Critical Care Nurses’ Perception of Medication Administration Errors in Kelantan, Malaysia: A Cross-Sectional Study

Ishak, Muhammad Solehuddin; Ibrahim, Mohd Ismail

doi:https://doi.org/10.1155/2024/3055826

Journal of Nursing Management

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Abstract Background Materials and Methods Results Discussion Conclusion Data Availability Conflicts of Interest Authors’ Contributions Acknowledgments References Copyright Related Articles

Research Article | Open Access

Volume 2024 | Article ID 3055826 | https://doi.org/10.1155/2024/3055826

Critical Care Nurses’ Perception of Medication Administration Errors in Kelantan, Malaysia: A Cross-Sectional Study

Muhammad Solehuddin Ishak¹and Mohd Ismail Ibrahim¹

Academic Editor: Linda Ng

Received05 Nov 2023

Revised15 Mar 2024

Accepted26 Mar 2024

Published31 Mar 2024

Abstract

Background. The study investigates critical care nurses’ perceptions of medication administration errors (MAEs) in a tertiary hospital in Kelantan, Malaysia, within the unique sociocultural context of East-Coast Malaysia. The research aims to understand the causes and underreporting of MAEs and assess the proportion of reported incidents according to MAE types. Methods. A cross-sectional study involving 424 critical care nurses from Hospital Raja Perempuan Zainab II (HRPZII), Hospital Sultan Ismail Petra (HSIP), and Hospital Tanah Merah (HTM) was conducted. Nurses in administrative roles or unavailable during the survey period were excluded. The study utilized a validated Medication Administration Errors Survey questionnaire to gauge nurses’ perceptions on the causes of MAEs, reasons for underreporting, and the percentage of reported incidents based on MAE types. Results. Results indicate that illegible medication orders from doctors were identified as the primary cause of MAEs, while a lack of 24-hour pharmacist availability received the lowest score. The most common reason for not reporting MAEs was identified as the nursing administration’s focus on individuals rather than systemic issues when errors occur. The majority of MAEs were non-intravenous, with incorrect timing of administration being the leading cause. Conclusion. The study sheds light on critical care nurses’ perspectives on MAEs in a Malaysian hospital setting, highlighting key factors contributing to these errors and barriers to their reporting. Understanding these perceptions is crucial for developing strategies to mitigate MAEs and enhance patient safety in critical care environments.

1. Background

Medication administration errors (MAEs) are defined as “a deviation from the prescriber’s medication order as written on the patient’s chart, manufacturers’ preparation/administration instructions, or relevant institutional policies” [1]. MAEs are a major concern in the nursing sector, resulting from inconsistencies between the medication delivered to patients and the intended medical therapy prescribed by healthcare practitioners [2]. In the United States alone, drug-related incidents kill between 7,000 and 9,000 people each year [3]. Medication errors can have serious consequences, such as increased patient mortality, extended hospitalization times, and increased medical costs [4–6]. Medication errors are predicted to cost the world USD 42 billion per year [7].

The major reason for reporting such errors was concern about patient safety [8]. The goals of World Patient Safety Day are to educate the public, motivate action, and encourage governments to prioritize patient safety in healthcare systems worldwide. On September 17, 2022, World Patient Safety Day was honored with the theme “Medication Safety,” highlighting the necessity of ensuring that medications are safe for patients to use [9]. The program aimed to eliminate unnecessary adverse drug reactions by consolidating the World Health Organization’s Global Patient Safety Challenge: Medication without Harm [10].

The five “rights” linked with the safe and effective administration of medicines are the “right patient,” “right medication,” “right time,” “right dose,” and “right route.” Errors when delivering medications to patients often violate one or more of these rights [11]. The five “rights” have been firmly established in nursing education as standard guidelines for ensuring safe and effective medication delivery. However, new study has highlighted the concept that medication administration is merely one component of a larger and more complex pharmaceutical utilization process [3, 12]. As a result, four new “rights” were proposed: right documentation, right action/reason, right form, and right reaction [13]. Medication errors are more common in high-volume care settings including emergency rooms and intensive care units [14].

