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Article
Nurses’ experiences and perceptions of medication administration errors
تجارب وتصورات الممرضات عن أخطاء اعطاء الدواء

Authors: Halmat Authman Rasheed --- Goran Aboobaker Osman --- Newroz Ghazi Aziz
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 2 Pages: 217-226
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Medication administration errors are the most common medical errors that happen in hospital settings. This study aimed to find out the most common types of medication administration errors done by the hospital nurses and identifying factors that lead to medication administration errors.Methods: This cross-sectional survey was conducted across Erbil teaching hospitals over a period of three months from June 2016 to September 2016. A convenience sample of 250 nurses who were working in acute, subacute, and general wards and had direct contact with the medication administration were included in this study. Data were collected using a self-reported questionnaire.Results: According to this study the most common types of medication errors were, noticing allergy after drugs administration and administering drugs at a wrong time. The highest leading factors of medication administration errors were illegible medication orders of the physicians, lack of adequate staffing and workload. High statistical differences were found between the frequency of medication administration errors with nurses’ educational level, overall working experience, and nurses understanding language.Conclusion: This study concluded that medication administration errors have multiple causes and types of errors are various.


Article
Assessment of safe medication administration practice at a public hospital in Erbil City, Iraq
تقييم ممارسة اعطاء الدواء الآمن في مستشفى عام في مدينة أربيل، العراق

Author: Kemal Surji
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 3 Pages: 323-331
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: Providing safe medication administration is a vital process in ensuring patients’ safety and enhancing their quality of life. This study aimed to observe medication delivery in a public hospital in Erbil city to identify and examine the different steps of the medication administration process for quality assurance and safe drug administration.Methods: A cross-sectional study of inpatients within different units of a public hospital in Erbil city was conducted through a quantitative and qualitative study. Data from the direct observation forms were collected and recorded via Microsoft Access using descriptive approach (frequencies and percentages) for analysis. The areas of concern in the study were: medication labeling, the five right of medication administration, the use of worksheets, identifying patients, double check medication, and the presence of disruptions at the time of medication administration.Results: Data was collected from 72 observations for analysis. The quantitative data illustrates that 79% of medications were not labeled correctly, 83% failure of the use of two patient identifiers, 90% of medication administrations did not meet the “Five Rights” criteria. The use of worksheet was 82% during medication administration; failure to double-check the infusions counted for 71%, and 85% of medication administrations that were observed involved certain interruptions.Conclusion: This study highlights the areas of enhancement that are significant to quality healthcare reform to ensure patients safety and providing medication management in a safe manner. The poor areas of practice were identified as labeling, patient identifiers, Five Rights, documentation, double check of infusion medications, and interruptions at the time of scheduled medication administration.

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