Factors influencing medication errors among nurses at a tertiary level hospital in Bangladesh
DOI:
https://doi.org/10.3329/ajmbr.v10i4.75337Keywords:
medication errors, contributing factors, nurses, hospital settings, BangladeshAbstract
Medication errors represent a significant global issue, leading to numerous fatalities each year and adding complexity to healthcare systems. In Bangladesh, the prevalence of medication errors stands at 38%. This study aimed to identify the factors that influence medication errors among nurses at a tertiary-level hospital in the country. A descriptive cross-sectional study was conducted involving 114 registered nurses at Dhaka Medical College Hospital, utilizing a convenience sampling method. Data were gathered through face-to-face interviews using a structured questionnaire and analyzed using both descriptive and inferential statistics. The findings indicated that nurses in Bangladesh exhibited moderate to high susceptibility to medication errors in a tertiary-level setting. Key factors identified as contributing to these errors included inadequate staffing levels (4.41 ± 0.81), patients being off the ward for other care (4.39 ± 0.74), communication issues between nurses and physicians (4.36 ± 0.95), nurses being pulled between teams and other units (4.32 ± 0.77), and insufficient in-service training on new medications (4.23 ± 0.87). Moreover, nurses working ward (F=11.51, P=.001) and working experience (t=4.13, P=.041) had a significant relationship with factors influencing medication errors. The research found several variables that cause medication mistakes, including nurses' service experience and working ward. This study's results might help hospital administrators establish effective intervention methods and mitigate medication error risk variables to improve patient safety and care.
Asian J. Med. Biol. Res. 2024, 10(4), 131-140
Downloads
185
77
References
Abdulmutalib I and A Safwat, 2020. Nursing strategies for reducing medication errors. Egypt. J. Nurs. Health Sci., 1: 77-98.
Aghakouchakzade M, M Izadpanah and A Yadegari, 2015. Knowledge, attitude, and practice towards medication errors and adverse drug reaction reporting among medical students. J. Pharm. Care, 3: 49-53.
Alzoubi MM, A Al-Mahasneh, K Al-Mugheed, M Al-Barmawi, SA Alsenany and ASM Farghaly, 2023. Medication administration error perceptions among critical care nurses: a cross-sectional, descriptive study. J. Multidis. Healthcare, 16: 1503-1512.
Asefa KK, D Dagne and WN Mekonnen, 2021. Medication administration error reporting and associated factors among nurses working in public hospitals, Ethiopia: a cross-sectional study. Nurs. Res. Pract., 2021: 1-8.
Brabcova I, H Hajduchova, V Tothova, I Chloubova, M Cerveny, R Prokesova and S O’Hara, 2023. Reasons for medication administration errors, barriers to reporting them and the number of reported medication administration errors from the perspective of nurses: a cross-sectional survey. Nurse Educ. Pract., 70: 103642.
Çetin SB and F Cebeci, 2021. Perceptions of clinical nurses about the causes of medication administration errors: a cross-sectional study. Florence Nightingale J. Nurs., 29: 56.
Cohen J, 1988. Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates, Publishers, New Zealand.
Elasrag GAE and HM Abu-Snieneh, 2020. Nurses’ perception of factors contributing to medication administration errors. Int. J. Res. Pharm. Sci., 11: 44-56.
Hayes C, T Power, PM Davidson, J Daly and D Jackson, 2015. Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses. Nurse Edu. Today, 35: 981-986.
Islam MT, MB Begum and R Khatun, 2021. Prevalence of medication errors by nurses at the tertiary level hospital in Bangladesh. Int. J. Innov. Sci. Eng. Technol., 8: 82-87.
Jember A, M Hailu, A Messele, T Demeke and M Hassen, 2018. Proportion of medication error reporting and associated factors among nurses: a cross-sectional study. BMC Nurs., 17: 1-8.
Kashem A, 2020. Govt eyes WHO standard in health worker distribution by 2030. Available at: https://www.tbsnews.net/bangladesh/health/government-eyes-who-standard-health-worker-distribution-2030-87019.
Latif MA, M Nesa and DR Mallick, 2019. Medication management by clinical nurses at tertiary level hospital in Bangladesh. EASMB, 2: 173-83
Mansouri A, A Ahmadvand, M Hadjibabaie, M Javadi, SM Khoee, F Dastan and K Gholami, 2014. A review of medication errors in Iran: sources, underreporting reasons, and preventive measures. Iranian J. Pharm. Res., 13: 3-17.
Mohammed T, S Mahmud, B Gintamo, ZN Mekuria and Z Gizaw, 2022. Medication administration errors and associated factors among nurses in Addis Ababa Federal Hospitals, Ethiopia: a hospital-based cross-sectional study. BMJ Open, 12: e06653.
Marznaki ZH, S Pouy, WJ Salisu and AE Zeydi, 2020. Medication errors among Iranian emergency nurses: a systematic review. Epidemiol. Health, 42: 1-8.
Paul TR, MA Rahman, M Biswas, M Rashid and MAU Islam, 2015. Medication errors in a private hospital of Bangladesh. Bangladesh Pharm. J., 17: 32-37.
Rahimi F, SA Rezaei, R Baghaei and A Feizi, 2015. Factors influencing medication errors according to nurses’ decisions to do self-report. Int. J. Basic Clin. Pharmacol., 4: 130-133.
Shohani M and H Tavan, 2018. Factors affecting medication errors from the perspective of nursing staff. J. Clin. Diagn. Res., 12: 1-7.
Tabatabaee SS, V Ghavami, J Javan-Noughabi and E Kakemam, 2022. Occurrence and types of medication error and its associated factors in a reference teaching hospital in northeastern Iran: A retrospective study of medical records. BMC Health Serv. Res., 22: 1-7.
Vazin A, Z Zamani and N Hatam, 2014. Frequency of medication errors in an emergency department of a large teaching hospital in southern Iran. Drug Healthc. Patient Safe., 6: 179-184.
Wakefield BJ, T Uden-Holman and DS Wakefield, 2005. Administration error reporting survey. Adv. Patient Saf., 4: 475.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Mosha. Aktar Banu, Reva Mondal, Taslima Begum
This work is licensed under a Creative Commons Attribution 4.0 International License.
