Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, Amman, Jordan.
School of nursing, The University of Jordan, Amman, Jordan.
Int J Clin Pract. 2021 Oct;75(10):e14541. doi: 10.1111/ijcp.14541. Epub 2021 Jun 24.
Evaluation of nurses' perceptions towards medication administration errors (MAEs) reporting is a key aspect for improving patient safety, and prevention of errors repetition. Thus, this study has evaluated nurses' behaviour towards MAEs reporting practice, and factors contributing to their under-reporting of errors. This is a cross-sectional survey-based study that was conducted during February 2021. During the study period, a convenience sample of nurses working at Jordan university hospital was invited to voluntarily participate in the study and to fill an online questionnaire uploaded on an electronic data collection platform. The questionnaire assessed nurses MAEs reporting practice, their perception towards factors contributing to MAEs, factors associated with under-reporting of MAEs, and their perception towards MAEs preventive measures. A total of 150 nurses responded to the electronic questionnaire, with 54.0% of them (n = 81) were males and the majority had a bachelor's degree in nursing (n = 138, 92.0%). Regarding MAE reporting's practice, 78% of them (n = 117) indicated that they are always/often report MAEs even if it is not possible to improve the patient's health status. With regard to factors contributing to MAEs, results showed that "insufficient staffing" was the most common reason contributing to MAEs occurrence reported by nurses (n = 114, 94.0%). Personal fear from nursing administration was the primary cause of MAEs under-reporting (n = 98, 65.3%), while 94.0% of nurses (n = 141) agreed/strongly agreed that following the six rights is a way to prevent MAEs occurrence. This study indicates a positive reporting attitude towards MAEs. Nursing administration concerns were considered the main reason associated with the under-reporting of MAEs. This study shed the light on the deep need for continuous education programmes about the importance of the right MAEs reporting. As well, the need for effective and restricted rules in a non-punitive environment to prevent MAEs incidences.
评估护士对药物治疗错误（MAE）报告的认知是提高患者安全性和防止错误再次发生的关键方面。因此，本研究评估了护士对 MAE 报告实践的行为以及导致其错误漏报的因素。这是一项基于横断面调查的研究，于 2021 年 2 月进行。在研究期间，邀请在约旦大学医院工作的护士进行便利抽样，自愿参与研究并填写上传到电子数据收集平台的在线问卷。问卷评估了护士的 MAE 报告实践、他们对导致 MAE 的因素的看法、与 MAE 漏报相关的因素以及他们对 MAE 预防措施的看法。共有 150 名护士对电子问卷做出了回应，其中 54.0%（n=81）为男性，大多数人拥有护理学士学位（n=138，92.0%）。关于 MAE 报告的实践，78%（n=117）的护士表示，即使不能改善患者的健康状况，他们也会始终/经常报告 MAE。关于导致 MAE 的因素，结果表明，“人手不足”是护士报告的导致 MAE 发生的最常见原因（n=114，94.0%）。对护理管理的个人恐惧是 MAE 漏报的主要原因（n=98，65.3%），而 94.0%（n=141）的护士同意/强烈同意遵循“六权”是预防 MAE 发生的一种方法。本研究表明，护士对 MAE 报告持积极态度。护理管理方面的担忧被认为是与 MAE 漏报相关的主要原因。本研究强调了持续开展关于正确报告 MAE 重要性的教育计划的迫切需要。同样，需要在非惩罚性环境中制定有效且受限的规则，以预防 MAE 事件的发生。
