اشتباهات دارویی پرستاران در بیمارستان های آموزشی در غرب ایران: آنچه درباره شیوع، انواع و موانع گزارش دهی خطاها می دانیم

عنوان انگليسی

Medication Errors among Nurses in Teaching Hospitals in the West of Iran: What We Need to Know About Prevalence, Types and Barriers to Reporting

خلاصه انگلیسی

Objectives: This study aimed to examine the prevalence, types and barriers to reporting Medication Errors (MEs) among nurses working in seven teaching hospitals affiliated with Kermanshah University of Medical Sciences (KUMS) in 2016. Method: A convenience sampling method was used to select the study participants (n=500 nurses). A self-constructed questionnaire was employed to collect information on socio-demographic characteristics of nurses, their perceptions about main causes of and barriers to reporting MEs. A negative binomial regression was used to identify the main predicators of frequency of MEs among nurses. Results: Results indicated that the prevalence of MEs was 17% (95% confidence interval [95% CI]; 13.7%–20.3%). The most common types of MEs were wrong-time medication administration error (24%), dosage error (16.8%) and wrong-patient medication error (13.8%). Heavy workload and type of shift work were considered as the main causes of MEs by nursing staff. Our findings showed that 45% of nurses did not report their MEs. Heavy workload due to the high number of patients was the most important reasons for not-reporting MEs (Mean=3.57 ± 1.03) among nurses. Being male, having second unrelated job and rotating shift work significantly increased MEs among nurses (p-value=0.001). Conclusions: Our study indicated a higher prevalence of MEs among nurses in the west of Iran. Heavy workload was considered as the most important barrier to reporting MEs among nurses. Thus, appropriate strategies (e.g., reducing nursing staff workload) should be developed to address MEs and improve patient safety in hospital settings in Iran.

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