The fear of experiencing negative consequences associated with reporting and undergoing disciplinary actions, the fear of being held accountable, the fear of the response from nurse management and colleagues, and the fear of job loss all influence nurses’ attitudes toward reporting medication errors [15]. The act of reporting medication errors is critical to properly resolving these situations because it facilitates knowledge learning among healthcare personnel and raises medication safety awareness [16]. Multiple factors, including insufficient professional experience, participation in night shifts, poor on-the-job training, the absence of preestablished protocols for medicine administration, and interruptions during administration procedures, have shown statistically significant relationships with medication administration errors [17]. Medication errors are more likely in the context of intravenous therapy [18].

Nurses spend 40% of their time on medication administration, making them crucial in the healthcare system as the last checkpoint before giving medications. Nurses need to detect and correct errors in keeping with their professional, legal, and ethical responsibilities [19]. The ongoing concern about medical delivery errors remains a significant feature in the goal of patient safety [13]. Identifying a persistent root cause of errors and subsequently devising a good solution that significantly minimizes the likelihood of their recurrence is a substantial and tough challenge [3].

Nurses play an important role in facilitating medication administration to patients in the hospital setting [20]. The study setting still relies on conventional paper-based methods for prescription of the medications. Nurses in critical care units at a tertiary hospital in East-Coast Malaysia are likely to speak Malay at home and at work [21]; this study aims to learn their perspectives on the factors that lead to MAEs and why some of them choose not to report them. In order to fulfil healthcare needs, Malaysia uses both locally branded medications and medications imported from other nations, such as Pfizer, as per the National Pharmaceutical Regulatory Agency (NPRA) [22]. Because of the scarcity of local study on MAEs among nurses, the current study takes advantage of this information gap. As a result, the study’s objectives are to assess critical care nurses’ perceptions of the causes of MAEs and the reasons for not reporting MAEs, as well as the percentage of reported non-intravenous and intravenous-related MAEs.

2. Materials and Methods

2.1. Study Design and Participants

Over a period of two months beginning in February 2023, a cross-sectional survey was undertaken among critical care nurses registered and employed at tertiary institutions in Kelantan, Malaysia. The study involved three tertiary hospitals: Hospital Raja Perempuan Zainab 2 (HRPZII), Hospital Sultan Ismail Petra (HSIP), and Hospital Tanah Merah (HTM).

The sample size was calculated using a single mean calculation according to study conducted by You et al. [23]. The lists of critical care nurses were obtained from the nursing units of each hospital. The participants were chosen at random in proportion to the quantity of nurses available during the study. There were 424 critical care nurses in all, including 276 from HRPZII, 121 from HSIP, and 27 from HTM. The inclusion criteria for this study consisted of registered nurses who were directly involved in providing patient care and had a minimum employment duration of six months at each unit. Additionally, in order to keep our emphasis on evaluating staff who interact directly with patient care, we purposefully eliminated administrative roles, nurses who were not present during the survey, and nurses who did not provide direct patient care from our consideration.

2.2. Measuring Tool

The Medication Administration Errors Survey, a self-reported questionnaire created by Wakefield et al., was used to assess nurses’ perceptions of MAEs [24]. The questionnaire was approved for use prior to the study’s conduct. It was confirmed, and Cronbach’s alpha value was 0.78. The surveys were divided into three sections: 28 questions on the causes of MAEs; 16 items on why MAEs are not reported; and 20 items on the reported non-intravenous (Brabcová et al.) and IV-related MAEs (9 and 11 items, respectively). Each question in the first two parts was scored on a 6-point Likert scale (1 = strongly disagree and 6 = strongly agree). The result was presented as mean and standard deviation for each item. The third domain was presented as frequency and percentage of type of MAEs, which include non-intravenous and intravenous-related MAEs. They used a 10-point Likert scale. The participants required 10 to 20 minutes to complete the survey.

