Mehmet Aydın Education and Research Hospital, Samsun, Turkey.
Health Science Faculty, Ondokuz Mayıs University, Samsun, Turkey.
J Clin Nurs. 2018 Mar;27(5-6):1160-1169. doi: 10.1111/jocn.14148. Epub 2018 Feb 21.
To determine individual and professional factors affecting the tendency of emergency unit nurses to make medical errors and their attitudes towards these errors in Turkey.
Compared with other units, the emergency unit is an environment where there is an increased tendency for making medical errors due to its intensive and rapid pace, noise and complex and dynamic structure.
A descriptive cross-sectional study.
The study was carried out from 25 July 2014-16 September 2015 with the participation of 284 nurses who volunteered to take part in the study. Data were gathered using the data collection survey for nurses, the Medical Error Tendency Scale and the Medical Error Attitude Scale.
It was determined that 40.1% of the nurses previously witnessed medical errors, 19.4% made a medical error in the last year, 17.6% of medical errors were caused by medication errors where the wrong medication was administered in the wrong dose, and none of the nurses filled out a case report form about the medical errors they made. Regarding the factors that caused medical errors in the emergency unit, 91.2% of the nurses stated excessive workload as a cause; 85.1% stated an insufficient number of nurses; and 75.4% stated fatigue, exhaustion and burnout.
The study showed that nurses who loved their job were satisfied with their unit and who always worked during day shifts had a lower medical error tendency.
It is suggested to consider the following actions: increase awareness about medical errors, organise training to reduce errors in medication administration, develop procedures and protocols specific to the emergency unit health care and create an environment which is not punitive wherein nurses can safely report medical errors.
在土耳其，确定影响急诊护士犯医疗错误倾向的个人和专业因素及其对这些错误的态度。
与其他科室相比，由于急诊环境节奏紧张、快速，噪音大，结构复杂且动态变化，因此更容易发生医疗错误。
描述性的横断面研究。
本研究于 2014 年 7 月 25 日至 2015 年 9 月 16 日进行，共有 284 名自愿参加研究的护士参与。使用护士数据采集调查、医疗错误倾向量表和医疗错误态度量表收集数据。
研究确定，40.1%的护士曾目睹过医疗错误，19.4%的护士在过去一年中犯过医疗错误，17.6%的医疗错误是由用药错误引起的，即错误剂量的错误药物；没有护士填写他们所犯医疗错误的病例报告表。关于急诊室发生医疗错误的因素，91.2%的护士表示工作量过大是一个原因；85.1%的护士表示护士人数不足；75.4%的护士表示疲劳、疲惫和倦怠。
研究表明，热爱工作、对科室满意且经常上白班的护士医疗错误倾向较低。
建议考虑以下措施：提高对医疗错误的认识，组织减少用药错误的培训，制定针对急诊科室的特定程序和协议，并创造一个非惩罚性的环境，让护士能够安全地报告医疗错误。
