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Raising the awareness of inpatient nursing staff about medication errors

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Abstract

Objective The study objective was to design and implement an educational programme to raise the awareness of in-patient nursing staff about medication errors and other medication-related safety issues. Method A sample of in-patient nursing staff in Al Ain hospital (n = 370) was included in the study and completed a self-reported questionnaire about medication errors. A structured program was developed and used by the clinical pharmacists to identify the nursing knowledge on medication errors and other medication-related safety issues. The program consisted of a pre/post self-reported questionnaire, a training service, educational material, successive presentations and handouts. The self-reported questionnaire included twenty closed questions asking nurses opinions about medication errors. A training program on medication safety (Med Safe® tool) was carried out by [clinical pharmacy team (n = 2) and quality coordinator nurse (n = 1)], for each group of 10 nurses. Main outcome measure The study outcomes were the change in mean scores pre and post intervention. Results Findings revealed differences in the knowledge of nurses about the causes and reporting of medication errors. There were statistically significant differences in responses across the participant's years of experience and the current clinical working area. The participant's responses improved significantly [57.4% ± 8.2, (95%CI: 56.6–58.2) vs. 68.9 ± 10.3, (95%CI: 67.8–69.9); P < 0.05] pre and post questionnaire respectively. Conclusions The clinical pharmacist's structured program has improved knowledge of the in-patient nursing staff in terms of raising their awareness about medication errors.

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References

  1. Brennan TA, Hebert LE, Laird NM, Lawthers A, Thorpe KE, Leape LL, et al. Hospital characteristics associated with adverse events and substandard care. JAMA 1991;265(24):3265–9.

    Article  PubMed  CAS  Google Scholar 

  2. Thomas EJ, Studdert DM, Newhouse JP, Zbar BIW, Howard KM, Williams EJ. Costs of medical injuries in Utah and Colorado. Inquiry 1999;36(3):255–64.

    PubMed  CAS  Google Scholar 

  3. Institute of Medicine. To Err is Human: building a safer health system. Washington DC: National Academy Press; 1999.

    Google Scholar 

  4. Patel P, Zed PJ. Drug-related visits to the emergency department. How big is the problem? Pharmacotherapy 2002;22:915–23.

    Article  PubMed  Google Scholar 

  5. Allan EL, Barker KN. Fundamentals of medication error research. Am J Health-Syst Pharm 1990;47:555–71.

    CAS  Google Scholar 

  6. Manasse HR Jr. Medication use in an imperfect world: drug misadventuring as an issue of public policy, part 1. Am J Health-Syst Pharm 1989;46:929–44.

    Google Scholar 

  7. Manasse HR Jr. Medication use in an imperfect world: drug misadventuring as an issue of public policy, part 2. Am J Health-Syst Pharm 1989;46:1141–52.

    Google Scholar 

  8. Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Servi D, et al. Incidence of adverse drug events and potential adverse drug events: Implications for prevention, ADE Prevention Study Group. JAMA 1995;274:29–34.

    Article  PubMed  CAS  Google Scholar 

  9. National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP), USA. Taxonomy of medication errors. About medication errors, 1998. http://www.nccmerp.org/aboutMedErrors.html. Accessed 5 Dec 2006.

  10. Banning M. Medication errors: professional issues and concerns. Nurs Older Peop J 2006;18(3):27–32, Review.

    Google Scholar 

  11. Leape LL, Bates DW, Cullen DJ, Cooper J, Demonaco HJ, Gallivan T, et al. Systems analysis of adverse drug events. JAMA 1995;274:35–43.

    Article  PubMed  CAS  Google Scholar 

  12. Issue of the Institute for Safe Medication Practice (ISMP). Medication Safety Alert. 1999.

  13. Kohn LT, Corrigan JM, Donaldson MS. Institute of Medicine: to err is human: building a safer health system. Washington DC: National Academy Press; 2000.

    Google Scholar 

  14. Stelfox HT, Palmisani S, Scurlock C, Orav EJ, Bates DW. “To Err is Human” report and the patient safety literature. Qual Saf Health Care 2006;15:174–8.

    Article  PubMed  CAS  Google Scholar 

  15. Barker KN, Flynn EA, Pepper GA, Bates DW, Mikeal RL. Medication errors observed in 36 health care facilities. Arch Intern Med 2002;162(16):1897–1903.

    Article  PubMed  Google Scholar 

  16. Top priority actions for preventing adverse drug events in hospitals. Recommendations of an expert panel. Am J Health-Syst Pharm 1996;53(7):747–51.

    Google Scholar 

  17. Bates DW, Jonathan MT, Joshua L, Diane S, Gilad JK, Ma’Luf N. The impact of computerized physician order entry on medication error prevention. JAMA 1999;6:313–21.

