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Pharmacy World & Science

, Volume 30, Issue 2, pp 182–190 | Cite as

Raising the awareness of inpatient nursing staff about medication errors

  • Asim Ahmed ElnourEmail author
  • Nagy Hassan Ellahham
  • Huria Ismail Al Qassas
Research Article

Abstract

Objective The study objective was to design and implement an educational programme to raise the awareness of in-patient nursing staff about medication errors and other medication-related safety issues. Method A sample of in-patient nursing staff in Al Ain hospital (n = 370) was included in the study and completed a self-reported questionnaire about medication errors. A structured program was developed and used by the clinical pharmacists to identify the nursing knowledge on medication errors and other medication-related safety issues. The program consisted of a pre/post self-reported questionnaire, a training service, educational material, successive presentations and handouts. The self-reported questionnaire included twenty closed questions asking nurses opinions about medication errors. A training program on medication safety (Med Safe® tool) was carried out by [clinical pharmacy team (n = 2) and quality coordinator nurse (n = 1)], for each group of 10 nurses. Main outcome measure The study outcomes were the change in mean scores pre and post intervention. Results Findings revealed differences in the knowledge of nurses about the causes and reporting of medication errors. There were statistically significant differences in responses across the participant's years of experience and the current clinical working area. The participant's responses improved significantly [57.4% ± 8.2, (95%CI: 56.6–58.2) vs. 68.9 ± 10.3, (95%CI: 67.8–69.9); P < 0.05] pre and post questionnaire respectively. Conclusions The clinical pharmacist's structured program has improved knowledge of the in-patient nursing staff in terms of raising their awareness about medication errors.

Keywords

Awareness Clinical pharmacy Medication errors Nursing staff Pharmacists United Arab Emirates 

Notes

Acknowledgements

We wish to thank Mrs. Aisha Al Nuaimi the nursing director, Dr. Adel Sadiq the pharmacy director; the nursing supervisors and the in-patient nursing staff of Al Ain hospital, for their collaboration and efforts in facilitating the implementation of this project.