2.3. Data Collection

The permission to conduct the study was granted by the State Health Director and the director of each of the hospitals. The data collecting method was facilitated by the nursing units. The survey was in English format, but the participants were able to comprehend and respond appropriately. We made sure to get the informed consent of those who were chosen and willing to participate. The questionnaires were collected as soon as the participants completed the survey. Their decisions were not affected by the superior since the procedure occurred in an isolated hall for each hospital involved.

2.4. Data Analysis

The data were entered and analyzed using SPSS ver. 26. Descriptive statistics were used to summarize the result. The mean and standard deviation were used to portray numerical data, considering their normal distribution. Categorical data were reported as frequency and percentage. Multiple logistic regression was used to analyze the variables of age, gender, education level, and job duration, as detailed in the following.

2.5. Ethical Consideration

Ethical approval was obtained from the relevant committees, including Jawatankuasa Etika Penyelidikan Manusia Universiti Sains Malaysia (JEPeM-USM) dated 28th December 2022, bearing the JEPeM Code: USM/JEPeM/22110733, and the National Medical Research Register (NMRR) dated 13th January 2023, with the reference number NMRR ID-22-02882-R29. Strict confidentiality measures were adhered to, and the data analysis and reporting were conducted without revealing participants’ identities.

3. Results

3.1. Sociodemographic Characteristics and Job Experience of the Participants

The study involved 424 critical care nurses. Table 1 summarizes the sociodemographic characteristics and job characteristics of the participants in a comparable study by You et al. [23] and Bifftu et al. [25]. The mean age was 40.90 ± 6.13 years. Most of the participants are married. The mean work time was 16.83 ± 5.90 years. Most of them worked at Intensive Care Unit (ICU; 39.2%), followed by Neonatal Intensive Care Unit (NICU; 16.3%), Operation Theatre (OT; 15.3%), Emergency Department (ED; 8.3%), Cardiac Care Unit (CCU; 8.0%), High Dependency Ward (HDW; 7.3%), and Paediatric Intensive Care Unit (PICU; 5.7%). Majority of them (79.5%) worked at least 50 hours per week. In their clinical context, 84.9% of the participants reported a nurse-patient ratio of 1 : 1 to 1 : 6. Patient safety training was attended by 61.3% of participants. 86.8% of participants were instructed how to administer medications. In contrast, 84.7% and 65.6% of people, respectively, had no prior experience with MAEs, either directly or via observation. The outcome under consideration is critical care nurses’ readiness to report MAEs to authorities. Most nurses (60.1%) did not believe errors should be revealed.

3.2. Critical Care Nurses’ Perception regarding the Causes of MAEs

Table 2 shows the perception of MAE causes by the critical care nurses. According to the finding, illegible medicine orders from physicians scored the highest items (4.39 ± 1.35) followed by look-alike drugs (4.38 ± 1.47), and package similarity (4.31 ± 1.46) was the third most recognized cause of MAEs. The least cause of MAEs was pharmacists being unavailable for over 24 hours, with a mean value of (1.94 ± 1.20). The remaining items’ score ranged from 2.29 to 4.27.

3.3. Critical Care Nurses’ Perception of Reasons for Not Reporting MAEs

Table 3 indicates critical care nurses’ perceptions of reasons for not reporting MAEs. The highest mean score for a reason not to report MAEs was when MAEs occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error (3.80 ± 1.64). The second higher mean score was when nurses could be blamed if something happens to the patient as a result of the medication error (3.69 ± 1.70), and the third reason was when the patient or family might develop a negative attitude toward the nurse or may sue the nurse if a medication error is reported (3.06 ± 1.60).

