Ishak Muhammad Solehuddin, Ibrahim Mohd Ismail
Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kota Bharu, Kelantan, Malaysia.
J Nurs Manag. 2024 Mar 31;2024:3055826. doi: 10.1155/2024/3055826. eCollection 2024.
The study investigates critical care nurses' perceptions of medication administration errors (MAEs) in a tertiary hospital in Kelantan, Malaysia, within the unique sociocultural context of East-Coast Malaysia. The research aims to understand the causes and underreporting of MAEs and assess the proportion of reported incidents according to MAE types.
A cross-sectional study involving 424 critical care nurses from Hospital Raja Perempuan Zainab II (HRPZII), Hospital Sultan Ismail Petra (HSIP), and Hospital Tanah Merah (HTM) was conducted. Nurses in administrative roles or unavailable during the survey period were excluded. The study utilized a validated Medication Administration Errors Survey questionnaire to gauge nurses' perceptions on the causes of MAEs, reasons for underreporting, and the percentage of reported incidents based on MAE types.
Results indicate that illegible medication orders from doctors were identified as the primary cause of MAEs, while a lack of 24-hour pharmacist availability received the lowest score. The most common reason for not reporting MAEs was identified as the nursing administration's focus on individuals rather than systemic issues when errors occur. The majority of MAEs were non-intravenous, with incorrect timing of administration being the leading cause.
The study sheds light on critical care nurses' perspectives on MAEs in a Malaysian hospital setting, highlighting key factors contributing to these errors and barriers to their reporting. Understanding these perceptions is crucial for developing strategies to mitigate MAEs and enhance patient safety in critical care environments.
本研究在马来西亚吉兰丹州一家三级医院，于马来西亚东海岸独特的社会文化背景下，调查重症监护护士对用药错误（MAEs）的认知情况。该研究旨在了解用药错误的原因及报告不足的情况，并根据用药错误类型评估报告事件的比例。
开展了一项横断面研究，涉及来自苏丹依斯迈尔· Petra 医院（HSIP）、惹兰勿刹二世王后医院（HRPZII）和瓜拉登嘉楼医院（HTM）的424名重症监护护士。排除在调查期间担任行政职务或无法参与调查的护士。该研究采用经过验证的用药错误调查问卷，以衡量护士对用药错误原因、报告不足的原因以及基于用药错误类型的报告事件百分比的看法。
结果表明，医生字迹难以辨认的用药医嘱被确定为用药错误的主要原因，而药剂师无法提供24小时服务得分最低。未报告用药错误的最常见原因被确定为护理管理层在错误发生时关注个人而非系统性问题。大多数用药错误是非静脉用药，给药时间错误是主要原因。
该研究揭示了马来西亚医院环境中重症监护护士对用药错误的看法，突出了导致这些错误的关键因素及其报告的障碍。了解这些看法对于制定减轻用药错误和提高重症监护环境中患者安全的策略至关重要。
