{"title":"一家三级政府医院的护士对用药错误(MAEs)的看法","authors":"Rolsanna R. Ramos B.S. FT, B.S.N, RN, M.A.N, PhD","doi":"10.1016/j.apnr.2024.151822","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><p>To identify the nurses' perceptions on the occurrence of Medication Administration Errors (MAEs) and barriers to reporting using the MAE Reporting Survey.</p></div><div><h3>Background</h3><p>MAEs is a serious public health threat that causes patient injury, death, and results to expensive health care.</p></div><div><h3>Methods</h3><p>Descriptive statistical analysis.</p></div><div><h3>Results</h3><p>The most frequent reasons for MAEs according to the nurses were physicians' medication orders are not legible (4.67 ± 1.21) and unit staffing levels are inadequate (4.63 ± 1.45). The most frequent reason for unreported MAEs were when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error (4.95 ± 4.33) and nurses could be blamed if something happens to the patient as a result of the medication error (4.29 ± 1.48). The highest prevalent non-IV related MAEs included wrong time of administration (M = 3.02 ± 2.37) and medication administered after the order to discontinue has been written (M = 2.60 ± 2.11), both with 0–20 % of reported non-IV MAEs. The highest prevalent IV related MAEs included wrong time of administration (M = 2.76 ± 2.29) and medication administered after the order to discontinue has been written (M = 2.45 ± 2.01). More than half (n = 95, % = 54.29) of the respondents stated that 0–20 % of all types of medication errors, including IV and non-IV medication errors are reported.</p></div><div><h3>Conclusions</h3><p>The findings supported the notion that nurses perceive low percentages of MAEs reporting.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151822"},"PeriodicalIF":2.7000,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Perceptions on Medication Administration Errors (MAEs) among nurses at a tertiary government hospital\",\"authors\":\"Rolsanna R. Ramos B.S. FT, B.S.N, RN, M.A.N, PhD\",\"doi\":\"10.1016/j.apnr.2024.151822\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aim</h3><p>To identify the nurses' perceptions on the occurrence of Medication Administration Errors (MAEs) and barriers to reporting using the MAE Reporting Survey.</p></div><div><h3>Background</h3><p>MAEs is a serious public health threat that causes patient injury, death, and results to expensive health care.</p></div><div><h3>Methods</h3><p>Descriptive statistical analysis.</p></div><div><h3>Results</h3><p>The most frequent reasons for MAEs according to the nurses were physicians' medication orders are not legible (4.67 ± 1.21) and unit staffing levels are inadequate (4.63 ± 1.45). The most frequent reason for unreported MAEs were when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error (4.95 ± 4.33) and nurses could be blamed if something happens to the patient as a result of the medication error (4.29 ± 1.48). The highest prevalent non-IV related MAEs included wrong time of administration (M = 3.02 ± 2.37) and medication administered after the order to discontinue has been written (M = 2.60 ± 2.11), both with 0–20 % of reported non-IV MAEs. The highest prevalent IV related MAEs included wrong time of administration (M = 2.76 ± 2.29) and medication administered after the order to discontinue has been written (M = 2.45 ± 2.01). More than half (n = 95, % = 54.29) of the respondents stated that 0–20 % of all types of medication errors, including IV and non-IV medication errors are reported.</p></div><div><h3>Conclusions</h3><p>The findings supported the notion that nurses perceive low percentages of MAEs reporting.</p></div>\",\"PeriodicalId\":50740,\"journal\":{\"name\":\"Applied Nursing Research\",\"volume\":\"79 \",\"pages\":\"Article 151822\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-07-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Applied Nursing Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0897189724000600\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Nursing Research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0897189724000600","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Perceptions on Medication Administration Errors (MAEs) among nurses at a tertiary government hospital
Aim
To identify the nurses' perceptions on the occurrence of Medication Administration Errors (MAEs) and barriers to reporting using the MAE Reporting Survey.
Background
MAEs is a serious public health threat that causes patient injury, death, and results to expensive health care.
Methods
Descriptive statistical analysis.
Results
The most frequent reasons for MAEs according to the nurses were physicians' medication orders are not legible (4.67 ± 1.21) and unit staffing levels are inadequate (4.63 ± 1.45). The most frequent reason for unreported MAEs were when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error (4.95 ± 4.33) and nurses could be blamed if something happens to the patient as a result of the medication error (4.29 ± 1.48). The highest prevalent non-IV related MAEs included wrong time of administration (M = 3.02 ± 2.37) and medication administered after the order to discontinue has been written (M = 2.60 ± 2.11), both with 0–20 % of reported non-IV MAEs. The highest prevalent IV related MAEs included wrong time of administration (M = 2.76 ± 2.29) and medication administered after the order to discontinue has been written (M = 2.45 ± 2.01). More than half (n = 95, % = 54.29) of the respondents stated that 0–20 % of all types of medication errors, including IV and non-IV medication errors are reported.
Conclusions
The findings supported the notion that nurses perceive low percentages of MAEs reporting.
期刊介绍:
Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.