College of Nursing, Seoul National University, Research Institute of Nursing Science, Seoul, Korea.
J Nurs Manag. 2011 Apr;19(3):346-53. doi: 10.1111/j.1365-2834.2011.01249.x.
The aim of this study was to identify Korean nurses' perceptions of medication errors.
Knowing nurses' perceptions of medication errors is important in developing prevention strategies for medication errors.
A cross-sectional descriptive survey was conducted. A convenient snowballed sample of 220 nurses from seven hospitals was obtained. Participants were asked to identify contributing factors of medication errors, reporting and strategies to prevent medication errors.
A total of 224 of 330 (67.9%) questionnaires were returned. Over half (63.6%) of the participants had been involved in medication errors once or more in the past month. For factors contributing to medication errors, 99 nurses (45.0%) answered 'advanced drug preparation and administration without rechecking'. Only 13.5% of participants informed patients and their families of medication errors and 28.3% of participants submitted an incident report. Medication errors occurred most often during the day-shift.
Developing strategies to reduce nurses' fear of punishment and supporting nurses' attitudes in a constructive manner are needed.
Effective strategies for nursing are needed, particularly during the day-shift, and during routine medication administration. In addition, non-punitive reporting systems of medication error should be established and patients should be included in reporting.
本研究旨在确定韩国护士对用药错误的认知。
了解护士对用药错误的认知对于制定用药错误预防策略至关重要。
采用横断面描述性调查方法。从七家医院中采用方便抽样法抽取了 220 名护士作为研究对象。要求参与者识别用药错误的促成因素、报告和预防策略。
共收回 330 份问卷中的 224 份（67.9%）。超过一半（63.6%）的参与者在过去一个月内曾发生过一次或多次用药错误。对于导致用药错误的因素，99 名护士（45.0%）回答“在不重新检查的情况下进行药物的预先准备和给药”。只有 13.5%的参与者向患者及其家属报告了用药错误，28.3%的参与者提交了事件报告。用药错误最常发生在白班。
需要制定策略来减少护士对惩罚的恐惧，并以建设性的方式支持护士的态度。
需要采取有效的护理策略，特别是在白班和常规给药期间。此外，应建立非惩罚性用药错误报告系统，并让患者参与报告。
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