RESUMEN
AIM: To identify the nurses' perceptions on the occurrence of Medication Administration Errors (MAEs) and barriers to reporting using the MAE Reporting Survey. BACKGROUND: MAEs is a serious public health threat that causes patient injury, death, and results to expensive health care. METHODS: Descriptive statistical analysis. RESULTS: The most frequent reasons for MAEs according to the nurses were physicians' medication orders are not legible (4.67 ± 1.21) and unit staffing levels are inadequate (4.63 ± 1.45). The most frequent reason for unreported MAEs were when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error (4.95 ± 4.33) and nurses could be blamed if something happens to the patient as a result of the medication error (4.29 ± 1.48). The highest prevalent non-IV related MAEs included wrong time of administration (M = 3.02 ± 2.37) and medication administered after the order to discontinue has been written (M = 2.60 ± 2.11), both with 0-20 % of reported non-IV MAEs. The highest prevalent IV related MAEs included wrong time of administration (M = 2.76 ± 2.29) and medication administered after the order to discontinue has been written (M = 2.45 ± 2.01). More than half (n = 95, % = 54.29) of the respondents stated that 0-20 % of all types of medication errors, including IV and non-IV medication errors are reported. CONCLUSIONS: The findings supported the notion that nurses perceive low percentages of MAEs reporting.
Asunto(s)
Errores de Medicación , Personal de Enfermería en Hospital , Centros de Atención Terciaria , Humanos , Errores de Medicación/estadística & datos numéricos , Personal de Enfermería en Hospital/psicología , Personal de Enfermería en Hospital/estadística & datos numéricos , Adulto , Femenino , Masculino , Persona de Mediana Edad , Actitud del Personal de Salud , Hospitales PúblicosRESUMEN
AIM: To assess the patient safety culture (PSC) among nurses at a government hospital BACKGROUND: Culture of patient safety is acknowledged as a critical component to the quality of health care. Despite the increasing curiosity on PSC, little studies are available in the Philippine context. METHODS: A descriptive, cross-sectional, single-center study using total population sampling technique was conducted. PSC was assessed using the Hospital Survey on Patient Safety Culture (HSOPSC) among Registered Nurses. Descriptive statistics were employed to express demographic data and composites of safety culture. RESULTS: 292 nurses completed the survey, yielding a response rate of 86.65%. Of the 12 composites evaluated, Teamwork within Units (91.50%) was the highest positively-rated followed by Organizational Learning - Continuous Improvement (86.89%) while Nonpunitive Response to Error (17.65%) was the least positively-rated. Most (71.48%) of the respondents had not reported any event within the past 12â¯months. Majority (45%) reported that the overall patient safety grade of the hospital was very good and no one thought that it was failing. CONCLUSIONS: This study showed that nurses value Teamwork within Units and Organizational Learning-Continuous Improvement as important aspects of PSC. Nonpunitive Response to Error was the area that requires improvement. Determining PSC level should be a continuous process. The first step should be obtaining the support of the administration and assuming a non-punitive approach to those who make and report medical errors. If the problem of personnel not reporting events is to be resolved, any barriers to reporting should be identified and addressed.