3.4. Perceived Reported Medication Administration Errors (MAEs) by Intravenous and Non-Intravenous (Non-IV) Routes among Critical Care Nurses

Table 4 shows the percentage of perceived MAEs for each item in Kelantan government hospitals with specialists. The data show that the MAEs with the greatest perceived intravenous drug error rates were incorrect timing (16.5%), wrong dosage (16.3%), and wrong route (16.1%). The least perceived medication error was IV fluid mismatch (14.9%). The highest percentages for non-intravenous MAEs were 18.9% for medication given at the inappropriate time, 18.6% for method, and 18.2% for dosage.

4. Discussion

MAE prevention is a main focus of hospital quality improvement and risk management initiatives. Medication administration is generally entrusted to nurses and is an important component of nursing practice, having a substantial impact on patient safety and the provision of high-quality healthcare services. Nurses receive medication administration training in order to reduce drug-related incidents in hospital settings, as they play a critical role in preventing such errors prior to medication administration to patients.

According to the findings of the current study, 61.3% of participants had attended patient safety courses, showing that they had received enough training on safe and effective patient care. In comparison to a survey conducted in Seoul, just 47.8% of participants had received patient safety education [26]. However, in an Ethiopian study, 84.5% of participants did not get patient safety training [27]. This is concerning because healthcare providers require adequate patient safety training to avoid making errors that endanger patients. It emphasizes the need of healthcare organizations stressing patient safety education and training for their employees [28]. Medication administration instructions were given to more than 80% of study participants. This demonstrates the importance of critical care hospitals prioritizing employee training on medication administration practices. But, only 55.7% of Ethiopian study participants obtained medical administration instruction [6].

The present study’s results indicated that 84.7% of critical care nurses had no MAE experience, compared to a previous study in Turkey, where 73.9% of nurses had no MAE experience, showing that the current study had improved better in terms of practicing patient safety culture [29, 30]. However, prior MAE experience was reported by 69.6% of nurses in South Korea, demonstrating that MAE prevalence differs among healthcare systems and settings [31]. These disparities in prevalence could be attributed by differences in reporting standards or medication administration practices [32]. These findings emphasize the significance of continuing education for healthcare personnel especially critical care nurses in ensuring patient safety. According to the results of this survey, 65.6% of respondents have seen MAEs performed by others. This shows that MAEs are common in clinical settings and can risk patient safety. According to a recent Turkish study, 55.8% of respondents reported witnessing MAEs [29]. It emphasizes the significance of encouraging nurses to report and treat MAEs to improve patient safety. Having healthcare personnel report MAEs helps organizations discover areas for improvement and take preventive measures.

MAEs are causing worry in healthcare settings since they may endanger patients. MAEs can arise as a result of problems with drug ordering, dispensing, administration, and monitoring. According to critical care nurses, unclear physician prescription instructions induced MAEs. A similar finding was found in a South Korean study [31], where nurses assessed the unreadable physician’s medication order as extremely crucial in contributing to MAEs. Both studies emphasize the need of legible medication instructions in avoiding MAEs. Clear and easy-to-read prescription instructions are important to avoid medication errors, and this can be achieved through standardized templates, electronic prescribing, or better physician training [33]. According to a South African study, MAEs may be caused by illegible handwriting. Prescription interpretation was performed by pharmacists 75% of the time and nurses 81.8% of the time [34]. This study highlights the significance of healthcare providers giving legible and explicit prescription instructions during medication administration [12]. The introduction of comparable drugs was the second most common cause of MAEs. It is worth noting that nurses in the United States reported this difficulty more frequently, implying that it is a more general issue [35]. When many prescriptions have identical colors or formats, it can be confusing. Critical care nurses identified this issue as the second most common cause of MAEs in this study, emphasizing its importance in medication use. Drug packaging, labelling requirements, and cultural variances may all contribute to this impression mismatch [3, 36, 37].

