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Related Experiment Videos

Nurses' perceptions: when is it a medication error?

J Osborne1, K Blais, J S Hayes

  • 1Broward General Medical Center, Ft. Lauderdale, FL, USA. jhayes@fau.edu

The Journal of Nursing Administration
|April 14, 1999
PubMed
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Nurses may fear reprisal for reporting medication errors, suggesting a need for nonpunitive processes. Allowing nursing judgment could also refine how incidents are classified, improving patient safety reporting systems.

Area of Science:

  • Nursing Practice
  • Patient Safety
  • Healthcare Administration

Background:

  • Medication errors pose a significant risk to patient safety.
  • Effective reporting systems are crucial for identifying and mitigating these errors.

Purpose of the Study:

  • To explore nurses' perceptions of medication errors.
  • To understand barriers to reporting medication errors.
  • To examine the appropriateness of the term 'medication error' in various clinical contexts.

Main Methods:

  • Qualitative investigation of nurses' views on medication errors and reporting.
  • Analysis of factors influencing reporting behavior.

Main Results:

  • Fear of reprisal is a key reason nurses do not report medication errors.

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  • The term 'medication error' may not always be suitable when nursing judgment is involved.
  • Current reporting systems may not fully capture the nuances of clinical practice.

    • Conclusions:

    • Nursing administration should develop nonpunitive processes for reporting adverse drug events.
    • Consideration should be given to alternative terminology when nursing judgment is exercised.
    • Fostering a culture of safety requires addressing nurses' concerns about reporting.