Medication administration errors in the selected Czech hospitals: An observational study

被引：0

作者：

Hajduchova, Hana ^{[1
]}

Cerveny, Martin ^{[1
]}

Brabcova, Iva ^{[1
]}

Chloubova, Ivana ^{[1
]}

Prokesova, Radka ^{[2
]}

Maly, Josef ^{[3
]}

Dosedel, Martin ^{[3
]}

Tesar, Ondrej ^{[3
]}

Vlcek, Jiri ^{[3
]}

Tothova, Valerie ^{[1
]}

机构：

[1] Univ South Bohemia Ceske Budejovice, Inst Nursing Midwifery & Emergency Care, Fac Hlth & Social Sci, Ceske Budejovice, Czech Republic

[2] Univ South Bohemia Ceske Budejovice, Inst Humanities Helping Profess, Fac Hlth & Social Sci, Ceske Budejovice, Czech Republic

[3] Charles Univ Prague, Fac Pharm Hradec Kralove, Dept Social & Clin Pharm, Prague, Czech Republic

来源：

PIELEGNIARSTWO XXI WIEKU-NURSING IN THE 21 CENTURY | 2024年 / 23卷 / 01期

关键词：

hospitals; prescriptions; medication administration errors; nursing;

D O I：

10.2478/pielxxiw-2024-0009

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Aim. The study aimed to identify the occurrence of medication administration errors in clinical practice. Material and methods. This was a direct observational study. The study included observing the medication administration process over three years in four hospitals in the Czech Republic. STROBE was used as a checklist. Results. A total of 18,370 medication administrations to hospitalized patients were observed and recorded, including morning, noon, and evening administrations. The most common MAE was substituting a prescribed medication without the doctor's consent, especially among nurses aged 35-44 (p < 0.001). These MAEs involved giving a medication of diff erent strength than prescribed (p < 0.001), giving the wrong medication (p < 0.001), and giving a diff erent dose (p < 0.001). Substitutions of MAEs occurred most often during morning medication administration (p < 0.001). Conclusions. A critical fi nding of this study was the substitution of medications without a doctor's consent. It has been found that MAEs were not uncommon in clinical practice, and factors such as the nurse's age, overall length of clinical practice, education, and workplace interruptions played a role.

引用

页码：36 / 40

页数：5

共 21 条

[1] Medication Administration Errors in a University Hospital [J].