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Medication errors among Iranian emergency nurses: A systematic review

Epidemiology and Health 2020년 42권 1호 p.30 ~ 30
Marznaki Zohreh Hosseini, Pouy Somaye, Salisu Waliu Jawula, Zeydi Amir Emami,
소속 상세정보
 ( Marznaki Zohreh Hosseini ) - Mazandaran University of Medical Sciences Amol Faculty of Nursing and Midwifery Department of Nursing
 ( Pouy Somaye ) - Guilan University of Medical Sciences School of Nursing and Midwifery
 ( Salisu Waliu Jawula ) - Tamale Teaching Hospital Department of Nursing
 ( Zeydi Amir Emami ) - Mashhad University of Medical Sciences School of Nursing and Midwifery Department of Medical-Surgical Nursing

Abstract


OBJECTIVES: Medication errors (MEs) made by nurses are the most common errors in emergency departments (EDs). Identifying the factors responsible for MEs is crucial in designing optimal strategies for reducing such occurrences. The present study aimed to review the literature describing the prevalence and factors affecting MEs among emergency ward nurses in Iran.

METHODS: We searched electronic databases, including the Scientific Information Database, PubMed, Cochrane Library, Web of Science, Scopus, and Google Scholar, for scientific studies conducted among emergency ward nurses in Iran. The studies were restricted to full-text, peer-reviewed studies published from inception to December 2019, in the Persian and English languages, that evaluated MEs among emergency ward nurses in Iran.

RESULTS: Eight studies met the inclusion criteria. Most of the nurses (58.9%) had committed MEs only once. The overall mean rate of MEs was 46.2%, and errors made during drug administration accounted for 41.7% of MEs. The most common type of administration error was drug omission (17.8%), followed by administering drugs at the wrong time (17.5%) and at an incorrect dosage (10.6%). The lack of an adequate nursing workforce during shifts and improper nurse-patient ratios were the most critical factors affecting the occurrence of MEs by nurses.

CONCLUSIONS: Despite the increased attention on patient safety in Iran, MEs by nurses remain a significant concern in EDs. Therefore, nurse managers and policy-makers must take adequate measures to reduce the incidence of MEs and their potential negative consequences.

키워드

Medication errors; Nurse; Emergency service; Hospital; Iran

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