scholarly journals Prevalence of intravenous medication administration errors: a cross-sectional study

2017 ◽  
Vol Volume 6 ◽  
pp. 47-51 ◽  
Author(s):  
Tezeta Fekadu ◽  
Mebrahtu Teweldemedhin ◽  
Eyerusalem Esrael ◽  
Solomon Weldegebreal Asgedom
Keyword(s):  
Medication Administration ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medication Administration Errors ◽  
Intravenous Medication

Antimicrobial Consumption Data From Pharmacy and Nursing Records: How Good Are They?

2005 ◽  
Vol 26 (4) ◽  
pp. 395-400 ◽  
Author(s):  
Gail S. Itokazu ◽  
Robert C. Glowacki ◽  
David N. Schwartz ◽  
Mary F. Wisniewski ◽  
Robert J. Rydman ◽  
...  
Keyword(s):  
Medication Administration ◽  
Cross Sectional Study ◽  
Antimicrobial Use ◽  
Antimicrobial Consumption ◽  
Sectional Study ◽  
Surgical Intensive Care ◽  
Cross Sectional ◽  
Dose Administration ◽  
Consumption Data ◽  
Pharmacy Data

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.

scholarly journals The difficulties experienced during the preparation and administration of oral drugs by parents at home: a cross-sectional study from Palestine

2019 ◽  
Author(s):  
Ra'fat Ali ◽  
Abdullah Shadeed ◽  
Hasan Fitian ◽  
Sa'ed Zyoud
Keyword(s):  
Prescription Drugs ◽  
Descriptive Analysis ◽  
Medication Administration ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Oral Drugs ◽  
Cross Sectional ◽  
Oral Liquid ◽  
Parents Experiences ◽  
At Home

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.

scholarly journals Association of medication administration errors with interruption among nurses in public sector tertiary care hospitals

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Raja - ◽  
Badil - ◽  
Sajid Ali ◽  
Shaheen Sherali
Keyword(s):  
Public Sector ◽  
Tertiary Care ◽  
Medication Administration ◽  
Cross Sectional Study ◽  
University Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Phone Calls ◽  
Medication Administration Errors ◽  
Tertiary Care Hospitals

Objectives: To determine the association of medication administration errors with interruption among nurses working at public sector tertiary care hospitals in Karachi, Pakistan. Methods: An analytical cross-sectional study was accomplished at two public sector healthcare facilities Civil Hospital, and Dow University Hospital, Karachi. The study was carried out from October 2017 to July 2018 over a period of 10 months. The sample was calculated by using OpenEpi version 3.0. By taking 56.4% of medication administration errors, 5% margin of error and 95% confidence level. The calculated sample size was 204 of both genders. The subjects both male and female nurses having a valid license from Pakistan Nursing Council and one year of clinical experience were enrolled in the study. The subjects were approached by using non-probability purposive sampling method. Validated and adapted questionnaire utilized to gather the data. Data was entered and analyzed by using SPSS version 21.0. Results: In this study, total 204 nurses were included, almost half (52%) of them were male. Majority of (82.3%) study participants had age between 25-35 years old. There were total 716 medications given by 204 nurses. Out of these, 295 (41.2%) were antibiotics, other common medications were acid-suppressive, analgesic and antiemetic 14.5%, 15.9% and 11.2% respectively. Among all 716 medications, 644 (89.9%) were given intravenously whereas only 6.7% drugs given orally. A significant association has been found between medication administration errors and interruption like talking with other health care personnel, patients or attendant queries, phone calls (p-value=<0.001). Nearly 91% of the study nurses who were interrupted during medication committed medication errors. Conclusion: It is concluded that there is a significant association between medication administration errors with interruption among nurses. doi: https://doi.org/10.12669/pjms.35.5.287 How to cite this:Raja, Badil, Ali S, Sherali S. Association of medication administration errors with interruption among nurses in public sector tertiary care hospitals. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.287 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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
Keyword(s):  
Medication Administration ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals The difficulties experienced during the preparation and administration of oral drugs by parents at home: a cross-sectional study from Palestine

2020 ◽  
Author(s):  
Ra'fat Ali ◽  
Abdullah Shadeed ◽  
Hasan Fitian ◽  
Sa'ed Zyoud
Keyword(s):  
Descriptive Analysis ◽  
Medication Administration ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Oral Drugs ◽  
Cross Sectional ◽  
Primary Health ◽  
Prescription Medicines ◽  
Parents Experiences ◽  
At Home

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.

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