Hajibabaee F, Joolaee S, Peyravi H, Alijany-Renany H, Bahrani N, Haghani H
School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
J Nurs Manag. 2014 Apr;22(3):304-10. doi: 10.1111/jonm.12226. Epub 2014 Mar 10.
The purpose of this study was to evaluate nurses' reporting of medication errors.
Improvement in medication error reporting is one of the major challenges in today's health care environments.
This was a descriptive survey of nurses working in medical, surgery, orthopaedic, gynaecology and obstetric wards in hospitals affiliated to Iran University of Medical Sciences, using stratified multistage sampling. Data were collected between November 2008 and May 2009 using a researcher-designed questionnaire. Data were described and explored using Kruskal-Wallis, one-way analysis of variance and Mann-Whitney's test.
The response rate was 93% (n = 286).The mean number of medication errors 'reported' per nurse during 3 months was 1.33 [standard deviation (SD) = 4.18, median = 0, interquartile range (IQR) = 0-0, range = 70-0]. The mean number of errors made was 19.5 (SD = 30.27, median = 10, IQR = 1-25, range = 181-0). None of the individual and organisational characteristics reported were significantly related to reporting of medication errors. Failure to record vital signs (e.g. pulse, blood pressure etc.) before and after administering certain medicines was the most frequently reported medication error.
More errors were made than were reported and this requires further investigation.
The reporting of medication errors is a problem in health care systems worldwide, including Iran. Considering the significant difference between the nurses' actual and reported medication errors, managers should monitor medication errors. Educational initiatives are needed to improve understanding of the importance of medication administration.
本研究旨在评估护士对用药错误的报告情况。
改善用药错误报告是当今医疗环境中的主要挑战之一。
这是一项描述性调查，采用分层多阶段抽样法，对伊朗医科大学附属医院内科、外科、骨科、妇科和产科病房的护士进行调查。2008年11月至2009年5月期间，使用研究人员设计的问卷收集数据。使用克鲁斯卡尔-沃利斯检验、单因素方差分析和曼-惠特尼检验对数据进行描述和探究。
回复率为93%（n = 286）。每位护士在3个月内“报告”的用药错误平均数为1.33[标准差（SD）= 4.18，中位数 = 0，四分位间距（IQR）= 0 - 0，范围 = 70 - 0]。实际发生的错误平均数为19.5（SD = 30.27，中位数 = 10，IQR = 1 - 25，范围 = 181 - 0）。所报告的个人和组织特征均与用药错误报告无显著关联。给药前后未记录某些药物的生命体征（如脉搏、血压等）是最常报告的用药错误。
发生的错误比报告的多，这需要进一步调查。
用药错误报告是包括伊朗在内的全球医疗系统中的一个问题。考虑到护士实际发生的用药错误与报告的用药错误之间存在显著差异，管理人员应监控用药错误。需要开展教育活动，以提高对给药重要性的认识。
