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Nurses relate the contributing factors involved in medication errors.

Fu-In Tang1, Shuh-Jen Sheu, Shu Yu

  • 1School of Nursing, National Yang-Ming University, Taipei, Taiwan.

Journal of Clinical Nursing
|March 6, 2007
PubMed
Summary

Nurses identified personal neglect, heavy workload, and new staff as key factors in medication errors. However, systemic issues, patient conditions, and physician prescriptions also significantly contribute to medication administration errors.

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Area of Science:

  • Nursing Practice
  • Patient Safety
  • Medication Administration

Background:

  • Medication errors pose a significant risk to patient safety.
  • Understanding contributing factors is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To investigate nurses' perspectives on factors contributing to medication errors.
  • To identify key areas for improving medication administration processes.

Main Methods:

  • Focus group discussions with Registered Nurses (RNs).
  • Development and administration of a semi-structured questionnaire.
  • Analysis of reported medication errors and contributing factors from 72 RNs.

Main Results:

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  • Personal neglect (86.1%), heavy workload (37.5%), and new staff (37.5%) were primary perceived factors.
  • Top conditions included multitasking during administration and inadequate rechecking.
  • Medical wards and ICUs were most error-prone; wrong dose and wrong drug were common errors, particularly with antibiotics.

    • Conclusions:

    • While nurses perceive personal neglect as a major factor, systemic, patient, and physician-related factors are also critical.
    • Identifying these factors enables targeted interventions to enhance medication safety and reduce errors.