Department of Occupational Health and Safety Engineering, Abadan University of Medical Sciences, Abadan, Iran.
Department of Ergonomics, Occupational Health & Safety Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
PLoS One. 2022 Feb 25;17(2):e0264303. doi: 10.1371/journal.pone.0264303. eCollection 2022.
Medication errors can endanger the health and safety of patients and need to be managed appropriately. This study aimed at developing a new and comprehensive method for estimating the probability of medication errors in hospitals. An extensive literature review was conducted to identify factors affecting medication errors. Success Likelihood Index Methodology was employed for calculating the probability of medication errors. For weighting and rating of factors, the Fuzzy multiple attributive group decision making methodology and Fuzzy analytical hierarchical process were used, respectively. A case study in an emergency department was conducted using the framework. A total number of 17 factors affecting medication error were identified. Workload, patient safety climate, and fatigue were the most important ones. The case study showed that subtasks requiring nurses to read the handwritten of other nurses and physicians are more prone to human error. As there is no specific method for assessing the risk of medication errors, the framework developed in this study can be very useful in this regard. The developed technique was very easy to administer.
用药错误可能危及患者的健康和安全,需要进行妥善处理。本研究旨在开发一种新的、全面的方法来估计医院用药错误的概率。通过广泛的文献回顾,确定了影响用药错误的因素。采用成功可能性指数法来计算用药错误的概率。对于因素的权重和评分,分别使用模糊多属性群体决策方法和模糊层次分析过程。使用该框架对急诊科进行了案例研究。确定了 17 个影响用药错误的因素。工作量、患者安全氛围和疲劳是最重要的因素。案例研究表明,需要护士阅读其他护士和医生手写医嘱的子任务更容易出现人为错误。由于没有专门用于评估用药错误风险的方法,因此本研究中开发的框架在这方面非常有用。所开发的技术非常易于管理。