Nursing administration attributes prescription errors to individual acts or oversights rather than systemic issues. According to the majority of critical care nurses, nursing administration prioritized the individual over the system, which is consistent with previous study and conclusions [3, 31, 35]. Nursing administration, according to these studies, blames nurses for prescription errors rather than addressing systemic issues. This limited view of human responsibility may make it more difficult to explain drug mishaps. As a result, addressing the contextual factors driving medication errors requires a thorough strategy. Healthcare medicine administration must change for the sake of safety and efficiency [38, 39]. Another MAE myth that critical care nurses in this study perceived was that nurses may be held accountable for patient damage caused by prescription errors. According to a Saudi Arabian study, nurses were unwilling to report medication mistakes for fear of being implicated [40]. According to this study, nurses may be hesitant to disclose prescription errors for fear of disciplinary or legal penalties. This emphasizes the need of building a safety culture in healthcare companies that encourages reporting and learning from errors rather than condemning nurses [41]. Such an approach may improve patient safety and service quality by encouraging openness and responsibility [41, 42].

In this study, non-intravenous and intravenous MAEs included medication administration at the inappropriate time, route, and dose. In non-IV and IV-related MAEs, medication was rarely given without a doctor’s order. Medication distribution at an inconvenient time was the most common IV-related MAE in Saudi Arabia [40]. South Korean studies produced a range of results. Giving medicine to the wrong patient was the most common non-intravenous MAE, while improper drug infusion rate was the most common IV-related MAE [31]. Effective communication among the healthcare team and adherence to medication order protocols may help decrease MAEs. Ongoing education, training, and monitoring are essential for ensuring medication safety [6].

This study does have a few limitations. It is based on data that participants reported themselves, which could be influenced by biases. These biases could include misremembering past events, wanting to appear in a positive light, and interpreting questions differently. Most of the people who took part in the study are critical care nurses who are 40 years old. It is possible that the responses are biased because people who have made or seen medication errors might be more willing to admit them. Using questionnaires to collect self-reported data can limit the amount of detailed information about how often medication errors happen or how serious they are.

5. Conclusion

In conclusion, the study looked into the perceptions of critical care nurses on the causes of MAEs in public hospitals with specialists in Kelantan, as well as the reasons for not reporting these MAEs. According to the findings of this study, illegible medication orders from physicians, drug similarity, and medication package similarity are the top contributors to MAEs in the eyes of nurses. In contrast, the key reasons why MAEs are not reported are that nursing administration focuses on persons rather than systems, nurses may be held accountable, and patients and their families may file legal action against them. The findings highlight the importance of developing comprehensive strategies to address the highlighted reasons, improve communication and training, decrease strain and time pressure, and create a safety culture that fosters error reporting and learning. Further study is required to investigate the efficacy of these approaches in reducing MAEs.

Data Availability

The data are not publicly available due to privacy and confidentiality. However, restrictions apply to the availability of hospital data, which are available from the authors with the organization’s permission.

Conflicts of Interest

The authors declare that there are no conflicts of interest regarding the publication of this paper.

Authors’ Contributions

MII conceptualized the study, contributed to literature review, led the project, reviewed the article, and edited the article. MSI performed analysis, wrote the article, and provided references. All authors have read and agreed to the published version of the article.

Acknowledgments

The authors would like to express gratitude to the Kelantan State Health Department for the permission to conduct this study. Special thanks go to the nursing unit of all three hospitals. Massive thanks go to the respondents, whose involvement is very much appreciated.

