A literature review of the individual and systems factors that contribute to medication errors in nursing practice.
Aim This paper reports a review of the empirical literature on factors that contribute to medication errors. Background Medication errors are a significant cause of morbidity and mortality in hospitalized patients. This creates an imperative to reduce medication errors to deliver safe and ethical ca...
| Publicado en: | Journal of Nursing Management Vol. 17; no. 6; pp. 679 - 698 |
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| Autores principales: | , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105413552&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105413552 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660429 81U jtl: Journal of Nursing Management issn: 09660429 maglogo: Y pubinfo: dt: Sep2009 vid: 17 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105413552 43668683 43668683 10.1111/j.1365-2834.2009.00995.x NLM19694912 105413552 ppf: 679 ppct: 19 formats: tig: atl: A literature review of the individual and systems factors that contribute to medication errors in nursing practice. aug: au: Brady A Malone A Fleming S affil: School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2 Ireland. E-mail: anne-marie.brady@tcd.ie sug: subj: Drug Administration Standards Mathematics Medication Errors Risk Assessment CINAHL Database PubMed ab: Aim This paper reports a review of the empirical literature on factors that contribute to medication errors. Background Medication errors are a significant cause of morbidity and mortality in hospitalized patients. This creates an imperative to reduce medication errors to deliver safe and ethical care to patients. Method The databases CINAHL, PubMed, Science Direct and Synergy were searched from 1988 to 2007 using the keywords medication errors, medication management, medication reconciliation, medication knowledge and mathematical skills, and reporting medication errors. Results Contributory factors to nursing medication errors are manifold, and include both individual and systems issues. These include medication reconciliation, the types of drug distribution system, the quality of prescriptions, and deviation from procedures including distractions during administration, excessive workloads, and nurse's knowledge of medications. Implications for nursing management It is imperative that managers implement strategies to reduce medication errors including the establishment of reporting mechanisms at international and national levels to include the evaluation and audit of practice at a local level. Systematic approaches to medication reconciliation can also reduce medication error significantly. Promoting consistency between health care professionals as to what constitutes medication error will contribute to increased accuracy and compliance in reporting of medication errors, thereby informing health care policies aimed at reducing the occurrence of medication errors. Acquisition and maintenance of mathematical competency for nurses in practice is an important issue in the prevention of medication error. The health care industry can benefit from learning from other high-risk industries such as aviation in the prevention and management of systems errors. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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