Correlation between workplace culture, learning and medication errors.

The occurrence of medication errors in intensive care units can bring about irreparable damage and even lead to death in hospitalized patients. In this respect, numerous investigations have suggested that many factors including workplace culture and learning from error can affect the incidence rates...

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Publicado en:Revista Latinoamericana de Hipertensión Vol. 14; no. 1; pp. 102 - 110
Autores principales: Abbasi, Fatemeh, Pazokian, Marzieh, Borhani, Fariba, Nasiri, Malihe
Formato: Artículo
Publicado: Revista Latinoamericana de Hipertension 2019
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Correlation between workplace culture, learning and medication errors.
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          Abbasi, Fatemeh
          Pazokian, Marzieh
          Borhani, Fariba
          Nasiri, Malihe
        affil:
          Student Research Committee, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
          Department of Nursing/Department of Midwifery and Reproductive Health, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
          Associate professor, Medical ethics and law research center, school of Nursing and midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
          Faculty of Paramedical, Assistant professor, Department of Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran
      su:
        Corporate culture
        Medication errors
        Intensive care nursing
        Reward (Psychology)
        Teaching hospitals
        Iran
        Tehran (Iran)
        Wakefield (England)
      sug:
        subj:
          Iran
          Tehran (Iran)
          Wakefield (England)
          Corporate culture
          Medication errors
          Intensive care nursing
          Reward (Psychology)
          Teaching hospitals
      keyword:
        Culture
        Intensive Care Unit
        Learning
        Medication Errors
        Workplace
        aprendizaje
        cultura
        errores de medicación
        lugar de trabajo
        unidad de cuidados intensivos
      ab:
        The occurrence of medication errors in intensive care units can bring about irreparable damage and even lead to death in hospitalized patients. In this respect, numerous investigations have suggested that many factors including workplace culture and learning from error can affect the incidence rates of such errors in these units. Accordingly, the present study was to shed light on the correlation between workplace culture, learning from error, and reporting rate of medication errors among nurses in intensive care units affiliated to teaching hospitals of Shahid Beheshti University of Medical Sciences in Iran. Methods: A descriptive-analytical study was conducted among 120 nurses working in intensive care units in four teaching hospitals in the city of Tehran. Then, the questionnaires developed by Gulley et al., Rybowiak et al., and Wakefield et al. were used to collect the data related to workplace culture, learning climate, and medication errors. Results: The findings of this study indicated that increased learning from error in nurses working in intensive care units could lower reporting rate of medication errors (r=-0.312, p-value=0.001); there was also a significant relationship between workplace culture and reporting rate of medication errors, so that enhancing workplace culture could reduce reporting rate of medication errors (r=-0.239, p-value=0.012). Conclusion: Improving workplace culture via supporting employee creativity and innovation as well as promoting learning environment through an employee reward system along with avoidance of punishments and reprimands for nurses during the occurrence of errors could be effective in mitigating the incidence rates of medication errors.
        Antecedentes: la aparición de errores de medicación en unidades de cuidados intensivos puede provocar daños irreparables e incluso provocar la muerte de pacientes hospitalizados. A este respecto, numerosas investigaciones han sugerido que muchos factores, incluyendo la cultura del lugar de trabajo y el aprendizaje por error, pueden afectar las tasas de incidencia de tales errores en estas unidades. En consecuencia, el presente estudio arrojó luz sobre la correlación entre la cultura del lugar de trabajo, el aprendizaje del error y el índice de errores de medicación entre las enfermeras de las unidades de cuidados intensivos afiliadas a los hospitales de enseñanza de la Universidad de Ciencias Médicas Shahid Beheshti en Irán. Métodos: se realizó un estudio analítico descriptivo entre 120 enfermeras que trabajan en unidades de cuidados intensivos en cuatro hospitales de enseñanza en la ciudad de Teherán. Luego, los cuestionarios desarrollados por Gulley et al., Rybowiak et al., y Wakefield et al. se utilizaron para recopilar los datos relacionados con la cultura del lugar de trabajo, el clima de aprendizaje y los errores de medicación. Resultados: los hallazgos de este estudio indicaron que un mayor aprendizaje por error en las enfermeras que trabajan en unidades de cuidados intensivos podría disminuir la tasa de informe de errores de medicación (r = -0.312, valor de p = 0.001); también hubo una relación significativa entre la cultura del lugar de trabajo y la tasa de informe de errores de medicación, de modo que mejorar la cultura del lugar de trabajo podría reducir la tasa de reporte de errores de medicación (r = -0.239, valor de p = 0.012). Conclusión: mejorar la cultura del lugar de trabajo mediante el apoyo a la creatividad e innovación de los empleados, así como promover el ambiente de aprendizaje a través de un sistema de recompensa para los empleados, junto con evitar castigos y amonestaciones para las enfermeras durante la ocurrencia de errores, podría ser eficaz para mitigar las tasas de incidencia de los errores de medicación.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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