References

R. N. Keers, S. D. Williams, J. Cooke, and D. M. Ashcroft, “Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study,” British Medical Journal Open, vol. 5, Article ID e005948, 2015.
View at: Publisher Site | Google Scholar
S. A. Feleke, M. A. Mulatu, and Y. S. Yesmaw, “Medication administration error: magnitude and associated factors among nurses in Ethiopia,” Bone Marrow Concentrate Nursing, vol. 14, no. 1, p. 53, 2015.
View at: Publisher Site | Google Scholar
R. A. Tariq, R. Vashisht, A. Sinha, and Y. Scherbak, “Medication Dispensing Errors and Prevention. StatPearls. Treasure Island (FL) ineligible companies. Disclosure: rishik Vashisht declares no relevant financial relationships with ineligible companies. Disclosure: ankur Sinha declares no relevant financial relationships with ineligible companies,” Disclosure: Yevgeniya Scherbak Declares No Relevant Financial Relationships with Ineligible Companies, StatPearls Publishing, St. Petersburg, FL, USA, 2023.
View at: Google Scholar
D. Mostafaei, A. Barati Marnani, H. Mosavi Esfahani et al., “Medication errors of nurses and factors in refusal to report medication errors among nurses in a teaching medical center of Iran in 2012,” Iranian Red Crescent Medical Journal, vol. 16, no. 10, Article ID e16600, 2014.
View at: Publisher Site | Google Scholar
M. F. Rasool, A. U. Rehman, I. Imran et al., “Risk factors associated with medication errors among patients suffering from chronic disorders,” Frontiers in Public Health, vol. 8, Article ID 531038, 2020.
View at: Publisher Site | Google Scholar
A. Wondmieneh, W. Alemu, N. Tadele, and A. Demis, “Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia,” Bone Marrow Concentrate Nursing, vol. 19, no. 1, p. 4, 2020.
View at: Publisher Site | Google Scholar
M. Härkänen, K. Vehviläinen-Julkunen, T. Murrells, A. M. Rafferty, and B. D. Franklin, “Medication administration errors and mortality: incidents reported in England and Wales between 2007 ̶ 2016,” Research in Social and Administrative Pharmacy, vol. 15, no. 7, pp. 858–863, 2019.
View at: Publisher Site | Google Scholar
C.-C. Chew, A. S. Hs, N. R. H. Abd Manak et al., “Medication administration errors reporting by Neonatal Intensive Care Nurses in Malaysia: a nationwide study,” Malaysian Journal of Paediatrics and Child Health, vol. 28, no. 2, pp. 5–12, 2022.
View at: Publisher Site | Google Scholar
World Health Organization (WHO), “Global Celebrations of World Patient Safety Day,” 2023, https://www.who.int/publications/i/item/WHO-UHL-IHS-2023.1.
View at: Google Scholar
World Health Organization (WHO), “Global patient safety challenge: medication without Harm,” 2022, https://www.who.int/initiatives/medication-without-harm.
View at: Google Scholar
R. Shawahna, D. Masri, R. Al-Gharabeh, R. Deek, L. Al-Thayba, and M. Halaweh, “Medication administration errors from a nursing viewpoint: a formal consensus of definition and scenarios using a Delphi technique,” Journal of Clinical Nursing, vol. 25, no. 3-4, pp. 412–423, 2016.
View at: Publisher Site | Google Scholar
A. Hanson and L. M. Haddad, Nursing Rights of Medication Administration. StatPearls [Internet], StatPearls Publishing, St. Petersburg, FL, USA, 2022.
M. Paul, A. Cabri, and M. Davis, “Medication administration errors,” in PSNet Patient Safety Network, Agency for Healthcare Research and Quality, Rockville, ML, USA, 2021.
View at: Google Scholar
A. S. M. Fathy, N. S. Khalil, N. M. Taha, and M. Abd-Elbaky, “Nurse’s knowledge and practice regarding medication errors in critical care units: descriptive study,” Minia Scientific Nursing Journal, vol. 008, pp. 111–120, 2020.
View at: Google Scholar
A. Jember, M. Hailu, A. Messele, T. Demeke, and M. Hassen, “Proportion of medication error reporting and associated factors among nurses: a cross sectional study,” Bone Marrow Concentrate Nursing, vol. 17, no. 1, p. 9, 2018.
View at: Publisher Site | Google Scholar
