Influence of Nursing Time and Staffing on Medication Errors: A Cross-Sectional Analysis of Administrative Data.
Background: Medication errors cause adverse events; however, studies have yet to examine medication errors related to nursing hours while considering ward characteristics in Japan. Purpose: This study investigated medication errors caused by nurses to quantitatively assess ward activity as busyness...
| Publicado en: | Nursing Reports Vol. 15; no. 1; pp. 12 - 23 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Jan2025
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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=182434907&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182434907 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Jan2025 vid: 15 iid: 1 pid: 97109 pub: MDPI artinfo: ui: 182434907 182434907 182434907 10.3390/nursrep15010012 182434907 ppf: 12 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Influence of Nursing Time and Staffing on Medication Errors: A Cross-Sectional Analysis of Administrative Data. aug: au: Moriwaki, Mutsuko Tanaka, Michiko Kakehashi, Masayuki Koizumi, Masato Horiguchi, Hiromasa Hayashida, Kenshi affil: Quality Management Center, Institute of Science Tokyo Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan sug: subj: Medication Errors Risk Factors Risk Assessment Nursing Staff, Hospital Psychosocial Factors Personnel Staffing and Scheduling Workload Time Management Human Japan Male Female Middle Age Aged Cross Sectional Studies Multivariate Analysis Hospital Units Nursing Care Odds Ratio Nurse-Patient Ratio Retrospective Design Record Review Chi Square Test Mann-Whitney U Test Regression Data Analysis Software Statistical Significance Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Medication errors cause adverse events; however, studies have yet to examine medication errors related to nursing hours while considering ward characteristics in Japan. Purpose: This study investigated medication errors caused by nurses to quantitatively assess ward activity as busyness in nursing duties. Methods: This study considered patients hospitalized in the general wards of 10 National Hospital Organization institutions between April 2019 and March 2020. The study data were obtained from the Diagnosis Procedure Combination system, incident report system, and reports on nurse staffing and work hours. Data for 27,629 ward days with 88,475 patients were analyzed. Multivariate analysis was performed to determine the impact of factors on medication errors. Results: The mean patient age was 71.43 years (SD = 15.08). The medication error rate in nursing wards was 13.71%. The mean nursing time per patient during day shift was 1.95 h (SD = 0.58) in the non-medication error group and 2.06 h (SD = 0.58) in the medication error group (p < 0.01). The nursing time per patient in the medication error group compared to that in the non-medication error group had an odds ratio of 1.31 (p < 0.01) during day shifts. Conclusions/Implications for practice: Contrary to evidence, the results showed that medication errors caused by nurses related to increased nurse time with patients during day shifts. Further investigation is needed on the relationship of busyness with nursing duties to ensure an adequate nurse–patient ratio, nursing time, and improved patient safety. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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