Collado-González Blanca, Fernández-López Ignacio, Urtubia-Herrera Valentina, Palmar-Santos Ana María, García-Perea Eva, Navarta-Sánchez María Victoria
Hospital General Universitario Gregorio Marañón, Hospital Universitario de la Princesa, 28007 Madrid, Spain.
Nursing Department, Faculty of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain.
Nurs Rep. 2024 Oct 17;14(4):3069-3083. doi: 10.3390/nursrep14040223.
Patient safety is fundamental to healthcare. Adverse events, particularly medication errors, cause harm to patients, especially the paediatric population in the emergency department.
To explore paediatric emergency nurses' perceptions of medication administration errors.
A qualitative, ethnomethodological, descriptive study. The participants were nurses working in the paediatric emergency department. Data were collected through in-depth individual interviews with paediatric emergency nurses. The study excluded nurses employed for less than six months. Ten individual interviews were carried out. All interviews were face-to-face and audio-recorded with the participant's consent. Interviews took between 52 min and 1 h 25 min. A questions guide was followed during the interviews. The analysis of the data was carried out according to the scheme proposed by Taylor and Bogdan.
The participants' discourse revealed three main categories: Safety culture transmitted by supervisors and safety groups. Teamwork with good communication and a positive relationship. Error management, the lack of formal support and negative feelings despite an understanding of the multifactorial nature of errors. The study identifies several challenges in the healthcare system. Emphasis was placed on the perception of errors in terms of patient harm, while near misses or dose delays or omissions are not treated as errors.
Although institutions have implemented safety culture strategies, nurses have not fully embraced them. There is a need to promote a positive safety culture and a safe working environment that encourages communication within the team. The hospital should provide training in safe management and patient safety and develop effective protocols. This study was not registered.
患者安全是医疗保健的根本。不良事件，尤其是用药错误，会对患者造成伤害，特别是急诊科的儿科患者。
探讨儿科急诊护士对用药错误的认知。
一项定性的、民族方法学的描述性研究。参与者为在儿科急诊科工作的护士。通过对儿科急诊护士进行深入的个人访谈收集数据。该研究排除了工作时间少于六个月的护士。进行了十次个人访谈。所有访谈均为面对面进行，并在参与者同意的情况下进行了录音。访谈时长在52分钟至1小时25分钟之间。访谈过程中遵循了一份问题指南。根据泰勒和博丹提出的方案对数据进行了分析。
参与者的话语揭示了三个主要类别：上级和安全小组传递的安全文化。具有良好沟通和积极关系的团队合作。错误管理、缺乏正式支持以及尽管理解错误的多因素性质但仍存在负面情绪。该研究确定了医疗保健系统中的几个挑战。重点在于从对患者的伤害角度看待错误，而险些发生的错误、剂量延迟或遗漏则不被视为错误。
尽管各机构已实施安全文化策略，但护士尚未完全接受。需要促进积极的安全文化和鼓励团队内部沟通的安全工作环境。医院应提供安全管理和患者安全方面的培训，并制定有效的方案。本研究未注册。
