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Nurses' perceptions of harmful outcomes from medication errors

Z R Wolf, D A Haakenson, R A Jablonski

    Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
    |December 1, 1995
    PubMed
    Summary
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    Factors like symptoms, tests, and medication toxicity significantly impact nurses

    Area of Science:

    • Nursing
    • Patient Safety
    • Healthcare Quality

    Background:

    • Medication errors pose a significant risk in healthcare settings.
    • Understanding factors influencing perceived harm from errors is crucial for improving patient safety.

    Purpose of the Study:

    • To identify factors associated with medication errors that explain the perceived harmful outcomes.
    • To explore the implications for medical-surgical nurses.

    Main Methods:

    • A convenience sample of 206 hospital-employed registered nurses (RNs) and licensed practical nurses (LPNs) participated.
    • Participants completed the Medication Error Risk Profile (MERP) to report perceptions of vividly recollected medication errors.

    Main Results:

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  • Symptoms related to the error, radiology studies performed, medication toxicity, unrecognized adverse drug reactions, and patient transfer explained 38% of the variance in perceived harmful outcome.

    • Conclusions:

    • Specific factors directly correlate with nurses' perceptions of harm from medication errors.
    • Findings highlight areas for targeted interventions to mitigate perceived harm and improve patient safety.