Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, New Campus, Building: 19, Office: 1340, P.O. Box 7, Nablus, Palestine.
An-Najah BioSciences Unit, Centre for Poisons Control, Chemical and Biological Analyses, An-Najah National University, Nablus, Palestine.
BMC Health Serv Res. 2019 Sep 6;19(1):644. doi: 10.1186/s12913-019-4485-3.
Medication transcription errors (MTEs) are frequent in hospitalized patient settings. Definitions and scenarios that represent potential MTEs in the Palestinian nursing practice were not previously approached using formal consensus techniques. This investigation was conducted to develop a consensual definition of MTEs and scenarios that represent different MTE situations by a panel of nurses and other healthcare professionals.
In this observational study, consensus was sought using the Delphi technique. Panelists (n = 64) were invited and recruited from different hospitals in Palestine and a two-iterative rounds Delphi technique was used to achieve consensus on a proposed definition of MTEs and 76 different scenarios representing potential MTEs.
Consensus was achieve to accept the definition and to consider 69 of the 76 proposed scenarios (77.6%) as MTEs, exclude 3 scenarios (3.9%), and 4 scenarios (5.3%) remained equivocal. Equivocal scenarios might be considered as MTEs or not depending on the clinical situation.
Consensus was achieved on a definition of MTEs and scenarios representing MTEs by a panel of nurses and other healthcare professionals. This study showed that it was possible to develop and achieve consensus on a definition and scenarios representing MTE situations using formal consensus techniques. Such consensual definitions could be useful in future epidemiological studies investigating MTEs. Using consensual definitions might reduce methodological variations, promote congruence in error counting and reporting, and permit comparing error rates in different hospital settings.
在住院患者环境中，药物转录错误（MTE）很常见。以前没有使用正式的共识技术来探讨代表巴勒斯坦护理实践中潜在 MTE 的定义和情况。本研究旨在通过一组护士和其他医疗保健专业人员制定 MTE 和代表不同 MTE 情况的共识定义和场景。
在这项观察性研究中，使用 Delphi 技术寻求共识。邀请并招募了来自巴勒斯坦不同医院的 64 名小组成员，并使用两轮迭代 Delphi 技术就 MTE 的拟议定义和代表潜在 MTE 的 76 种不同情况达成共识。
达成共识接受定义，并认为 76 种拟议情况中的 69 种（77.6%）为 MTE，排除 3 种情况（3.9%），4 种情况（5.3%）仍存在模棱两可。根据临床情况，模棱两可的情况可能被视为 MTE 或非 MTE。
一组护士和其他医疗保健专业人员就 MTE 的定义和代表 MTE 的场景达成共识。这项研究表明，使用正式的共识技术可以制定和达成 MTE 定义和代表 MTE 的共识。这种共识定义在未来调查 MTE 的流行病学研究中可能很有用。使用共识定义可能会减少方法学差异，促进错误计数和报告的一致性，并允许比较不同医院环境中的错误率。
