Medication administration errors in the domain of infusion therapy in intensive care units: a survey study among nurses

Archives of Public Health

Research

Charlotte Beaudart¹  Mickael Hiligsmann¹  Maureen Witjes²  Paul Rood³ 

[1] Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands;Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands;Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands;Dutch Professional Nurses Organisation, Chapter Critical Care Nurses (V&VN IC), Utrecht, the Netherlands;School of Health Studies, Research Department of Emergency and Critical Care, HAN University of Applied Sciences, Nijmegen, the Netherlands;Department of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The Netherlands;

关键词: Infusion therapy;    Medication errors;    Medication administration errors;    (Smart) infusion pump;    Nurses;    Perception;    Intensive care unit;   

DOI  :  10.1186/s13690-023-01041-2

 received in 2022-11-14, accepted in 2023-02-10,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDespite extensive research carried out on medication administration errors (MAEs) in the domain of infusion therapy, there is limited knowledge on nurse’s perceptions on the occurrence of MAEs during infusion therapy. Since nurses are responsible for medication preparation and administration in Dutch hospitals, it is vital to understand their perspectives on the risk factors for MAEs.AimThe purpose of this study is to investigate the perception of nurses, working in adult ICUs, on the occurrence of MAEs during continuous infusion therapies.MethodsA digital web-based survey was distributed among 373 ICU nurses working in Dutch hospitals. The survey investigated nurses’ perceptions on the frequency, severity of consequences and preventability of MAEs, factors for the occurrence of MAEs, and infusion pump and smart infusion safety technology.ResultsA total of 300 nurses started to fill out the survey but only 91 of them (30.3%) fully completed it and were included in analyses. Medication-related factors and Care professional-related factors were perceived as the two most important risk categories for the occurrence of MAEs. Important risk factors contributing to the occurrence of MAEs included high patient-nurse ratio, problems in communication between caregivers, frequent staff changes and transfers of care, and no/incorrect dosage/concentration on labels. Drug library was reported as the most important infusion pump feature and both Bar Code Medication Administration (BCMA) and medical device connectivity as the two most important smart infusion safety technologies. Nurses perceived the majority of MAEs as preventable.ConclusionsBased on ICU nurses' perceptions, the present study suggests that strategies to reduce MAEs in these units should focus on, among other factors, the high patient-to-nurse ratio, problems in communication between nurses, frequent staff changes and transfers of care, and no/incorrect dosage/concentration on drug labels.

【 授权许可】

CC BY   
© The Author(s) 2023

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