Factors determining hospital nurses' failures in reporting medication errors in Taiwan
Factors determining hospital nurses' failures in reporting medication errors in Taiwan
复制标题
DOI：
10.1016/j.outlook.2009.06.001
复制
发表时间：
2010-01-01
期刊：
影响因子：
4.3
通讯作者：
Ma, Shu-Ching
中科院分区：
文献类型：
--
作者：
Chiang, Hui-Ying;Lin, Shu-Yuan;Ma, Shu-Ching
本研究调查了台湾 5 家教学医院 838 名一线护士未能报告用药错误 (MAE) 的因素。这些错误的漏报是对改善用药安全的挑战。结果显示，337 名（47%）参与的护士没有报告自己或同事的 MAE，376 名护士（52.4%）没有报告。失败的最强预测因素是制作 MAE 的经验、报告自己和同事 MAE 的态度差异以及当前工作中感知的 MAE 报告率。恐惧、对护理质量的看法以及对护理专业发展的看法等报告障碍是导致报告失败的重要因素。建议对护士进行有关事件报告系统目标的教育，并使用 MAE 数据来增强患者安全文化。此外，医院管理人员应向负责报告 MAE 的护士提供信息和鼓励。
This study examined factors that were determined to lead to failures in reporting medication administration errors (MAEs) for 838 frontline nurses from 5 teaching hospitals in Taiwan. The underreporting of these errors is a challenge to medication safety improvement. Results showed that 337 (47%) participating nurses had failed to report self- or coworker-MAEs and 376 nurses (52.4%) had not failed to report. The strongest predictors of the failure were experience of making MAEs, differences in attitude toward reporting self- and coworker-MAEs, and perceived MAE reporting rate in current work. The reporting barriers of fear, perception of nursing quality, and perception of nursing professional development significantly contributed to failure to report. Educating nurses about the goals of incident reporting systems and using MAE data to enhance patient safety culture is recommended. Further, hospital administrators should provide information and encouragement to nurses whose responsibility it is to report MAEs.