Ilesanmi R E, Okojie E O, Ojerinde A C
Afr J Med Med Sci. 2016 Jun;45(2):197-206.
Reporting medication administration error (MAEs) is a significant strategy to ensure patient safety. Literature had it that most of what is reported as errors of administration is just a tip of the iceberg, suggesting that a lot more go unreported. The methods of reporting medication administration errors in Nigeria have not been well explored. This study examined the methods of reporting MAEs by nurses in selected wards. in the University College Hospital, Ibadan. Nigeria. Methods- A cross sectional survey of 286 nurses, who were conveniently selected from Medical, Surgical and Accident and Emergency departments of the University College Hospital, Ibadan Nurses who gave consent to participate completed a 42-item structured questionnaire on the methods and reasons for non-reporting MAEs.
Among the study cohort, 162(64.8%) admitted to have committed MAEs in the past, of which 137(84.4%) voluntarily reported. Common methods included reporting to inmmediate supervisor (88; 34%), and confiding in a colleague 62 (24.8%). Only 39 (15.6%) documented and completed report forms. In addition, 183 (73.2%) believed that anonymous reporting enhances the rate of reporting errors. The major reason for non-reporting was the fear of being punished and labelled as incompetent practitioner (Mean 3.82, ± 1.09).
Findings suggest that not all MAEs committed by the study cohort were reported, and the methods used differ with individuals and units of practice. There is therefore a need to create more awareness that disclosure of MAEs will help to identify the specific causes of errors, thereby fostering safe practice.
报告用药错误是确保患者安全的一项重要策略。据文献记载，大多数被报告的用药错误只是冰山一角，这表明还有更多错误未被报告。尼日利亚报告用药错误的方法尚未得到充分探索。本研究调查了尼日利亚伊巴丹大学学院医院部分病房护士报告用药错误的方法。方法：对从伊巴丹大学学院医院内科、外科及急诊部门方便选取的286名护士进行横断面调查。同意参与的护士完成了一份关于不报告用药错误的方法及原因的42项结构化问卷。
在研究队列中，162名（64.8%）承认过去曾犯用药错误，其中137名（84.4%）自愿报告。常见方法包括向直属上级报告（88名；34%），以及向同事倾诉（62名；24.8%）。只有39名（15.6%）记录并填写了报告表。此外，183名（73.2%）认为匿名报告可提高错误报告率。不报告的主要原因是担心受到惩罚并被贴上不称职从业者的标签（平均3.82，±1.09）。
研究结果表明，研究队列中并非所有用药错误都被报告，且所采用的方法因个人和实践单位而异。因此，有必要提高更多认识，即披露用药错误将有助于识别错误的具体原因，从而促进安全实践。
