Medication administration errors: Causes and reporting behaviours from nurses perspectives

Area of Science:

• Nursing
• Patient Safety
• Healthcare Quality Improvement

Background:

• Medication administration errors (MAEs) pose a significant risk to patient safety.
• Effective reporting of MAEs is essential for error prevention and system improvement.
• Understanding nurses' perceptions of MAE reporting is crucial for identifying barriers and facilitators.

Purpose of the Study:

• To evaluate nurses' behavior and perceptions regarding MAE reporting practices.
• To identify factors contributing to the under-reporting of MAEs.
• To explore nurses' perceptions of MAE prevention strategies.

Main Methods:

• A cross-sectional survey was conducted in February 2021 at Jordan University Hospital.
• A convenience sample of 150 nurses completed an online questionnaire.
• The questionnaire assessed MAE reporting practices, contributing factors, under-reporting reasons, and prevention measures.

Main Results:

• 78% of nurses reported MAEs frequently, even if patient outcomes were unaffected.
• "Insufficient staffing" was the most cited cause of MAEs (94%).
• Fear of nursing administration (65.3%) was the primary reason for under-reporting; 94% agreed "six rights" prevent MAEs.

Conclusions:

• Nurses exhibit a generally positive attitude towards reporting MAEs.
• Concerns regarding nursing administration are the main barrier to MAE reporting.
• Continuous education on MAE reporting and a non-punitive environment are recommended to enhance reporting and prevent future errors.