Center for Nursing Care Research, School of Nursing & Midwifery MS in Statistics, Tehran University of Medical Sciences, Tehran, Iran.
Int Nurs Rev. 2011 Mar;58(1):37-44. doi: 10.1111/j.1466-7657.2010.00872.x. Epub 2011 Jan 11.
Medication errors are considered to be a serious threat to patients' safety. Efforts to detect and prevent these errors have increased considerably in recent years.
To determine the incidence and reporting rate of medication errors as reported by Iranian nurses and their relationship with work conditions in hospitals under the authority of Iran University of Medical Sciences.
This descriptive-analytical study was carried out in six hospitals. Through a stratified multiple stage sampling, 300 nurses were selected. A researcher-constructed, three-part, self-report questionnaire was used to collect data regarding the nurses' medication errors, medication error reports and their perceived working conditions during the previous 3 months. The data were processed using descriptive statistics and Kruskal-Wallis one-way analysis of variance.
The mean of medication errors that nurses recalled was 19.5, and the mean of error reporting was 1.3 cases during the previous 3 months. The relationship between error incidence and work conditions as perceived by nurses was statistically significant (df = 3, P ≤ 0.0001); however, there was no significant relationship between reporting the occurred error and nurses' perceived work conditions (df = 3, P ≤ 0.255).
The establishment of an efficient reporting system, documentation of errors and removal of obstacles to reporting may result in reduced frequency of medication errors. Considering the relationship between medication error incidence and working conditions, it seems that creating a work condition in which nurses feel more comfortable and decreasing work tensions may pave the way to preventing nursing errors.
药物错误被认为是对患者安全的严重威胁。近年来，检测和预防这些错误的努力大大增加。
确定伊朗护士报告的药物错误的发生率和报告率，以及与伊朗医科大学下属医院工作条件的关系。
这是一项在六家医院进行的描述性分析研究。通过分层多阶段抽样，选择了 300 名护士。使用研究者构建的、三部分、自我报告的问卷，收集了护士在过去 3 个月内的药物错误、药物错误报告以及他们感知到的工作条件的数据。使用描述性统计和 Kruskal-Wallis 单向方差分析对数据进行处理。
护士回忆的药物错误的平均值为 19.5，过去 3 个月内报告的错误平均为 1.3 例。护士感知到的错误发生率与工作条件之间的关系具有统计学意义（df = 3，P ≤ 0.0001）；然而，报告发生的错误与护士感知到的工作条件之间没有显著关系（df = 3，P ≤ 0.255）。
建立有效的报告系统、记录错误和消除报告障碍可能会降低药物错误的频率。考虑到药物错误发生率与工作条件之间的关系，似乎创造一种护士感到更舒适、减少工作压力的工作条件可能会为预防护理错误铺平道路。