    CAS  Google Scholar 

  18. Aspden P, Corrigan JM, Wolcott J, Erickson SM. Patient safety: achieving a new standard for care. Washington (DC): National Academic Press, USA; 2004.

  19. Borel JM, Rascati KL. Effects of an automated, nursing unit-based drug-dispensing device on medication errors. Am J Health-Syst Pharm 1995;52:1875–9.

    PubMed  CAS  Google Scholar 

  20. Pronovost P. Medication reconciliation: a practical tool to reduce the risk of medication errors J Crit Care 2003;18(4):201–5.

    Article  PubMed  Google Scholar 

  21. Rogers G. Reconciling medications at admission: safe practice recommendations and implementation strategies. Jt Comm J Qual Patient Saf 2006;32(1):37–50.

    PubMed  Google Scholar 

  22. Manno MS, Hayes DD. Best-practice interventions: how drug reconciliation saves lives. Nursing 2006;36(3):63–4.

    PubMed  Google Scholar 

  23. Issue of the Institute for Safe Medication Practice (ISMP). Medication Safety Alert; 2003.

  24. Wolf ZR, Serembus JF, Smetzer J, Cohen H, Cohen M. Responses and concerns of healthcare providers to medication errors, Clin Nur Special 2000;14(16):277–87.

    Google Scholar 

  25. Mayo AM, Duncan D. Nurse perceptions of medication errors: what we need to know for patient safety. J Nurs Care Qual 2004;19(3):209–17.

    PubMed  Google Scholar 

  26. Schneider PJ, Gift MG, Lee Y-P, Rothermich EA, Sill BE. Cost of medication-related problems at a university hospital. Am J Health-Syst Pharm 1995;52:2415–18.

    PubMed  CAS  Google Scholar 

  27. Guchelaar HJ, Colen HB, Kalmeijer MD, Hudson PT, Teepe-Twiss IM. Medication errors: hospital pharmacist perspective. Drugs 2005;65(13):1735–46.

    Article  PubMed  Google Scholar 

  28. Billings C. Adverse event reporting systems in Aviation and elsewhere: lessons learned. Newton-Wellesley Hospital Symposium. 1998.

  29. Bond CA, Raehl CL, Franke T. Medication errors in United States hospitals. Pharmacotherapy 2001;21:1023–36.

    Article  PubMed  CAS  Google Scholar 

  30. Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, et al. Medication errors and adverse drug events in paediatric inpatients. JAMA 2001;285:2114–20.

    Article  PubMed  CAS  Google Scholar 

  31. Leape LL, Cullen DJ, Clapp MD, Burdick E, Demonaco HJ, Bates DW, et al. Pharmacists’ participation on physician rounds and adverse drug events in the intensive care unit. JAMA 1999;282:267–70.

    Article  PubMed  CAS  Google Scholar 

  32. Schumock GT, Butler MG, Meek PD, Vermeulen LC, Arondekar BV, Bauman JL. Evidence of the economic benefit of clinical pharmacy services 1996–2000. Pharmacotherapy 2003;23:113–32.

    Article  PubMed  Google Scholar 

  33. McKenna KJ, Margaret DC, Federico F, Donald AG, Fortescue EB, Bates DW, et al. Events in paediatric inpatients: prioritizing strategies for preventing medication errors and adverse drug reactions. Paediatrics 2003;111:722–9.

    Article  Google Scholar 

  34. Bond CA, Raehl CL, Todd F. Clinical pharmacy services, hospital pharmacy staffing and medication errors in the United States hospitals. Pharmacotherapy 2002;22(2):134–47.

    Article  PubMed  CAS  Google Scholar 

  35. Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care 2006;15:208–13.

    Article  PubMed  CAS  Google Scholar 

  36. Osborne J, Blais K, Hayes JS. Nurses’ perceptions: when is it a medication error? J Nurs Adm 1999;29(4):33–8.

    Article  PubMed  CAS  Google Scholar 

  37. Al-Tajir GK, Kelly WN. Epidemiology, comparative methods of detection, and preventability of adverse drug events. Ann Pharmacother 2005;39(7):1169–74.

    Article  PubMed  Google Scholar 

  38. Cohen H, Mandrack M. Application of the 80/20 Rule in safeguarding the use of high-alert medications. Crit Care Nurs Clin North Am 2002;14(4):369–74.

    Article  PubMed  Google Scholar 

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Acknowledgements

We wish to thank Mrs. Aisha Al Nuaimi the nursing director, Dr. Adel Sadiq the pharmacy director; the nursing supervisors and the in-patient nursing staff of Al Ain hospital, for their collaboration and efforts in facilitating the implementation of this project.

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Correspondence to Asim Ahmed Elnour.

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Elnour, A.A., Ellahham, N.H. & Al Qassas, H.I. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci 30, 182–190 (2008). https://doi.org/10.1007/s11096-007-9163-6

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