Medication Administration Errors by Nurses: Adherence to Guidelines

Cited 50 time in Web of Science Cited 55 time in Scopus

Kim, Jeongeun; Bates, David W

Issue Date
JOURNAL OF CLINICAL NURSING Vol.22 No.3-4, pp. 590-598
의약학five rightsmedication administration errormedication safetyobservation
Aims & objectives. Medication administration errors represent one of the major concerns in patient safety. We aimed to
study the rate using more robust methods for the correct results.
Backgrounds. Very few studies have been carried out on medication administration error frequency. Previous studies of
medication error frequency have used mainly surveys of clinical nurses, which may result in substantial undercounts.
Design & Methods. We developed a checklist using basic medication guidelines including the Five Rights, infection recommendations
and medication recording rules. After validity and reliability were confirmed, we performed direct observation
using a checklist to evaluate the medication activities of clinical nurses.
Results. We observed total 293 cases of medication activities, collected data and calculated adherence ratios per item. Only
45 6% of nurses verified the amount of medication indicated on the vial at least once for at least one-second. In addition, only
6 5% read the name of the patient from the wristband. Administering the medication at the correct time guideline was observed
41 0% of the time. The guideline regarding hand washing before external and oral medications was followed only 4 5% of the
time, although this figure was much higher for intravenous medications at 96 6%. Overall, among 31 categories regarding drug
administration, 17 2 (± 3 6) items per person were followed, whereas 5 7 (± 1 2) items per person were violated.
Conclusion. Thus, the results overall showed low rates of adherence to guidelines, suggesting that many medication administration
guidelines are not strictly followed. We found key instances in which nurses did not follow the guidelines, including
many from the Five Rights. About one in four elements were violated overall.
Relevance to clinical practice. The results of this study could be adopted to make guidelines of medication administration
more practical for the clinical nurses to adhere.
Files in This Item:
There are no files associated with this item.
Appears in Collections:
College of Nursing (간호대학)Dept. of Nursing (간호학과)Journal Papers (저널논문_간호학과)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.