Assess the Opinions of Nurses in Hospitals in the Al-Diwaniah Governorate on the Most Common Drug Errors and the Factors that Lead to Them

  • Haidar Jabbar Kareem Department of Community Health Techniques, College of Health & Medical Technology, Southern Technical University, Basrah, Iraq
  • Wasen Abdul‑Ameer Ali Fareed Department of Medical Laboratory Technologies, College of Health & Medical Technology, Southern Technical University, Basrah, Iraq
  • Dhyaa Shinyar Hamed Department of Community Health Techniques, College of Health & Medical Technology, Southern Technical University, Basrah, Iraq
Keywords: Opinions, Medication Errors, Nurses

Abstract

This study aims to investigate nurses' perspectives on medication errors and the factors that lead to them. A total of 355 nurses from three general hospitals and a private facility in Aldiwaniah City participated in this descriptive cross-sectional research. We created a five-part self-administered questionnaire based on previously published research and gave it to the nurses throughout their shifts. We contacted 355 nurses, and 352 of them completed the questionnaire. The data analysis employed descriptive statistics. According to the study's results, giving medication at the wrong time was the most common type of medication mistake, scoring 2.5±1.02. Errors with a lower severity were less common. 64% of nurses did not report prescription mistakes, but 44.6 percent did so orally, and 56.8% did so in the form of an event report. The most frequent obstacle to reporting was a misunderstanding of what defines a drug error, indicating a substantial discrepancy between their perception and knowledge. Common medication errors (MEs) that nurses describe include administering medication to the incorrect patient at the wrong time, delivering IV medication at the incorrect speed, and forgetting to add a dosage. Both environmental factors (frequent visits) and personal factors (stress and fatigue) contribute to these errors. There is a statistically significant correlation between the incorrect time and characteristics such as ward, hospital type, age, gender, and educational attainment. There is a strong correlation between systemic problems and incorrect time errors.

References

Al Khreem, S. M., & Al-khadher, M. (2021). Perceptions of nurses about medication errors: a cross-sectional study. Journal of Scientific Research in Medical and Biological Sciences, 2(1), 30-41. https://doi.org/10.47631/jsrmbs.v2i1.178

AL Qrishah, M. H. (2017). The Factors Associated With the Occurrence of Medication Errors in the Ministry of Health Hospitals in Saudi Arabia: A Cross-Sectional Study of Nurses (Doctoral dissertation).

Al Sahli, A. M. H., Ahmed, M. I. O., Alshammer, A. I. M., Hakami, M. N. S., Hazazi, I. A., Alqasem, M. S. D., ... & Haloosh, T. A. (2021). A Systematized Review of Nurses’ Perceptions of Medication Errors Contributing Factors in Developing Countries. European Journal of Medical and Health Sciences, 3(1), 186-193. https://doi.org/10.24018/ejmed.2021.3.1.639

Albarrak, A. I., Al Rashidi, E. A., Fatani, R. K., Al Ageel, S. I., & Mohammed, R. (2014). Assessment of legibility and completeness of handwritten and electronic prescriptions. Saudi Pharmaceutical Journal, 22(6), 522-527. https://doi.org/10.1016/j.jsps.2014.02.013

Alotaibi, S., Almimone, M., Alatawi, S., & Shahin, M. A. H. (2022). MEDICATION ERRORS BY NURSES AT MEDICAL-SURGICAL DEPARTMENTS OF A SAUDI HOSPITAL. Journal of Pharmaceutical Negative Results, 3143-3154.

Al-Sarawan, R. A. L. (2014). Medication errors: Nurse's Perceptions of main types and leading factors, and reporting attitudes in North West Bank Governmental Hospitals (Doctoral dissertation).

Alyahya, M. S., Hijazi, H. H., Alolayyan, M. N., Ajayneh, F. J., Khader, Y. S., & Al-Sheyab, N. A. (2021). The association between cognitive medical errors and their contributing organizational and individual factors. Risk Management and Healthcare Policy, 415-430.

Baghaei, R., Ghaderi, C., Naderi, J., & Rahim, F. (2015). The rate and type of medication errors made by nurses: A study from Northwestern Iran. Singapore Nurs J, 42, 12-6.

Beaudart, C., Witjes, M., Rood, P., & Hiligsmann, M. (2023). Medication administration errors in the domain of infusion therapy in intensive care units: a survey study among nurses. Archives of Public Health, 81(1), 23. https://doi.org/10.1186/s13690-023-01041-2

Carayon, P., Wetterneck, T. B., Cartmill, R., Blosky, M. A., Brown, R., Hoonakker, P., ... & Walker, J. M. (2021). Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations. Journal of patient safety, 17(5), e429-e439. https://doi.org/10.1097/PTS.0000000000000358

Cruz, M. (2023). Best Practices in Healthcare Leadership: Follow-Up Procedures in the Wake of Medical Errors and the Importance of Reporting and Medical Staff Response (Doctoral dissertation, CALIFORNIA STATE UNIVERSITY, NORTHRIDGE).

Fathi, A. (2017). Medication errors among nurses in teaching hospitals in the west of Iran: what we need to know about prevalence, types, and barriers to reporti. Epidemiology and Health, 39, 1-7.

Jassima, U. T., & Ebrahimb, S. M. (2020). Understanding medication errors as leading factors amongst nursing staff working at Basra City hospitals, Iraq. International Journal of Innovation, Creativity and Change, 13(6), 606-614.

Mohammed, T., Mahmud, S., Gintamo, B., Mekuria, Z. N., & Gizaw, Z. (2022). Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study. BMJ open, 12(12), e066531.

Potylycki, M. J., Kimmel, S. R., Ritter, M., Capuano, T., Gross, L., Riegel-Gross, K., & Panik, A. (2006). Nonpunitive Medication Error Reporting: 3-Year Findings From One Hospital's: Primum Non Nocere: Initiative. JONA: The Journal of Nursing Administration, 36(7), 370-376.

Saker, N. S., Shlash, A. M. J., & Abdulrazaq, A. S. A. (2021). Nurses’ Perception about Medication Errors Types, Causes and Barriers to Report it. Indian Journal of Forensic Medicine & Toxicology, 15(2), 4523-4531.

Tsegaye, D., Alem, G., Tessema, Z., & Alebachew, W. (2020). Medication administration errors and associated factors among nurses. International journal of general medicine, 1621-1632.

Published
2024-06-27
How to Cite
Kareem, H. J., Fareed, W. A. A., & Hamed, D. S. (2024). Assess the Opinions of Nurses in Hospitals in the Al-Diwaniah Governorate on the Most Common Drug Errors and the Factors that Lead to Them. Journal La Lifesci, 5(3), 206-214. https://doi.org/10.37899/journallalifesci.v5i3.1246