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Medication Administration Error Reporting Among Nurses: A Descriptive Qualitative Study.
Dzidefo Tuvor1, Augustine Kumah2, Rebecca Abiti1
1Nurses Training College, Ho, Ghana.
Nurses in Ghana know about medication administration errors (MAEs) but often don't report them due to workload and fear of consequences. Training and a supportive policy are recommended to improve reporting.
Area of Science:
- Nursing
- Patient Safety
- Healthcare Quality
Background:
- Nurses play a crucial role in medication administration, a process prone to errors.
- Medication Administration Errors (MAEs) pose a significant risk to patient safety.
- Understanding barriers to reporting MAEs is vital for improving healthcare quality.
Purpose of the Study:
- To explore barriers and facilitators to medication administration error reporting among nurses in Ghana.
- To identify factors influencing nurses' willingness to report MAEs.
- To inform strategies for enhancing MAE reporting systems.
Main Methods:
- A descriptive qualitative cross-sectional study was conducted.
- Face-to-face in-depth interviews were performed with 20 nurses in a Ghanaian district hospital.
- Thematic analysis was used to analyze interview data.
Main Results:
- Nurses are aware of MAEs, but reporting is inconsistent.
- Common causes of MAEs include workload, stress, staff shortages, and inadequate knowledge.
- Barriers to reporting include fear of negative consequences from management, such as lawsuits or job loss.
Conclusions:
- Regular training is essential to update nurses on MAE reporting and new medications.
- Developing a non-punitive, supportive policy for MAE reporting is crucial.
- Addressing workload and management concerns can facilitate better reporting practices.
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