References

  1. 1.
    Brennan TA, Hebert LE, Laird NM, Lawthers A, Thorpe KE, Leape LL, et al. Hospital characteristics associated with adverse events and substandard care. JAMA 1991;265(24):3265–9.PubMedCrossRefGoogle Scholar
  2. 2.
    Thomas EJ, Studdert DM, Newhouse JP, Zbar BIW, Howard KM, Williams EJ. Costs of medical injuries in Utah and Colorado. Inquiry 1999;36(3):255–64.PubMedGoogle Scholar
  3. 3.
    Institute of Medicine. To Err is Human: building a safer health system. Washington DC: National Academy Press; 1999.Google Scholar
  4. 4.
    Patel P, Zed PJ. Drug-related visits to the emergency department. How big is the problem? Pharmacotherapy 2002;22:915–23.PubMedCrossRefGoogle Scholar
  5. 5.
    Allan EL, Barker KN. Fundamentals of medication error research. Am J Health-Syst Pharm 1990;47:555–71.Google Scholar
  6. 6.
    Manasse HR Jr. Medication use in an imperfect world: drug misadventuring as an issue of public policy, part 1. Am J Health-Syst Pharm 1989;46:929–44.Google Scholar
  7. 7.
    Manasse HR Jr. Medication use in an imperfect world: drug misadventuring as an issue of public policy, part 2. Am J Health-Syst Pharm 1989;46:1141–52.Google Scholar
  8. 8.
    Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Servi D, et al. Incidence of adverse drug events and potential adverse drug events: Implications for prevention, ADE Prevention Study Group. JAMA 1995;274:29–34.PubMedCrossRefGoogle Scholar
  9. 9.
    National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP), USA. Taxonomy of medication errors. About medication errors, 1998. http://www.nccmerp.org/aboutMedErrors.html. Accessed 5 Dec 2006.
  10. 10.
    Banning M. Medication errors: professional issues and concerns. Nurs Older Peop J 2006;18(3):27–32, Review.Google Scholar
  11. 11.
    Leape LL, Bates DW, Cullen DJ, Cooper J, Demonaco HJ, Gallivan T, et al. Systems analysis of adverse drug events. JAMA 1995;274:35–43.PubMedCrossRefGoogle Scholar
  12. 12.
    Issue of the Institute for Safe Medication Practice (ISMP). Medication Safety Alert. 1999.Google Scholar
  13. 13.
    Kohn LT, Corrigan JM, Donaldson MS. Institute of Medicine: to err is human: building a safer health system. Washington DC: National Academy Press; 2000.Google Scholar
  14. 14.
    Stelfox HT, Palmisani S, Scurlock C, Orav EJ, Bates DW. “To Err is Human” report and the patient safety literature. Qual Saf Health Care 2006;15:174–8.PubMedCrossRefGoogle Scholar
  15. 15.
    Barker KN, Flynn EA, Pepper GA, Bates DW, Mikeal RL. Medication errors observed in 36 health care facilities. Arch Intern Med 2002;162(16):1897–1903.PubMedCrossRefGoogle Scholar
  16. 16.
    Top priority actions for preventing adverse drug events in hospitals. Recommendations of an expert panel. Am J Health-Syst Pharm 1996;53(7):747–51.Google Scholar
  17. 17.
    Bates DW, Jonathan MT, Joshua L, Diane S, Gilad JK, Ma’Luf N. The impact of computerized physician order entry on medication error prevention. JAMA 1999;6:313–21.Google Scholar
  18. 18.
    Aspden P, Corrigan JM, Wolcott J, Erickson SM. Patient safety: achieving a new standard for care. Washington (DC): National Academic Press, USA; 2004.Google Scholar
  19. 19.
    Borel JM, Rascati KL. Effects of an automated, nursing unit-based drug-dispensing device on medication errors. Am J Health-Syst Pharm 1995;52:1875–9.PubMedGoogle Scholar
  20. 20.
    Pronovost P. Medication reconciliation: a practical tool to reduce the risk of medication errors J Crit Care 2003;18(4):201–5.PubMedCrossRefGoogle Scholar
  21. 21.
    Rogers G. Reconciling medications at admission: safe practice recommendations and implementation strategies. Jt Comm J Qual Patient Saf 2006;32(1):37–50.PubMedGoogle Scholar
  22. 22.
    Manno MS, Hayes DD. Best-practice interventions: how drug reconciliation saves lives. Nursing 2006;36(3):63–4.PubMedGoogle Scholar
  23. 23.
    Issue of the Institute for Safe Medication Practice (ISMP). Medication Safety Alert; 2003.Google Scholar
  24. 24.
    Wolf ZR, Serembus JF, Smetzer J, Cohen H, Cohen M. Responses and concerns of healthcare providers to medication errors, Clin Nur Special 2000;14(16):277–87.Google Scholar
  25. 25.
    Mayo AM, Duncan D. Nurse perceptions of medication errors: what we need to know for patient safety. J Nurs Care Qual 2004;19(3):209–17.PubMedGoogle Scholar
  26. 26.
    Schneider PJ, Gift MG, Lee Y-P, Rothermich EA, Sill BE. Cost of medication-related problems at a university hospital. Am J Health-Syst Pharm 1995;52:2415–18.PubMedGoogle Scholar
  27. 27.
    Guchelaar HJ, Colen HB, Kalmeijer MD, Hudson PT, Teepe-Twiss IM. Medication errors: hospital pharmacist perspective. Drugs 2005;65(13):1735–46.PubMedCrossRefGoogle Scholar
  28. 28.
    Billings C. Adverse event reporting systems in Aviation and elsewhere: lessons learned. Newton-Wellesley Hospital Symposium. 1998.Google Scholar
  29. 29.
    Bond CA, Raehl CL, Franke T. Medication errors in United States hospitals. Pharmacotherapy 2001;21:1023–36.PubMedCrossRefGoogle Scholar
  30. 30.
    Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, et al. Medication errors and adverse drug events in paediatric inpatients. JAMA 2001;285:2114–20.PubMedCrossRefGoogle Scholar
  31. 31.
    Leape LL, Cullen DJ, Clapp MD, Burdick E, Demonaco HJ, Bates DW, et al. Pharmacists’ participation on physician rounds and adverse drug events in the intensive care unit. JAMA 1999;282:267–70.PubMedCrossRefGoogle Scholar
  32. 32.
    Schumock GT, Butler MG, Meek PD, Vermeulen LC, Arondekar BV, Bauman JL. Evidence of the economic benefit of clinical pharmacy services 1996–2000. Pharmacotherapy 2003;23:113–32.PubMedCrossRefGoogle Scholar
  33. 33.
    McKenna KJ, Margaret DC, Federico F, Donald AG, Fortescue EB, Bates DW, et al. Events in paediatric inpatients: prioritizing strategies for preventing medication errors and adverse drug reactions. Paediatrics 2003;111:722–9.CrossRefGoogle Scholar
  34. 34.
    Bond CA, Raehl CL, Todd F. Clinical pharmacy services, hospital pharmacy staffing and medication errors in the United States hospitals. Pharmacotherapy 2002;22(2):134–47.PubMedCrossRefGoogle Scholar
  35. 35.
    Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care 2006;15:208–13.PubMedCrossRefGoogle Scholar
  36. 36.
    Osborne J, Blais K, Hayes JS. Nurses’ perceptions: when is it a medication error? J Nurs Adm 1999;29(4):33–8.PubMedCrossRefGoogle Scholar
  37. 37.
    Al-Tajir GK, Kelly WN. Epidemiology, comparative methods of detection, and preventability of adverse drug events. Ann Pharmacother 2005;39(7):1169–74.PubMedCrossRefGoogle Scholar
  38. 38.
    Cohen H, Mandrack M. Application of the 80/20 Rule in safeguarding the use of high-alert medications. Crit Care Nurs Clin North Am 2002;14(4):369–74.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Asim Ahmed Elnour
    • 1
    Email author
  • Nagy Hassan Ellahham
    • 1
  • Huria Ismail Al Qassas
    • 2
  1. 1.Pharmacy DepartmentAl Ain Hospital, Health Authority Abu Dhabi (HAAD)Al AinUAE
  2. 2.Nursing DepartmentAl Ain Hospital, HAADAl AinUAE

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