Topic Proposal

Proposal

Name

Affiliations with Institutes

Proposal

Patient safety is defined as an effort that is taken to prevent adverse events and medication errors from reaching patients. The adverse drug event can be divided into communication, administrative, medication, surgical, decision making and documentation errors. In the current health care system, the patient's safety is a major issue. Safe administration of medication denotes one of the most complex responsibilities of nursing care. The underreporting of medication error can result in negative consequences such as increased economic burden and prolonged hospital stay. The reporting of medication error offers an opportunity to correctly identify the medication error that threatens the safety of the patient. It has been reported in previous studies that, over the last decade, the rate of reporting of medication errors has been very low. A medication error is described as any preventable event that can lead to improper use of medication and harm patients. It has been reported that medication error consequences are serious.

Purpose

Patient safety is one of the most important indicator of the quality of health care. Studies have shown that approximately one-third of all adverse drug reaction occurrences are linked to medication error. Registered nurses are usually responsible for the administration and evaluation of medicinal therapeutic responses. Previously very few studies have been carried out to determine the perception of nurses regarding medication error. The main purpose of this study is to determine the nurses existing knowledge on medication error and to determine the factors associated with under-reporting of medication errors ADDIN EN.CITE <EndNote><Cite><Author>Jember</Author><Year>2018</Year><RecNum>388</RecNum><DisplayText>(Jember, Hailu, Messele, Demeke, &amp; Hassen, 2018)</DisplayText><record><rec-number>388</rec-number><foreign-keys><key app="EN" db-id="2s2s0zrapsf0pbe5efuvv20f9rszvx0sd2fe" timestamp="1579089230">388</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Jember, Abebaw</author><author>Hailu, Mignote</author><author>Messele, Anteneh</author><author>Demeke, Tesfaye</author><author>Hassen, Mohammed</author></authors></contributors><titles><title>Proportion of medication error reporting and associated factors among nurses: a cross sectional study</title><secondary-title>BMC nursing</secondary-title></titles><periodical><full-title>BMC nursing</full-title></periodical><pages>9</pages><volume>17</volume><number>1</number><dates><year>2018</year></dates><isbn>1472-6955</isbn><urls></urls></record></Cite></EndNote>(Jember, Hailu, Messele, Demeke, & Hassen, 2018). This study will be significant in creating a culture of reporting medication errors in the hospital. If the medication errors are detected and reported, then it can lead to the improvement in the health care system. To prevent medication error, nurses should implement a proper process for the administration of medication including five rights: right dose, right route, right patient, right time and right drug ADDIN EN.CITE <EndNote><Cite><Author>Rutledge</Author><Year>2018</Year><RecNum>387</RecNum><DisplayText>(Rutledge, Retrosi, &amp; Ostrowski, 2018)</DisplayText><record><rec-number>387</rec-number><foreign-keys><key app="EN" db-id="2s2s0zrapsf0pbe5efuvv20f9rszvx0sd2fe" timestamp="1579089163">387</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Rutledge, Dana N</author><author>Retrosi, Tina</author><author>Ostrowski, Gary</author></authors></contributors><titles><title>Barriers to medication error reporting among hospital nurses</title><secondary-title>Journal of clinical nursing</secondary-title></titles><periodical><full-title>Journal of clinical nursing</full-title></periodical><pages>1941-1949</pages><volume>27</volume><number>9-10</number><dates><year>2018</year></dates><isbn>0962-1067</isbn><urls></urls></record></Cite></EndNote>(Rutledge, Retrosi, & Ostrowski, 2018).

Problem Statement

Medication errors constitute a major threat to the safety of patients and lead to increased morbidity and mortality. It is determined that medication errors cause the death of almost 70,000 patients every year. In the United States, the total cost associated with medication error exceeds $40 billion every year. In addition to this cost, patients experience physical and psychological pain as a result of medication error. The medication error reporting will increase patient safety and will also provide important information for the medication errors prevention in the future. Assessing nurses’ perception on the reporting of medication error is a primary step in enhancing the medication error reporting. Medication errors affect organizations, nurses, and patients negatively and also reduce the efficiency of the healthcare. The development of effective strategies regarding the reporting of medication error will help in improving patient safety.

The main goal of this study is to reduce the morbidity and mortality associated with the medication error and to increase the voluntary reporting of errors by the nurses. The voluntary reporting of medication error includes error recognition and assessment of the need for error reporting. In this study, the theory of planned behavior will be used as it explains the relationship between attitude, behavior, and intention. According to this theory, the behavior of a person is based on his intention to perform work ADDIN EN.CITE <EndNote><Cite><Author>Lee</Author><Year>2017</Year><RecNum>389</RecNum><DisplayText>(Lee, 2017)</DisplayText><record><rec-number>389</rec-number><foreign-keys><key app="EN" db-id="2s2s0zrapsf0pbe5efuvv20f9rszvx0sd2fe" timestamp="1579089289">389</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Lee, Eunjoo</author></authors></contributors><titles><title>Reporting of medication administration errors by nurses in South Korean hospitals</title><secondary-title>International Journal for Quality in Health Care</secondary-title></titles><periodical><full-title>International Journal for Quality in Health Care</full-title></periodical><pages>728-734</pages><volume>29</volume><number>5</number><dates><year>2017</year></dates><isbn>1353-4505</isbn><urls></urls></record></Cite></EndNote>(Lee, 2017).

A medication error can occur during dispensing, prescription and administration and are one of the most common preventable causes of patient harm. Making medication errors usually undermines the confidence and self-esteem of nurses.

The target population in this study will be registered nurses working in different tertiary hospitals. A survey will be conducted using a questionnaire. The questionnaire will be comprised of different questions that help to determine the knowledge of nurses regarding the medication errors and factors associated with underreporting of medication error by nurses ADDIN EN.CITE <EndNote><Cite><Author>Lee</Author><Year>2017</Year><RecNum>389</RecNum><DisplayText>(Lee, 2017)</DisplayText><record><rec-number>389</rec-number><foreign-keys><key app="EN" db-id="2s2s0zrapsf0pbe5efuvv20f9rszvx0sd2fe" timestamp="1579089289">389</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Lee, Eunjoo</author></authors></contributors><titles><title>Reporting of medication administration errors by nurses in South Korean hospitals</title><secondary-title>International Journal for Quality in Health Care</secondary-title></titles><periodical><full-title>International Journal for Quality in Health Care</full-title></periodical><pages>728-734</pages><volume>29</volume><number>5</number><dates><year>2017</year></dates><isbn>1353-4505</isbn><urls></urls></record></Cite></EndNote>(Lee, 2017).

References

ADDIN EN.REFLIST Jember, A., Hailu, M., Messele, A., Demeke, T., & Hassen, M. (2018). The proportion of medication error reporting and associated factors among nurses: a cross-sectional study. BMC nursing, 17(1), 9.

Lee, E. (2017). Reporting of medication administration errors by nurses in South Korean hospitals. International Journal for Quality in Health Care, 29(5), 728-734.

Rutledge, D. N., Retrosi, T., & Ostrowski, G. (2018). Barriers to medication error reporting among hospital nurses. Journal of clinical nursing, 27(9-10), 1941-1949.