Nurses’ Perceptions Toward Medication Errors in Emergency Departments, Taif, Saudi Arabia
Main Article Content
Abstract
Medication errors are common in the healthcare service in general and especially in emergency rooms at hospitals. The causes of these errors vary and it is important to explore them, because they can have serious consequences for patients and heath organization. The aim of this study is to explore nurses’ perceptions of medication errors in the emergency department of the Ministry of Health hospitals in Taif city, Saudi Arabia. A qualitative descriptive study implemented from July, 2022 to January, 2023. The study invited all nurses working in ER in the Ministry of Health hospitals in Taif city to participate. The total participants in this study were 15 nurses from the emergency departments at Ministry of Health hospitals in Taif, KSA. Four themes were identified: the causes of medication errors; the causes of not reporting of medication errors; factors that encourage nurses to register medication errors; the ways of reducing the incidence of medication errors, which include medication awareness, giving medication in the presence of a senior nurse and increasing the number of nurses. Overall, the current study found many of the factors that increase medication errors, such as work pressure and shortage of nursing staff. Other factors include nurses' fear of accountability and punishment, or of investigation committees. Therefore, this study recommends promoting a culture of reporting and learning from errors to maintain a positive work environment
Article Details
References
Aboshaiqah, A. E. (2018). Nurses' perceived barriers to reporting medication administration errors. Journal of Nursing Education and Practice, 8(8), 83-91. https://doi.org/10.5430/jnep.v8n8p83
Al Khreem, S. M., & Al-khadher, M. (2021). Perceptions of nurses about medication errors: a cross-sectional study. Journal of Scientific Research in Medical and Biological Sciences, 2(1), 30-41.
Alkatheri, A. M., Albekairy, A. M., Ferwana, M., & Sheikh, A. (2017). Impact of medication reconciliation and review on clinical outcomes. Annals of Saudi Medicine, 37(5), 365-372. https://doi.org/10.5144/0256-4947.2017.365
Almalki, Z. S., Alqahtani, N., Salway, N. T., Alharbi, M. M., Alqahtani, A., Alotaibi, N., & Alshammari, T. (2021). Evaluation of medication error rates in Saudi Arabia: A protocol for systematic review and meta-analysis. Medicine, 100(9).
Althobaiti M, Alghamdi AJ, Almalki M, Alkarani AS, Alamri S. (2022). Identification of Factors Affecting Patient Safety in the Emergency Department: A Retrospective Study, J Clin of Diagn Res. 16(3), LC01-LC05. https://www.doi.org/10.7860/JCDR/2022/52095/16062
Asadi, N., Mirzaee, M., & Garshasbi, S. (2020). Factors influencing medication errors among nurses in hospitals: A systematic review. Journal of Clinical Nursing, 29(15-16), 2676-2691. https://doi.org/10.1111/jocn.15330
Dyab, E., Elkalmi, R., Bux, S., & Jamshed, S. (2018). Exploration of nurses' knowledge, attitudes, and perceived barriers towards medication error reporting in a tertiary health care facility: A qualitative approach. Pharmacy, 6(4), 120. https://doi.org/10.3390/pharmacy6040120.
Greenwood-Ericksen, M. B., & Kocher, K. (2019). Trends in emergency department use by rural and urban populations in the United States. JAMA network open, 2(4), e191919-e191919.
Gunes, U. Y., Gok Metin, Z., & Arikan Donmez, F. (2020). Factors affecting stress and burnout among emergency department nurses. Journal of Emergency Nursing, 46(1), 64-70. doi: 10.1016/j.jen.2019.07.014
Gunes, U., Efteli, E., Ceylan, B., Baran, L., & Huri, O. (2020). Medication errors made by nursing students in Turkey. Int J Caring Sci, 13(2), 1183-1192.
Gupta, R., Ahmed, A. M., & Verma, A. (2021). Perceptions and attitudes of nurses towards medication errors: A systematic review and meta-analysis. Journal of Nursing Management, 29(5), 1013-1023. https://doi.org/10.1111/jonm.13234
Koteswari, D., Dhanalakashmi, D. R., & Tiwari, R. (2020). The Role of Training and Work Environment on Retention and Job Satisfaction as a Mediator at Startups, Bangalore. International Journal of Management, 11(9), 1181-1191. DOI: 10.34218/IJM.11.9.2020.112.
Mieiro, D. B., Oliveira, É. B. C. D., Fonseca, R. E. P. D., Mininel, V. A., Zem-Mascarenhas, S. H., & Machado, R. C. (2019). Strategies to minimize medication errors in emergency units: an integrative review. Revista Brasileira de Enfermagem, 72, 307-314.
Pelayo, M., Agra, Y., & Fernandez-Mondejar, E. (2020). Analysis of medication errors detected by nurses in a Spanish hospital: A descriptive observational study. BMC Health Services Research, 20(1), 1-9. https://doi.org/10.1186/s12913-020-05434-5
Qaffas, A. A., Hoque, R., & Almazmomi, N. (2021). The internet of things and big data analytics for chronic disease monitoring in Saudi Arabia. Telemedicine and e-Health, 27(1), 74-81.
Rutledge, D. N., Retrosi, T., & Ostrowski, G. (2018). Barriers to medication error reporting among hospital nurses. Journal of clinical nursing, 27(9-10), 1941-1949.
Shitu, Z., Aung, M. M. T., Tuan Kamauzaman, T. H., & Ab Rahman, A. F. (2020). Prevalence and characteristics of medication errors at an emergency department of a teaching hospital in Malaysia. BMC health services research, 20(1), 1-7.
Sullivan, D. (2018). The public/private distinction in international human rights law (pp. 126-134). Routledge.
Tsegaye, G., Bekele, A., & Gebeyehu, M. (2020). Medication administration errors and contributing factors among nurses in Ethiopian public hospitals: A cross-sectional study. Drug, Healthcare and Patient Safety, 12, 1-9. doi: 10.2147/DHPS.S237882
Zirpe, K., Seta, B., Gholap, S., Aurangabadi, K., Gurav, S., Deshmukh, A., Wankhede, P., Suryawanshi, P., Vasanth, S., Kurian, M., Philip, E., Jagtap, N., & Pandit, E. (2020). Incidence of medication error in critical care unit of a tertiary care hospital: where do we stand? Indian J Crit Care Med, 24(9), 799. https://www.ijccm.org/doi/pdf/10.5005/jp-journals-10071-23556.