关键词: Saudi Arabia barriers causes medication administration errors nurses reporting

来  源:   DOI:10.33546/bnj.3249   PDF(Pubmed)

Abstract:
UNASSIGNED: Medication administration errors significantly impact patient safety, potentially leading to severe harm or fatality. Reporting such errors through active systems improves medication administration, thereby enhancing patient safety and the quality of care. However, in the context of Saudi Arabia, little is understood about the causes of medication administration errors and the obstacles hindering their reporting.
UNASSIGNED: This study aimed to explore nurses\' perceptions of the causes of medication administration errors and the barriers to reporting them.
UNASSIGNED: The study employed a qualitative descriptive design, conducting face-to-face semi-structured interviews with 43 nurses from three hospitals in Taif Governorate, Saudi Arabia, between October and November 2023. Purposive sampling was used to recruit participants, and thematic analysis was utilized for data analysis.
UNASSIGNED: The following themes emerged regarding the causes of medication administration errors: order deficiencies, high workloads and staff shortages, and malpractice. Regarding the barriers to reporting errors, the emerging themes were fear of punishment and lack of support, lack of knowledge and awareness about reporting, and lack of feedback.
UNASSIGNED: This study reveals nurses\' perceptions of the causes of medication administration errors and the barriers to reporting them. Recognizing and addressing these causes and barriers are essential for patient safety and the improvement of the healthcare environment. Efforts should be directed toward implementing interventions that address high workloads, enhance staff education and awareness, and promote a workplace culture conducive to reporting errors without fear of repercussions. Additionally, supportive mechanisms, such as feedback systems and resources for professional development, should be implemented to empower nurses to actively participate in error reporting and contribute to continuous improvement in medication administration practices.
摘要:
药物管理错误显著影响患者安全,可能导致严重伤害或死亡。通过主动系统报告此类错误可以改善药物管理,从而提高患者安全和护理质量。然而,在沙特阿拉伯的背景下,对药物管理错误的原因和阻碍其报告的障碍知之甚少。
本研究旨在探讨护士对药物管理错误的原因和报告这些错误的障碍的看法。
这项研究采用了定性的描述性设计,对塔伊夫省三家医院的43名护士进行了面对面的半结构化访谈,沙特阿拉伯,2023年10月至11月。目的抽样被用来招募参与者,并采用专题分析法进行数据分析。
关于药物管理错误的原因出现了以下主题:订单不足,高工作量和人员短缺,和渎职。关于报告错误的障碍,新出现的主题是害怕惩罚和缺乏支持,缺乏对报道的知识和意识,缺乏反馈。
这项研究揭示了护士对药物管理错误的原因以及报告这些错误的障碍的看法。认识和解决这些原因和障碍对于患者安全和改善医疗环境至关重要。应努力实施解决高工作量的干预措施,加强员工教育和意识,并促进有利于报告错误而不必担心后果的工作场所文化。此外,支持机制,如专业发展的反馈系统和资源,应实施以使护士能够积极参与错误报告,并有助于不断改进药物管理实践。
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