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Factors contributing to medication errors in Turkey: nurses' perspectives
Ülkü Y Güneş1, Öznur Gürlek, Münevver Sönmez
1Department of Fundamentals of Nursing, Ege University Faculty of Nursing, Bornova-Izmir, Turkey.
Aim:
The aim of this study was to describe the experiences of nurses with regard to medication errors.
Background:
Medication errors result in a significant proportion of the deaths related to avoidable medical errors in hospitals.
Design:
A descriptive cross-sectional study.
Method:
This study was conducted on 243 nurses working in two state hospitals in Turkey. Data collection was by means of a questionnaire developed by the researchers. Medication errors were explored in three areas: types of error, contributing factors and reporting of errors.
Result:
Among the most frequent types of errors were administration of drugs not ordered by the doctor, administration of a drug prepared by someone else and administration of a drug to the wrong patient. Contributing factors for medication errors included 'having to write an order in place of the physician', and 'an oral request being given in a non-urgent situation'.
Conclusion:
These results show the need for a multi-disciplinary approach in the prevention of errors.
Implications For Nursing Management:
Hospital administrations should maintain adequate staffing levels. Improving medication error reporting is also imperative in order to enable nurses to document all errors and potential errors as adverse events.
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