MEDICATION ADMINISTRATION ERRORS

''Investigating the factors which contribute to non-reporting of Medication Administration Errors (MAEs) among adult critical care nurses in the Jordanian Hospital''

Abstract

This dissertation is based on the topic of “Investigating the factors which contribute to non-reporting of Medication Administration Errors (MAEs) among adult critical care nurses in the Jordanian Hospital”. The first chapter provides an introduction to the topic including the purpose and significance of the study. The second chapter presents the review of relevant literature, highlighting the previous research carried out in this field. The third chapter covers the methodology for this study, followed by the analysis of findings and discussion in the fourth chapter. The fifth chapter concludes the dissertation, providing implications and useful recommendations for further research.

Chapter 1: Introduction

 

Nurses are responsible for recognizing mistakes made either in drug prescribing, dispensing, or administering. They are expected to report these mistakes to patient safety committees report through organizational systems Whether or not patients suffered harm. However, the underreporting of MAES was noted among nurses. In several studies, nurses reported that around 50-60% of MAES were reported, and 45.6% of them believed that all drug errors were reported (Sangtawesin et al., 2003). A similar investigation targeting Taiwanese nurses also found that the estimated MAE reporting rate was 62.5%, 22 and 43.1% of those considered as the rate underreported. Practically, since all actual events are hard to collect MAE to compare with reported MAEs, one possible approach is to use estimated reporting rates from nurses. The estimated reporting rate could be used in the study of MAE under reporting (Greengold et al., 2003 ).

Errors in medication administration comprise most prevalent dangers to patient security in NHS (NPSA 2005). Their influence on patient, family, workers and wellbeing care organisations have been amply acknowledged (Wakefield et al 1999). While medication errors can occur at any stage of medication administration method, MAEs emerge as one of most prevalent types. Furthermore, they are harder to intercept than other types of medication errors, partially due to require of increasing nurses to dynamically report errors (Gladstone 1995).

MAEs are reported to occur more often in critical care backgrounds and often associated with more critical punishments (Fijn et al. 2002).However, underreporting of medication mistake is amply renowned as the serious adversity amidst nurses, where pervasive health heritage of accuse, require of glimpsed benefits, concern of punishment, and supervisor response weakness' eagerness to report errors and diminishes opportunity to find out from errors (Leap, 1995; 2002; Maddox et al.2001). Obviously, reporting is rudimentary to broad objective of medication errors decline (Cohen, 2000). Very limited research has been tried to explore barriers to reporting of MAEs amidst nurses, and even less has been attempted in adult critical care settings. Such reality comprises an impetus to investigate this theme more distant, and particularly in critical care settings. For this origin, this study focuses on factors which assist to non-reporting of MAEs amidst adult critical care nurses in the Jordanian Hospital and effect on work ethics and performance (Greengold et ...