M. Zahary, E. H. H. Lung, F. A. Ghazali, and C. E. Paul, “Medication errors understanding among the healthcare providers at the health clinics in Labuan Federal Territory,” Pharmacological Research- Reports, vol. 4, pp. 38–43, 2021.
View at: Google Scholar
T. Mohammed, S. Mahmud, B. Gintamo, Z. N. Mekuria, and Z. Gizaw, “Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study,” British Medical Journal Open, vol. 12, Article ID e066531, 2022.
View at: Publisher Site | Google Scholar
A. Sutherland, M. Canobbio, J. Clarke, M. Randall, T. Skelland, and E. Weston, “Incidence and prevalence of intravenous medication errors in the UK: a systematic review,” European Journal of Hospital Pharmacy, vol. 27, no. 1, pp. 3–8, 2020.
View at: Publisher Site | Google Scholar
B. B. Bifftu and B. Y. Mekonnen, “The magnitude of medication administration errors among nurses in Ethiopia: a systematic review and meta-analysis,” Journal of Caring Sciences, vol. 9, pp. 1–8, 2020.
View at: Publisher Site | Google Scholar
A. M. Parry, K. L. Barriball, and A. E. While, “Factors contributing to registered nurse medication administration error: a narrative review,” International Journal of Nursing Studies, vol. 52, no. 1, pp. 403–420, 2015.
View at: Publisher Site | Google Scholar
A. B. Zun, M. I. Ibrahim, A. M. Mokhtar, A. S. Halim, and W. N. A. Wan Mansor, “Translation, cross-cultural adaptation, and validation of the hospital consumer assessment of healthcare providers and systems (HCAHPS) into the Malay language,” International Journal of Environmental Research and Public Health, vol. 16, no. 11, p. 2054, 2019.
View at: Publisher Site | Google Scholar
Flanders, “Healthcare and medical sector in South and southeast asia,” 2023, https://www.flandersinvestmentandtrade.com/export/sites/trade/files/market_studies/HealthcareinPDFformat.
View at: Google Scholar
M.-A. You, M.-H. Choe, G.-O. Park, S.-H. Kim, and Y.-J. Son, “Perceptions regarding medication administration errors among hospital staff nurses of South Korea,” International Journal for Quality in Health Care, vol. 27, no. 4, pp. 276–283, 2015a.
View at: Publisher Site | Google Scholar
B. J. Wakefield, T. Uden-Holman, and D. S. Wakefield, “Advances in patient safety development and validation of the medication administration error reporting survey,” in Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products), K. Henriksen, J. B. Battles, E. S. Marks, and D. I. Lewin, Eds., Agency for Healthcare Research and Quality (US), Rockville (MD), USA, 2005.
View at: Google Scholar
B. B. Bifftu, B. A. Dachew, B. T. Tiruneh, and D. T. Beshah, “Medication administration error reporting and associated factors among nurses working at the University of Gondar referral hospital, Northwest Ethiopia, 2015,” Bone Marrow Concentrate Nursing, vol. 15, pp. 43–47, 2016.
View at: Publisher Site | Google Scholar
S. H. Shin, M. J. Kim, H. J. Moon, and E. H. Lee, “Development and effectiveness of a patient safety education program for inpatients,” International Journal of Environmental Research and Public Health, vol. 18, no. 6, p. 3262, 2021.
View at: Publisher Site | Google Scholar
H. Biresaw, N. Asfaw, and F. Zewdu, “Knowledge and attitude of nurses towards patient safety and its associated factors,” International Journal of Africa Nursing Sciences, vol. 13, Article ID 100229, 2020.
View at: Publisher Site | Google Scholar
A. W. Wu and I. M. Busch, “Patient safety: a new basic science for professional education,” General Medical Services Journal for Medical Education, vol. 36, no. 2, Article ID Doc21, 2019.
View at: Publisher Site | Google Scholar
S. Bişkin Çetin and F. Cebeci, “Perceptions of clinical nurses about the causes of medication administration errors: a cross-sectional study,” Florence Nightingale Journal of Nursing, vol. 29, no. 1, pp. 56–64, 2021.
View at: Publisher Site | Google Scholar
