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Medication errors in homecare setting: An Italian validation study.

Sara Dionisi1, Noemi Giannetta1,2, Nicoletta Maselli3

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A new questionnaire effectively measures nurses' knowledge, attitudes, and behaviors regarding medication errors in home care. This tool is reliable for assessing prevention strategies in this setting.

Keywords:
home care settinginstrument developmentmedication errorsnursespatient safety

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Area of Science:

  • Nursing Practice
  • Patient Safety
  • Health Informatics

Background:

  • Medication errors pose a global concern, particularly in home care settings.
  • Existing research identifies causes of medication errors but lacks a tool to link knowledge, attitudes, and behaviors to these errors in home care.
  • A validated instrument is needed to assess nurses' understanding and practices related to medication administration in home care.

Purpose of the Study:

  • To psychometrically test a questionnaire designed to assess knowledge, attitudes, and behaviors related to medication administration in the home care setting.
  • To develop and validate a reliable tool for measuring these factors in the context of home care medication errors.
  • To provide a quantitative measure for evaluating interventions aimed at reducing medication errors in home care.

Main Methods:

  • An observational study was conducted, adhering to the STROBE checklist.
  • Sixty-two home care nurses completed an online survey.
  • The study involved face and content validity assessments, Exploratory Factorial Analysis, and descriptive statistical analysis for a 20-item questionnaire.

Main Results:

  • The statistical analyses validated the questionnaire, demonstrating good internal consistency and reliability.
  • The study confirmed the questionnaire's reliability for measuring knowledge, attitudes, and behaviors concerning medication error prevention in home care.
  • Nurses identified electronic health records, medication reconciliation, and pharmacist involvement as key strategies for reducing medication errors.

Conclusions:

  • The developed questionnaire is a reliable instrument for assessing nurses' knowledge, attitudes, and behaviors regarding medication error prevention in home care.
  • This validated tool can aid in identifying areas for improvement in medication administration practices within home care settings.
  • Findings support the integration of specific strategies like EHRs and pharmacist collaboration to enhance medication safety in home care.