Nukpezah Ruth Nimota, Anyaba Nathaniel Awenlesakba, Osman Wahab
School of Nursing and Midwifery, University for Development Studies, Tamale, Ghana.
Ghana College of Nurses and Midwives, Accra, Ghana.
BMC Pediatr. 2024 Dec 3;24(1):792. doi: 10.1186/s12887-024-05269-x.
Medication administration errors (MAEs) are a critical concern in pediatric healthcare, contributing to adverse drug events (ADEs) and negatively impacting patient health.
This study explores pediatric nurses' perceptions of factors contributing to MAEs at Yendi Municipal Hospital to develop interventions enhancing patient safety.
A descriptive cross-sectional survey was conducted among 143 nurses at Yendi Municipal Hospital using structured questionnaires. Data were analysed using SPSS 26.0 and Excel 2016. Bivariate analysis examined relationships between socio-demographic characteristics and MAEs.
Contributing factors to MAEs included inadequate training (91.6%), misunderstanding medical abbreviations (88.8%), poor supervision (92.3%), eagerness to sign out shifts (70.6%), improper handover (88.8%), inadequate staff (77.6%), dosage miscalculations (83.9%), and illegible handwriting (81.8%). Significant associations were found between MAEs and the type of unit/ward (X²=6.25, p = 0.012) and educational level (Fisher Exact test = 4.20, p = 0.036).
Inadequate training, poor supervision, and communication issues are major contributors to MAEs in pediatric settings. Targeted interventions can significantly improve patient safety and care quality.
用药错误（MAEs）是儿科医疗保健中的一个关键问题，会导致药物不良事件（ADEs），并对患者健康产生负面影响。
本研究探讨延迪市立医院儿科护士对导致用药错误的因素的看法，以制定提高患者安全性的干预措施。
采用结构化问卷对延迪市立医院的143名护士进行描述性横断面调查。使用SPSS 26.0和Excel 2016对数据进行分析。双变量分析检查社会人口统计学特征与用药错误之间的关系。
导致用药错误的因素包括培训不足（91.6%）、对医学缩写的误解（88.8%）、监督不力（92.3%）、急于交班（70.6%）、交接不当（88.8%）、人员不足（77.6%）、剂量计算错误（83.9%）和字迹潦草（81.8%）。用药错误与科室/病房类型（X²=6.25，p = 0.012）和教育水平（Fisher精确检验=4.20，p = 0.036）之间存在显著关联。
培训不足、监督不力和沟通问题是儿科环境中用药错误的主要原因。有针对性的干预措施可以显著提高患者安全性和护理质量。