R. Harrison, A. W. S. Cohen, and M. Walton, “Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review,” International Journal for Quality in Health Care, vol. 27, no. 4, pp. 240–254, 2015.
View at: Publisher Site | Google Scholar
M. A. You, M. H. Choe, G. O. Park, S. H. Kim, and Y. J. Son, “Perceptions regarding medication administration errors among hospital staff nurses of South Korea,” International Journal for Quality in Health Care, vol. 27, no. 4, pp. 276–283, 2015b.
View at: Publisher Site | Google Scholar
D. Tsegaye, G. Alem, Z. Tessema, and W. Alebachew, “Medication administration errors and associated factors among nurses,” International Journal of General Medicine, vol. 13, pp. 1621–1632, 2020.
View at: Publisher Site | Google Scholar
V. Jungreithmayr, A. D. Meid, J. Bittmann et al., “The impact of a computerized physician order entry system implementation on 20 different criteria of medication documentation—a before-and-after study,” Bone Marrow Concentrate Medical Informatics and Decision Making, vol. 21, no. 1, p. 279, 2021.
View at: Publisher Site | Google Scholar
T. Modi, N. Khumalo, R. Shaikh, Z. Booth, S. Leigh-De Rapper, and G. D. Mahumane, “Impact of illegible prescriptions on dispensing practice: a pilot study of South African pharmacy personnel,” Pharmacy, vol. 10, no. 5, p. 132, 2022.
View at: Publisher Site | Google Scholar
I. Brabcová, H. Hajduchová, V. Tóthová et al., “Reasons for medication administration errors, barriers to reporting them and the number of reported medication administration errors from the perspective of nurses: a cross-sectional survey,” Nurse Education in Practice, vol. 70, Article ID 103642, 2023.
View at: Publisher Site | Google Scholar
J. L. Estock, A. W. Murray, M. T. Mizah, M. P. Mangione, J. S. Goode Jr., and D. E. Eibling, “Label design affects medication safety in an operating room crisis: a controlled simulation study,” Journal of Patient Safety, vol. 14, no. 2, pp. 101–106, 2018.
View at: Publisher Site | Google Scholar
S. Machen, Y. Jani, S. Turner, M. Marshall, and N. J. Fulop, “The role of organizational and professional cultures in medication safety: a scoping review of the literature,” International Journal for Quality in Health Care, vol. 31, no. 10, pp. G146–g157, 2019.
View at: Publisher Site | Google Scholar
A. A. Mutair, S. Alhumaid, A. Shamsan et al., “The effective strategies to avoid medication errors and improving reporting systems,” Medicine (Baltimore), vol. 8, no. 9, p. 46, 2021.
View at: Publisher Site | Google Scholar
T. L. Rodziewicz, B. Houseman, and J. E. Hipskind, “Medical error reduction and prevention. StatPearls. Treasure island (FL) ineligible companies,” Disclosure: Benjamin Houseman Declares No Relevant Financial Relationships with Ineligible Companies. Disclosure: John Hipskind Declares No Relevant Financial Relationships with Ineligible Companies, StatPearls Publishing, St. Petersburg, FL, USA, 2023.
View at: Google Scholar
B. M. Hammoudi, S. Ismaile, and O. Abu Yahya, “Factors associated with medication administration errors and why nurses fail to report them,” Scandinavian Journal of Caring Sciences, vol. 32, no. 3, pp. 1038–1046, 2018.
View at: Publisher Site | Google Scholar
S.-J. Jang, H. Lee, and Y.-J. Son, “Perceptions of patient safety culture and medication error reporting among early-and mid-career female nurses in South Korea,” International Journal of Environmental Research and Public Health, vol. 18, no. 9, p. 4853, 2021.
View at: Publisher Site | Google Scholar
S. M. F. Abdelaliem and S. A. Alsenany, “Factors affecting patient safety culture from nurses’ perspectives for sustainable nursing practice,” Healthcare, vol. 10, no. 10, p. 1889, 2022.
View at: Publisher Site | Google Scholar

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Copyright © 2024 Muhammad Solehuddin Ishak and Mohd Ismail Ibrahim. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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