Medication Preparation Errors among Staff Nurses at Neonatal Intensive Care Units (NICUs) | ||
| Egyptian Journal of Health Care | ||
| Article 33, Volume 9, Issue 4, December 2018, Pages 476-489 PDF (408.39 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2018.198492 | ||
| Authors | ||
| Fareed Fathy Moustafa1; Iman Ibrahim Abd Al Moniem2; Hayam Refaat Tantawi3 | ||
| 1B.sc,Faculty of Nursing, Helwan University | ||
| 2Prof.Dr. Faculty of Nursing, Ain shams University. | ||
| 3Assist. Prof. Dr. Faculty of Nursing, Ain shams University. | ||
| Abstract | ||
| Background: Medication errors are probably the most common type of child safety incidents worldwide and cause harm to neonates, distress to medical staff and costs to the health care system. The study aimed to assess medication preparation errors among staff nurses at Neonatal Intensive Care Units. Research Design: A descriptive analytical research design was utilized. Research Settings: This study was conducted at Neonatal Intensive Care Units belong to two University Hospitals the Children Hospital & Obstetric Hospital affiliated to Ain Shames University Hospitals, Abo-Elrish Children Hospital and New El- Kasr El Ainy affiliated to Cairo University Hospitals. Subject: A purposive sample consisted of 60 nurses at the previously mentioned settings regardless their age, gender, and qualification for a period of 6 months. Tools: Two tools were used a pre designed questionnaire sheet to assess knowledge of the studied nurses about medication preparation errors and observational checklists sheet to assess nurses' practice regarding medication preparation errors. Results: More than one third of studied nurses do not know the precautions during medication preparation and half of studied nurses asked the pharmacist to change medication sticker when had difficulty to read medication name. More than two thirds of studied nurses needed to know information before medication administration, while more than one third of studied nurses combined oral medication with artificial milk and more than two thirds of them didn’t clarify medication label. Conclusion: The current study concluded that, the common medication preparation errors among the studied nurses were did not know precautions before leaving medication preparation, combined oral medication with artificial milk, didn’t know clarify medication label, didn’t know ten medication rights, didn’t know precaution before oral medication administration, review the incubator card before medication administration and didn’t monitor/assess child before medication administration. Recommendations: Periodical educational programs for enhancing level of nurses’ knowledge and practice for prevention of medication errors and emphasize the importance of implementing the effective error prevention strategies, increasing the nurse to neonate ratio and participation of pharmacy department in drug preparation. | ||
| Keywords | ||
| Medication preparation errors; Staff Nurses; Neonatal Intensive Care Unit | ||
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