Gilavand Abdolreza, Jafarian Negar, Zarea Kourosh
Department of Medical Education, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Community Medicine, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Front Med (Lausanne). 2023 Sep 21;10:1200686. doi: 10.3389/fmed.2023.1200686. eCollection 2023.
Medication errors in nursing negatively affect the quality of the provided health-treatment services and society's mentality about the health system, threatening the patient's life. Therefore, this study evaluates medication errors in nursing during the COVID-19 pandemic and their relationship with shift work at teaching hospitals.
All the nurses working at teaching hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences (southwest of Iran) comprised the statistical population of this research (260 participants). Data were collected using three questionnaires: a demographic characteristics questionnaire, a medication error questionnaire, and the standard Circadian Type Inventory (CTI) for a normal physiological cycle.
At least one medication error was observed in 83.1% of nurses during their work span. A medication error was found in 36.2% of nurses during the COVID-19 pandemic (over the past year). Most medication errors (65.8%) occurred during the night shift. A significant relationship was detected between medication errors and shift work. Medicating one patient's drug to another (28.84%) and giving the wrong dose of drugs (27.69) were the most common types of medication errors. The utmost medication error was reported in emergency wards. The fear of reporting (with an average of 33.06) was the most important reason for not reporting medication errors ( < 0.01).
Most nurses experienced a history of medication errors, which were increased by shift work and the COVID-19 pandemic. Necessary plans are recommended to reduce the fatigue and anxiety of nurses and prevent their burnout, particularly in critical situations. Efforts to identify risky areas, setting up reporting systems and error reduction strategies can help to develop preventive medicine. On the other hand, since the quality of people's lives is considered the standard of countries' superiority, by clarifying medical errors, a higher level of health, satisfaction and safety of patients will be provided.
护理过程中的用药错误会对所提供的医疗服务质量以及社会对医疗系统的看法产生负面影响，危及患者生命。因此，本研究评估了新冠疫情期间护理工作中的用药错误及其与教学医院轮班工作的关系。
所有在阿瓦士贾undishapur医科大学（伊朗西南部）附属教学医院工作的护士构成了本研究的统计总体（260名参与者）。数据通过三份问卷收集：一份人口统计学特征问卷、一份用药错误问卷以及用于正常生理周期的标准昼夜类型量表（CTI）。
83.1%的护士在其工作期间至少出现过一次用药错误。在新冠疫情期间（过去一年），36.2%的护士出现过用药错误。大多数用药错误（65.8%）发生在夜班期间。用药错误与轮班工作之间存在显著关联。将一名患者的药物误给另一名患者（28.84%）和给药剂量错误（27.69%）是最常见的用药错误类型。急诊病房报告的用药错误最多。害怕报告（平均得分33.06）是不报告用药错误的最重要原因（<0.01）。
大多数护士都有用药错误史，轮班工作和新冠疫情加剧了这种情况。建议制定必要计划以减轻护士的疲劳和焦虑，防止他们倦怠，尤其是在危急情况下。识别风险区域、建立报告系统和减少错误策略的努力有助于发展预防医学。另一方面，由于人们的生活质量被视为国家优越性的标准，通过澄清医疗错误，将为患者提供更高水平的健康、满意度和安全性。
