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Perceived barriers in reporting medication administration errors

D S Wakefield1, B J Wakefield, T Uden-Holman

  • 1Health Sciences Center, University of Iowa Health Sciences Center, Iowa City, USA.

Best Practices and Benchmarking in Healthcare : a Practical Journal for Clinical and Management Application
|July 1, 1996
PubMed
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Nurses report medication administration errors less frequently due to fear, disagreement, administrative responses, and reporting effort. Addressing these factors can improve patient safety and reporting accuracy.

Area of Science:

  • Nursing Practice
  • Patient Safety
  • Healthcare Management

Background:

  • Medication administration errors (MAEs) pose risks to patients, hospitals, and nurses.
  • Current MAE reporting systems rely on nurses to report errors, but disincentives may hinder accurate reporting.

Purpose of the Study:

  • To assess nurses' perceptions of reasons why MAEs may not be reported.
  • To identify factors influencing MAE reporting behavior among healthcare professionals.

Main Methods:

  • A large-scale survey was conducted with nurses across 24 acute-care hospitals.
  • Nurses' perceptions regarding barriers to MAE reporting were collected and analyzed.

Main Results:

  • Factor analysis identified four key reasons for underreporting MAEs: fear, disagreement on error occurrence, administrative responses, and reporting effort.

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  • These factors significantly influence staff nurses' decisions to report medication errors.

    • Conclusions:

    • Systemic and managerial changes are needed to enhance MAE reporting practices.
    • Organizational, professional, and work group cultures must be considered to improve reporting accuracy and patient safety.