Alotaibi Jazi Shaydied
Department of Nursing, College of Applied Medical Sciences, Majmaah University, Al-Majmaah 11952, Saudi Arabia.
Belitung Nurs J. 2024 Apr 28;10(2):215-221. doi: 10.33546/bnj.3249. eCollection 2024.
Medication administration errors significantly impact patient safety, potentially leading to severe harm or fatality. Reporting such errors through active systems improves medication administration, thereby enhancing patient safety and the quality of care. However, in the context of Saudi Arabia, little is understood about the causes of medication administration errors and the obstacles hindering their reporting.
This study aimed to explore nurses' perceptions of the causes of medication administration errors and the barriers to reporting them.
The study employed a qualitative descriptive design, conducting face-to-face semi-structured interviews with 43 nurses from three hospitals in Taif Governorate, Saudi Arabia, between October and November 2023. Purposive sampling was used to recruit participants, and thematic analysis was utilized for data analysis.
The following themes emerged regarding the causes of medication administration errors: order deficiencies, high workloads and staff shortages, and malpractice. Regarding the barriers to reporting errors, the emerging themes were fear of punishment and lack of support, lack of knowledge and awareness about reporting, and lack of feedback.
This study reveals nurses' perceptions of the causes of medication administration errors and the barriers to reporting them. Recognizing and addressing these causes and barriers are essential for patient safety and the improvement of the healthcare environment. Efforts should be directed toward implementing interventions that address high workloads, enhance staff education and awareness, and promote a workplace culture conducive to reporting errors without fear of repercussions. Additionally, supportive mechanisms, such as feedback systems and resources for professional development, should be implemented to empower nurses to actively participate in error reporting and contribute to continuous improvement in medication administration practices.
用药错误对患者安全有重大影响，可能导致严重伤害或死亡。通过主动系统报告此类错误可改善用药管理，从而提高患者安全和护理质量。然而，在沙特阿拉伯的背景下，对于用药错误的原因以及阻碍其报告的障碍了解甚少。
本研究旨在探讨护士对用药错误原因及报告这些错误的障碍的看法。
本研究采用定性描述性设计，于2023年10月至11月期间对沙特阿拉伯塔伊夫省三家医院的43名护士进行了面对面的半结构化访谈。采用目的抽样法招募参与者，并运用主题分析法进行数据分析。
关于用药错误的原因出现了以下主题：医嘱缺陷、工作量大及人员短缺以及失职行为。关于报告错误的障碍，出现的主题是害怕受到惩罚和缺乏支持、对报告缺乏了解和认识以及缺乏反馈。
本研究揭示了护士对用药错误原因及报告这些错误的障碍的看法。认识并解决这些原因和障碍对于患者安全和改善医疗环境至关重要。应努力实施干预措施，以解决工作量大的问题，加强员工教育和意识，并营造一种有利于报告错误而无需担心后果的工作场所文化。此外，应实施支持机制，如反馈系统和专业发展资源，以使护士能够积极参与错误报告，并为用药管理实践的持续改进做出贡献。
