Nurses' perception on medication administration error (MAE) at surgical wards in HUSM
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Date
2011
Authors
Sukeri, Aizatul Shakira Ahmad
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia
Abstract
Mortality rate due to medication error incidence in United States was higher
than incidence of motor vehicle accidents, breast cancer or AIDS. Although many
preventative measures were implemented to reduce the incidence, the incidence is still
alarming particularly related to violation of 5Rights during drug administration. As
medication administration is one of the vital roles of nurses, it was crucial to determine
nurses' perception towards medication administration error (MAE) at the busiest wards
in a teaching hospital. This descriptive study aimed to determine the nurses' perception
on medication administration error at various surgical wards in Hospital Universiti
Sains Malaysia (HUSM). Seventy one nurses from various surgical wards were selected
for this study by using stratified sampling method. Data was collected by using self
administered questionnaire adapted from Demehin, Babalola and Erhun, (2008) and
Wilkins and Shields, (2008). Using SPSS version 18, analysis of data was conducted
using descriptive and One-Way ANOVA. All nurses (100%) had awareness on MAE.
In addition, 26.80% of the nurses perceived the estimated frequency of MAE
occurrence was at 1 per 10 drug administration. Most of the nurses perceived wrong
time (22.54%), wrong drug (20.80%) and wrong doses (20.80%) as the most frequently
occurring type of MAE. The nurses also perceived that distraction and interruption
during medication administration process (17.32%), excess workload (14.70%),
medication named was quite similar (14.17%), and wrong labeling (e.g. medicine,
patient name) as the main factors contributing to MAE. Measures to reduce MAE incidence were encouraging self reporting of medication administration error (14.75%),
avoidances of all forms distractions (14.53%), importance of continuous professional
education and re-training of all nurses in the right way of administering medication
(13.67%) and involvement and cooperation in medication delivery by all health care
delivery (e.g. nurses, pharmacists and physicians) (13.45%). A One-Way ANOVA
showed that there was a significant difference in nurses' perception towards role
overload between three surgical wards, F(2, 68) = 4.109, p = 0.021. All surgical nurses
had awareness of MAE incidence with the main contributing factor related to the
procedure during drug administration and nurses' perception towards role overload in
different surgical ward. The information obtained from this study brings to light
important to apply measures and guideline for nurses in reducing the incidence of MAE.
Description
Keywords
Mortality