Sabzi Zahra, Mohammadi Reza, Talebi Razieh, Roshandel Gholam Reza
Nursing Research Center, Golestan University of Medical Sciences Gorgan, Iran.
Sayyad Medical and Educational Center, Golestan University of Medical Sciences, Gorgan, Iran.
Open Access Maced J Med Sci. 2019 Oct 10;7(21):3579-3583. doi: 10.3889/oamjms.2019.722. eCollection 2019 Nov 15.
Medication errors are currently known as the most common medical errors. Research shows that work environment and organisation management, in addition to the role of nurses, contribute to the occurrence of an error.
Therefore, the present study was conducted to determine the rate of nurses' medication errors and its relation to the care complexity and work dynamics in the Taleghani Pediatric Hospital of Gorgan in 2017.
This was a descriptive-correlational and cross-sectional study. Sampling was done through census method (N = 100). The data collection tools consisted of four questionnaires of demographic information, Salyer work dynamics, Medication Administration Errors, and Velasquez Nursing Care Complexity. Data were analysed in SPSS V.16 software using descriptive and inferential statistical methods including independent t-test and Pearson's correlation.
Medication calculation errors, wrong dose and wrong medication were the most common non-injectable medication errors, respectively. Drug incompatibility, wrong infusion rate and medication calculation errors were the most common injectable medication errors, respectively. There was a positive correlation between medication calculation errors (P = 0.02, r = 0.23), wrong solvent (P = 0.04, r = 0.21), and drug incompatibility (P = 0.01, r = 0.25) with amount of work dynamics. Also, there was a positive correlation between medication calculation errors (P = 0.03, r = 0.22) and wrong medication (P = 0.00, r = 0.31) with the nursing care complexity.
Regarding the irrefutable impact of working conditions on the occurrence of errors, it appears that the study and complete recognition of nurses' working conditions and their adjustment would lead to a reduction in medication errors.
用药错误目前被认为是最常见的医疗差错。研究表明，除护士的作用外，工作环境和组织管理也会导致差错的发生。
因此，本研究旨在确定2017年戈尔甘塔莱加尼儿童医院护士用药错误的发生率及其与护理复杂性和工作动态的关系。
这是一项描述性相关性横断面研究。采用普查法进行抽样（N = 100）。数据收集工具包括四份问卷，分别是人口统计学信息问卷、萨利耶工作动态问卷、用药错误问卷和贝拉斯克斯护理复杂性问卷。使用SPSS V.16软件对数据进行分析，采用描述性和推断性统计方法，包括独立t检验和皮尔逊相关性分析。
用药计算错误、剂量错误和用药错误分别是最常见的非注射用药错误。药物配伍禁忌、输液速度错误和用药计算错误分别是最常见的注射用药错误。用药计算错误（P = 0.02，r = 0.23）、溶剂错误（P = 0.04，r = 0.21）和药物配伍禁忌（P = 0.01，r = 0.25）与工作动态量之间存在正相关。此外，用药计算错误（P = 0.03，r = 0.22）和用药错误（P = 0.00，r = 0.31）与护理复杂性之间存在正相关。
鉴于工作条件对差错发生有着不可否认的影响，似乎对护士工作条件进行研究和全面认识并加以调整，将有助于减少用药错误。
