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Understanding why medication administration errors may not be reported.

D S Wakefield1, B J Wakefield, T Uden-Holman

  • 1Division of Health Management & Policy, University of Iowa, Iowa City 52242, USA. douglas-wakefield@uiowa.edu

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|August 14, 1999
PubMed
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Barriers to medication administration errors (MAE) reporting were identified through a survey of over 1300 nurses. Four key barriers emerged: disagreement over errors, reporting effort, fear, and administrative response, offering insights for improvement.

Area of Science:

  • Healthcare Quality
  • Patient Safety
  • Nursing Practice

Background:

  • Medication administration errors (MAE) identification and reporting are crucial for patient safety.
  • Current MAE reporting systems are largely non-automated and voluntary, highlighting the need to understand reporting barriers.

Purpose of the Study:

  • To develop and validate a survey instrument to assess potential barriers to MAE reporting.
  • To analyze the relative importance of identified MAE reporting barriers among healthcare professionals.

Main Methods:

  • A survey instrument was designed to evaluate 15 potential MAE-reporting barriers.
  • Data were collected from over 1300 nurses.
  • Confirmatory LISREL analysis was used to group barriers into subscales.

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Main Results:

  • The 15 potential barriers were successfully categorized into 4 distinct subscales: Disagreement Over Error, Reporting Effort, Fear, and Administrative Response.
  • The psychometric properties of the developed instrument were evaluated.
  • Descriptive profiles of the barriers were presented based on nurse responses.

Conclusions:

  • Understanding the identified barriers is essential for improving MAE reporting systems.
  • The validated survey instrument can be used to assess and address specific barriers to enhance reporting.
  • Targeted interventions addressing disagreement, effort, fear, and administrative response can improve medication error reporting and patient safety.