The effect of workload on nurses' non-observance errors in medication administration processes: A cross-sectional study

2018 ◽  
Vol 24 (5) ◽  
pp. e12679 ◽  
Author(s):  
Haizhe Jin ◽  
Han Chen ◽  
Masahiko Munechika ◽  
Masataka Sano ◽  
Chisato Kajihara
2017 ◽  
Vol Volume 6 ◽  
pp. 47-51 ◽  
Author(s):  
Tezeta Fekadu ◽  
Mebrahtu Teweldemedhin ◽  
Eyerusalem Esrael ◽  
Solomon Weldegebreal Asgedom

2005 ◽  
Vol 26 (4) ◽  
pp. 395-400 ◽  
Author(s):  
Gail S. Itokazu ◽  
Robert C. Glowacki ◽  
David N. Schwartz ◽  
Mary F. Wisniewski ◽  
Robert J. Rydman ◽  
...  

AbstractObjective:To determine whether randomly selected intravenous (IV) antimicrobial doses dispensed from an inpatient pharmacy were administered.Design:This was a prospective, cross-sectional study in which dose administration was confirmed by direct observation and by assessment of the medication administration record (MAR). A retrospective analysis of the return rate of unused IV antimicrobial doses was performed subsequently.Setting:Medical and surgical intensive care units (ICUs) and non-ICUs of a 550-bed urban public teaching hospital.Participants:Hospitalized patients with an order in the pharmacy database for an IV antimicrobial during 9 non-consecutive weekdays in June 1999.Results:Of 397 doses, 221 (55.7%) assessed by bedside observation and 238 (59.9%) assessed by MAR review were classified as administered; 139 doses (35.0%) were dispensed but changes in the drug order or the patient's status prevented their administration. In the subsequent assessment, of 745 IV antimicrobial doses dispensed during 24 hours, 322 (43.2%) were returned to the pharmacy unused; 423 (56.8%) of the doses—consistent with our prior observations—were presumably administered.Conclusions:Because computerized pharmacy data may overestimate actual antimicrobial consumption, such data should be validated when used in studies of hospital antimicrobial use. Dispense-return analysis offers a simple validation method.


2019 ◽  
Author(s):  
Ra'fat Ali ◽  
Abdullah Shadeed ◽  
Hasan Fitian ◽  
Sa'ed Zyoud

Abstract Background: Failure to properly administer drugs to children at home may cause adverse events and may be fatal, which makes it a challenging job for parents or caregivers. The main goal of this study was to investigate the problems and difficulties that parents or caregivers faced when administering oral drugs to their children at home. Methods: A cross-sectional study was conducted using a questionnaire consisting of ‘yes/no’ and multiple-response questions to assess parents' experiences and problems with administering medication to their children at home. Data was collected from parents who visited primary health care centres in Nablus. Descriptive analysis was conducted to describe the characteristics of the sample. Results: We interviewed 420 participants. 91.9% of the participants used drugs without prescription from a doctor, and the most commonly used non-prescription medicines were antipyretics (n=386, 100%), influenza drugs (n=142, 36.8%), cough drugs (n=109, 28.2%) and antibiotics (n= 102, 26.4%). The study showed that 83.6% of parents use a syringe, 21.7% use a teaspoon, 9.3% use the cup attached with the drug and 7.1% use a tablespoon in administering oral liquid medications to their children. 36.8% of the parents who mentioned that their children did not like taking tablets persuaded their children to drink more water, 31.1% requested another form of drug and 30.2% crushed a capsule. When the children did not like taking liquid medications, almost two-thirds of the participants (65.7%) insisted their children take them, 25.5% persuaded them to drink it with more water and 21.5% mixed it with juice. Conclusions: This study has shown that there is a proportion of caregivers or parents who administer oral drugs to their children wrongly, which may involve giving them at the wrong intervals or doses, using incorrect instruments, using non-prescription drugs or mixing them with food, juice or milk. The development of educational programs that will provide parents with education about medication administration is therefore recommended.


2020 ◽  
Author(s):  
Ra'fat Ali ◽  
Abdullah Shadeed ◽  
Hasan Fitian ◽  
Sa'ed Zyoud

Abstract Background: Failure to properly administer drugs to children at home may cause adverse events, which makes it a challenging job for parents or caregivers. The main goal of this study was to investigate the problems and difficulties that parents or caregivers faced when administering oral drugs to their children at home. Methods: A cross-sectional study was conducted using a questionnaire consisting of ‘yes/no’ and multiple-response questions to assess parents' experiences and problems with administering medication to their children at home. Data was collected from parents who visited primary health care centres in Nablus. Descriptive analysis was conducted to describe the characteristics of the sample. Results: We interviewed 420 participants. 91.9% of the participants used drugs without prescription from a doctor, and the most commonly used non-prescription medicines were antipyretics (n=386, 100%), influenza drugs (n=142, 36.8%), cough drugs (n=109, 28.2%) and antibiotics (n= 102, 26.4%). The study showed that 21.7% of parents used teaspoon and 7.1% used tablespoon in administering liquid medications to their children. When the children refused taking liquid medications, almost two-thirds of the participants (65.7%) insisted their children take them, 21.5% mixed it with juice, 5.2% mixed it with food and 4.7% mixed it with milk. 12.4% of the participants reported that they gave drugs in doses higher than prescribed by the doctor to treat their children more quickly. Also, our study revealed that 80.5% of the parents gave medications at incorrect intervals. Conclusions: This study has shown that there is a proportion of caregivers or parents who administer oral drugs to their children wrongly, which may involve giving them at the wrong intervals or doses, using incorrect instruments, or mixing them with food, juice or milk. The development of educational programs that will provide parents with education about medication administration is therefore recommended.


2010 ◽  
Vol 20 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Evelyn R. Klein ◽  
Barbara J. Amster

Abstract A study by Yaruss and Quesal (2002), based on responses from 134 of 239 ASHA accredited graduate programs, indicated that approximately 25% of graduate programs in the United States allow students to earn their degree without having coursework in fluency disorders and 66% of programs allow students to graduate without clinical experience treating people who stutter (PWS). It is not surprising that many clinicians report discomfort in treating PWS. This cross-sectional study compares differences in beliefs about the cause of stuttering between freshman undergraduate students enrolled in an introductory course in communicative disorders and graduate students enrolled and in the final weeks of a graduate course in fluency disorders.


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