities (18.03%, n=11), lack of awareness and knowledge about the MHPSS pyramid (63.93%, n=39), and a combination of both (18.03%, n=11). The study underscores the importance of better training and education for NGO workers to improve their understanding of the Maslow's and MHPSS pyramids. Addressing this knowledge gap can increase efficacy in humanitarian aid provision, ensuring that individual and community needs are adequately met in crisis situations.

Exploring Knowledge and Perceptions of Level Learning Outcomes and Meta-Skills in a Creative Business School Context

Much has been written about the necessity for graduates to be aware of their skill set and transferability for the workplace. Degree programs in Scotland have long relied on guidance from the Quality Assurance Agency (QAA) on the taxonomy or wording of level learning outcomes (LLOs), which are the building blocks of degrees. More recently, a meta-skills framework created by Skills Development Scotland (SDS) offers clarity around meta-skills and suggests relevant wording, but these do not always align with academic taxonomies. The current research sought to explore the relationship between LLOs and meta-skills further from an academic and student perspective. A qualitative approach consisting of staff interviews and student focus groups from a range of creative business courses was adopted. A thematic analysis revealed gaps in staff and student understanding of LLOs and meta-skill terminology. The findings support the argument that skills should be linked more obviously to modular learning and recommendations are made as to how these could be communicated effectively to aid understanding around the transferability of university-acquired skills to the workplace.

Implementing Montessori approaches after training: A mixed methods study to examine staff understanding and movement toward action.

Background: This paper uses Normalization Process Theory (NPT) to examine staff impressions of Montessori-based program training and implementation at Veterans Affairs Community Living Centers (VA CLCs; nursing homes). Methods: We conducted a mixed-methods evaluation of Montessori Approaches to Person-Centered Care (MAP-VA) at eight VA CLCs. Trainings were conducted as either a live virtual course or a pre-recorded asynchronous class. Two NPT constructs, coherence building and cognitive participation, informed qualitative interview questions, surveys, and analyses focused on staff movement from knowledge to action during initial implementation. Data collection included staff-completed standardized post-training exams (N = 906), post-training evaluations (N = 761), and optional validated surveys on perceptions of Montessori training (N = 307). Champions (peer-leaders) from each CLC completed semi-structured qualitative interviews post-training (N = 22). Findings: The majority of staff (83%-90%) passed all courses. Staff evaluated the training highly (80%+ agreement) on learning relevant new knowledge and confidence applying new skills. On average, staff felt MAP-VA would become a normal part of their work (7.68/10 scale), and reported increased familiarity with Montessori approaches after training (p = .002). Qualitative interview data from staff trained in Montessori supported three themes concordant with the NPT dimensions of coherence building and cognitive participation. (1) Coherence regarding Montessori: staff demonstrated an understanding of the program and mentioned the benefits of Montessori compared to their previous usual routines. Cognitive participation or engagement with Montessori: (2) staff had positive feelings about Montessori principles/applications and demonstrated a willingness to try the Montessori approach, and (3) staff made sense of the new intervention through early rehearsal of Montessori principles/practices and recognized opportunities for using Montessori in future interactions. Conclusions: Montessori virtual training resulted in high levels of coherence and cognitive participation among multidisciplinary staff, evidenced by high knowledge, self-efficacy, and readiness to act. The asynchronous and synchronous trainings were accessible, relevant, and supported diverse learners.

NARRATIVE REVIEW: INCIDENCE, CAUSES AND INTERVENTION STRATEGIES OF MEDICATION ERRORS TO IMPROVE CHEMOTHERAPY SERVICES IN HOSPITALS

Medication errors (MEs) are medication errors that have the potential to harm patients during treatment or care. Cancer care is a complex and interconnected system and many errors can be catastrophic. ME in antineoplastic drugs have the potential to cause permanent injury and even death. Evaluation measures of ME incidence in Indonesia are still not optimally carried out, thus leading to the need for a good understanding of the potential ME incidence, especially in cancer patient care. A good understanding of the incidence of medication errors will encourage preventive efforts against the potential occurrence of ME. This narrative review aims to provide information related to the incidence of ME in the Chemotherapy department at the hospital, the causative factors, and the handling and prevention efforts. Scientific information searches were conducted on the PubMed and Google Scholar databases for the period 2012-2022. The results showed that the incidence of ME mostly occurred in the prescription phase, namely in the form of dosage errors (45–59.3%), incomplete prescriptions (43–45.5%), drug frequency errors (30.4%), and errors in patient name, age, and diagnosis data (22.5%). Several aspects contributing to the occurrence of ME were identified, including work procedures, staff, organizational systems, and staff understanding of medication regimens. This study concluded that there is a need to regulate and evaluate several aspects, including work procedures, availability of auxiliary systems, and increasing the capacity of human resources involved. This may prevent the occurrence of ME.