Bastani Peivand, Barfar Eshagh, Yusefi Ali Reza, Movahed Ehsan, Dastyar Neda, Edirippulige Sisira
College of Business, Government and Law, Flinders University, Adelaide, Bedford Park, SA 5042 Australia.
Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Tanaffos. 2024 Feb;23(2):198-208.
Medication errors can lead to damage to patients with various disabilities or death. This study aims to identify factors affecting the incidence of medication error and its association with patient safety culture from the nurse's perspective during the COVID-19 pandemic.
This cross-sectional study was conducted among 340 employed in the hospitals affiliated with Shiraz University of Medical Sciences in 2021. Data were collected by applying a questionnaire for medication error and the standard questionnaire of the Hospital Survey on Patient Safety Culture. Descriptive statistics, the independent t-test, ANOVA, and Pearson correlation were applied using SPSS software version 23.
The main reasons for medication errors were fatigue due to the workload (3.13±1.16 out of 5), method of supervision in the hospital units (3.06±0.98 out of 5), and massive pile-up of duties (3.00±1.19 out of 5). Other results indicated a significant negative association between factors affecting medication error and patient safety culture (r=-0.574, p=0.002). A significant correlation was observed among factors affecting medication error and patient safety culture with demographic determinants of age and years of working experience (p<0.05). Significant differences were also observed among the two main studied variables, the number of monthly work shifts, and the number of patients (p<0.05).
Applying strategies for the reduction of physical fatigue and mental exhaustion along with balancing work shifts and managing the accumulative duties and massive tasks can help decrease the rates of medication errors.
用药错误可能导致各类残疾患者受到伤害甚至死亡。本研究旨在从护士的角度，识别在新冠疫情期间影响用药错误发生率的因素及其与患者安全文化的关联。
这项横断面研究于2021年在设拉子医科大学附属医院工作的340名人员中开展。通过应用用药错误调查问卷和患者安全文化医院调查标准问卷收集数据。使用SPSS 23版软件进行描述性统计、独立样本t检验、方差分析和Pearson相关性分析。
用药错误的主要原因是工作量导致的疲劳（5分制中为3.13±1.16）、医院科室的监督方式（5分制中为3.06±0.98）以及职责大量堆积（5分制中为3.00±1.19）。其他结果表明，影响用药错误的因素与患者安全文化之间存在显著的负相关（r = -0.574，p = 0.002）。在影响用药错误的因素、患者安全文化与年龄和工作年限等人口统计学决定因素之间观察到显著相关性（p < 0.05）。在两个主要研究变量，即每月工作班次数量和患者数量之间也观察到显著差异（p < 0.05）。
采取减少身体疲劳和精神耗竭的策略，同时平衡工作班次、管理累积职责和大量任务，有助于降低用药错误率。
