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Factors Affecting Medication Errors from Viewpoint of Iranian Registered Nurses

Farnoosh Rashvand, Mojtaba Senmar, Elham Hasannia, Narges Hosseini, Fatemeh Hemmati, Negin Khosravi, Sajad Noorian, Hossein Rafiei

Abstract


Introduction: Nurses have an important rolein medication error prevention. The present study conducted to reveal the factors affecting medication errors from the viewpoint of clinical nurses in hospitals affiliated to Qazvin University of Medical Sciences.Methods: This cross-sectional study was done on 144 nurses in 2019. Nurses' inclusion criteria werebeing registered nurse, willingness to participate in study, and more than 6 months experience. Data were collected using a demographic checklist and a 31-item questionnaire of factors affecting medication errors from the nurses' viewpoint. This questionnaire hasfivesubscale,which includes personal and psychological error, professional nurse errors, medication and physician error, patient and ward condition error, patient and ward errors, and managerial errors. Results: Out of 144 nurses participating in our study, 37 were in ICU ward, 13 in CCU ward, 33 in emergency department, 26 in internal ward, and 35 in surgical ward. The results showed that the most effective factors on medication error from the viewpoint of clinical nurses were nurses’ personal and psychological error (mean score 67.55), professional nurse errors (mean score 64.49), medication and physician error (mean score 64.24), patient and ward condition error (mean score 63.63), patient and ward errors (mean score 63.43), and managerial errors (mean score 58.15).Conclusion: According to the findings of the present study, the most effective factor on the occurrence of medication errors from the viewpoint of nurses is related to the personal and psychological error condition of the nurse. Therefore, it is necessary for healthcare managers to use effective strategies to improve working conditions, to reduce the risk of medication error and quality of care.


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