Ahmed Waled A M, Abdelrahman Amna Eltom Hajo Elsheikh, Mohamed Amal Abdelgadir, Mohammed Ibrahim Osman, Mustafa Amna Mohammed Ali, Ahmed Zeinab Eltayeb Elfaki, Mohamed Maab Mutaz Tagelsir, Alghamdi Fahad Abdullah A, Elbashir Amira E E, Alkubati Sameer, Al-Sowaidi Akram, Dinar Neimat M A A, Obadi Abdalkhaliq Ahmed, Saleh Khalil A
Community Medicine Department, Faculty of Medicine, Al-Saeeda University, Sanaa, Yemen.
Community Health Nursing Department, Faculty of Nursing, Al-Baha University, Al-Baha, Saudi Arabia.
Int J Gen Med. 2025 Jan 9;18:123-133. doi: 10.2147/IJGM.S497591. eCollection 2025.
Errors in the preparation and administration of intravenous medications are significant contributors to morbidity and mortality rates in medical practice. Early reporting and the implementation of preventive measures can mitigate these errors. This study aims to identify patterns and frequencies of errors in IV medication preparation and administration, along with associated factors, at Omdurman Military Hospital in Khartoum, Sudan.
This observational, descriptive, cross-sectional study was conducted in the emergency department of Omdurman Military Hospital from January to May 2022. We observed 60 nurses responsible for intravenous drug preparation and administration using a pretested questionnaire and checklist on multiple occasions. The data was analyzed by SPSS and the descriptive and inferential statistics were applied.
Our findings reveal that 98% of the nurses reported a lack of formal training in IV drug preparation and administration. The observed preparation area was characterized as untidy in 59.6% of observations, and 52.5% were conducted in crowded environments. We identified six distinct types of errors during drug preparation, with the most common being the absence of aseptic techniques (63.2%) and the failure to check drug expiry dates before administration (99%). In contrast, five types of administration errors were reported, with the most prevalent being incorrect administration rates (68.7%) and the absence of post-administration side-effect assessments (84.8%). Additionally, 83.3% of nurses did not label the unused portion of a drug intended for the next dose.
This study identifies a total of 11 different types of errors in IV drug preparation and administration, some of which are associated with the hospital's work environment. The lack of formal training among 98% of the nurses stands out as a significant contributor to the increasing frequency of these errors.
静脉用药配制和给药过程中的差错是导致医疗实践中发病率和死亡率的重要因素。早期报告和实施预防措施可减少这些差错。本研究旨在确定苏丹喀土穆奥马尔曼军事医院静脉用药配制和给药差错的模式、频率及相关因素。
本观察性、描述性横断面研究于2022年1月至5月在奥马尔曼军事医院急诊科进行。我们多次使用预先测试的问卷和检查表观察了60名负责静脉药物配制和给药的护士。数据通过SPSS进行分析，并应用描述性和推断性统计。
我们的研究结果显示，98%的护士报告称缺乏静脉药物配制和给药的正规培训。在59.6%的观察中，观察到的配制区域不整洁，52.5%是在拥挤的环境中进行的。我们在药物配制过程中确定了六种不同类型的差错，最常见的是缺乏无菌技术（63.2%）和给药前未检查药品有效期（99%）。相比之下，报告了五种给药差错类型，最常见的是给药速率错误（68.7%）和给药后未进行副作用评估（84.8%）。此外，83.3%的护士未标记下一剂未使用的药物部分。
本研究确定了静脉药物配制和给药过程中总共11种不同类型的差错，其中一些与医院的工作环境有关。98%的护士缺乏正规培训是这些差错发生率增加的一个重要因素。
