Factors causing medication errors in an electronic reporting system

Nursing Open

卷:8

Kyeongyae Sohng¹  Seonhee Yoon² 

[1] College of Nursing The Catholic University of Korea Seoul Republic of Korea;

[2] Department of Performance Improvement, Incheon St. Mary's Hospital The Catholic University of Korea Incheon Republic of Korea;

关键词: adverse events;    hospital incident reporting;    medical errors;    medication errors;    near miss;    quality and safety;   

DOI  :  10.1002/nop2.1038

来源: DOAJ

【 摘 要 】

Abstract Aim To analyse medication error data from a hospital's electronic reporting system and identify the factors affecting error types and harmfulness. Design A retrospective study. Methods The 805 near misses and adverse events reported to the hospital's electronic reporting system between January 2014 and December 2018 were analysed using descriptive statistics, chi‐square tests and logistic regression analyses. Results A total of 632 near misses and 173 adverse events were reported. Near misses and adverse events were the most common error type during the dispensing stage and medication administration, respectively. The odds of medication errors reported by nurses with 1–9 years of clinical experience were relatively low. After adjusting for confounders, the odds of medication errors directly observed by nurses were 65% lower than the odds of medication errors not directly detected. In clinical practice, nurses must be educated about errors in reporting depending on their degree of clinical experience.

【 授权许可】

Unknown