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Prevalence of intravenous medication administration errors: a cross-sectional study
Tezeta Fekadu1, Mebrahtu Teweldemedhin2, Eyerusalem Esrael1
1School of Pharmacy, Department of Clinical Pharmacy, College of Health Sciences, Mekelle University, Mekelle.
Background:
Intravenous medication administration errors (MAEs) may be accompanied by avoidable undesirable effects, which might result in clinical complications.
Objective:
The aim of the study was to determine the prevalence of MAEs and to identify the factors associated with such errors.
Methods:
A hospital-based cross-sectional study was conducted from March to April 2015. Data were collected by direct observation using a pretested data collection tool. Simple random sampling was used, and bivariate logistic regression model was used to identify the factors associated with MAEs. P value <0.05 was considered statistically significant.
Results:
A total of 134 patients were found to be eligible for the study. More than half of the study participants were males (76 [56.7%]). The rate of MAE was 46.1%, with the missed dose (n=162, 95.8%) being reported as the most common error. The age groups of 60-79 years (adjusted odds ratio = 2.166, confidence interval = 1.532-8.799) and 80-101 years (adjusted odds ratio = 1.52, confidence interval = 1.198-5.584) were the determinants of MAEs.
Conclusion:
A high prevalence of MAEs was found. Enhancing the knowledge and practical skills of clinical nurses might minimize such errors.
Insights
Medication administration errors (MAEs) in intravenous drug delivery are common, affecting 46.1% of patients. Older adults aged 60 and above are more susceptible to these errors, with missed doses being the most frequent issue.
Area of Science:
- Healthcare quality and patient safety
- Clinical nursing practices
- Pharmacovigilance
Background:
- Intravenous medication administration errors (MAEs) can lead to preventable adverse events and clinical complications.
- Understanding the scope and causes of MAEs is crucial for improving patient outcomes.
- Previous research indicates a significant impact of MAEs on healthcare quality.
Purpose of the Study:
- To determine the prevalence of medication administration errors (MAEs) in intravenous therapy.
- To identify specific factors associated with the occurrence of MAEs.
- To provide data for targeted interventions to reduce medication errors.
Main Methods:
- A hospital-based cross-sectional study was conducted between March and April 2015.
- Direct observation using a pretested tool was employed for data collection.
- Bivariate logistic regression analysis was used to identify risk factors for MAEs, with P < 0.05 considered significant.
Main Results:
- A total of 134 patients were included in the study.
- The overall prevalence of MAEs was 46.1%.
- Missed doses constituted the most frequent error (95.8%). Older age groups (60-79 and 80-101 years) were identified as significant determinants of MAEs.
Conclusions:
- The study revealed a high prevalence of medication administration errors in intravenous medication delivery.
- Interventions focused on enhancing nurses' knowledge and practical skills are recommended to minimize MAEs.
- Targeting older adult populations may be necessary for effective error reduction strategies.
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