Medication Administration Errors (MAEs) have been identified as a major threat to patient safety in the hospital, especially in the inpatient medical units. The MAEs in the medical unit have significantly affected patients due to resultant adverse drug events (ADEs), which lead to prolonged hospital stays, morbidity, mortality, and increased medical costs. The proposed safety improvement is a self-reporting program for MAEs. Reporting of MAEs will promote the implementation of appropriate medical interventions to mitigate the effects of the error. The purpose of this assignment is to present an autobiography of scholarly resources to guide in implementing the proposed plan. The resources will help implement the plan in three themes: Common Medication Errors that should be Reported, Barriers to Self-Reporting, and Implementing MAE Reporting.
Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors and contributing factors among nurses: a cross-sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC Nursing, 19, 4. https://doi.org/10.1186/s12912-020-0397-0
The article evaluates the magnitude and factors contributing to MAEs among nurses in tertiary care hospitals. It identifies causative factors such as inadequate training, lack of medication administration guidelines, inadequate work experience, and interruption during drug administration. The article can help identify the probable causes of MAEs in the organization and guide the implementation team in addressing them. The resource is valuable in reducing MAEs since it recommends providing continuous training on safe medication administration, developing and availing a medication administration guideline, and creating an enabling environment for nurses to administer medication safely. Therefore, it can be applied when identifying actions to take when there is an increased number of reported MAEs.
Yousef, A. M., Abu-Farha, R. K., & Abu-Hammour, K. M. (2021). Detection of medication administration errors at a tertiary hospital using a direct observation approach. Journal of Taibah University Medical Sciences, 17(3), 433–440. https://doi.org/10.1016/j.jtumed.2021.08.015
The study examines the prevalence, types, and severity of MAEs and the factors linked with the incidence of MAEs. It identifies that adherence errors are the most frequent MAEs, followed by incorrect drug preparation, and MAEs occur more frequently in non-intravenous administration. The resource can help nurses identify how they are likely to perpetrate MAEs and in what types of medication administration. The article can help reduce MAEs by recommending continuous awareness and education campaigns for nurses on the importance of proper and safe drug administration. It can thus be applied in planning the measures to prevent the recurrence of MAEs after they are reported.
Assunção-Costa, L., Costa de Sousa, I., Alves de Oliveira, M. R., Ribeiro Pinto, C., Machado, J. F. F., Valli, C. G., & de Souza, L. E. P. F. (2022). Drug administration errors in Latin America: A systematic review. Plos one, 17(8), e0272123. https://doi.org/10.1371/journal.pone.0272123
The article examines the frequency and nature of MAEs. The common errors in medication administration identified in the article are wrong time, dose, omission, and administration route. The resource can be helpful to the team that will be involved in implementing the self-reporting program for MAEs. It will help the team to understand what constitutes medication administration errors so that all errors can be recognized and identified. The article is valuable in reducing the risk to patient safety caused by MAEs since it makes providers conscious of errors they may perpetrate when administering medications and identify them when they occur. The resource can enlighten health providers about examples of MAEs to help them understand what events they should report.
Mohammed, T., Mahmud, S., Gintamo, B., Mekuria, Z. N., & Gizaw, Z. (2022). Medication administration errors and associated factors among nurses in Addis Ababa federal hospitals, Ethiopia: a hospital-based cross-sectional study. BMJ open, 12(12), e066531. https://doi.org/10.1136/bmjopen-2022-066531
The article evaluates the magnitude and factors contributing to MAEs among nur