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Nurses' perceptions of why medication administration errors occur

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

  • 1Department of Veteran's Affairs Medical Center, Iowa City, IA, USA.

Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
|April 17, 1998
PubMed
Summary
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Nurses identified five key factors contributing to medication errors in hospitals. Understanding these physician, systems, pharmacy, individual, and knowledge-related issues is crucial for prevention.

Area of Science:

  • Nursing Practice
  • Patient Safety
  • Healthcare Management

Background:

  • Medication administration is a critical nursing function in hospitals.
  • Medication errors pose a significant risk to patient safety.
  • Identifying root causes of errors is essential for effective intervention.

Purpose of the Study:

  • To identify and categorize the reasons behind medication errors from nurses' perspectives.
  • To provide insights into the multifaceted nature of medication errors in hospital settings.

Main Methods:

  • A survey was conducted among 1,384 hospital nurses.
  • Data were collected on perceived reasons for medication errors.
  • Reasons were categorized into five distinct groups.

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Main Results:

  • Five primary categories of medication error causes were identified: physician-related, systems-related, pharmacy-related, individual nurse-related, and knowledge-related factors.
  • These factors highlight a complex interplay of influences on medication administration safety.

Conclusions:

  • Nurses' perspectives are vital for understanding medication error causation.
  • Addressing these identified factors is key to developing targeted strategies for medication error prevention in hospitals.