Nurses’ perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit

• DOI: 10.1093/intqhc/mzad101
• Publication Date: 2023-12-16T04:16:56Z
• Authors: Josephine Henry B...; Chandini Menon Pr...; Adliah Mhd Ali; Nurul Ain Mohd Tahir; Zamtira Seman; James Yau Hon Voo; Noraida Mohamed Shah
• Keywords: Medication error

Abstract Medication administration is a complex process, and nurses play central role in this process. Errors during are associated with severe patient harm significant economic burden. However, the prevalence of under-reporting makes it challenging when analysing current landscape medication error (MAE) hinders implementation improvements to existing system. The aim study describe reasons for occurrence MAEs behind MAEs, determine estimated percentage MAE reporting identify factors them from nurses’ perspective. This cross-sectional was conducted using validated self-administered questionnaire. questionnaire contained 65 questions which were divided into three sections: (i) consisted 29 items; (ii) not 16 (iii) actually reported, 20 items. It distributed 143 neonatal intensive care units five public hospitals Malaysia. Multivariable logistic regression used reporting. 30.6%. most common inadequate nursing staff (5.14 [SD 1.25]), followed by drugs look alike (4.65 1.06]) similar drug packaging (4.41 1.18]). that focuses on individual rather than looking at systems as potential cause (4.56 1.32]) too much emphasis placed measure quality (4.31 1.23]). Factors statistically response (adjusted odds ratio [AOR] = 6.90; 95% confidence interval (CI) 2.01–23.67; P 0.002), effort (AOR 3.67; CI 1.68–8.01; 0.001), advanced diploma 0.29; 0.13–0.65; 0.003). Our findings show still less third respondents reported MAEs. Therefore, encourage reporting, should be benefits adopting non-punitive approach, creating blame-free culture.