#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Safety of drug administration from the perspective of hospitalized patients in selected hospitals of the South Bohemia Region


Authors: Hana Hajduchová;  Iva Brabcová;  Radka Prokešová;  Valérie Tóthová;  Ivana Chloubová;  Květoslava;  Slabáková;  Dana Velimská;  Edita Klavíková;  Hana Kubešová;  Martin Doseděl;  Josef Malý
Published in the journal: Čes. slov. Farm., 2022; 71, 179-189
Category: Original Article
doi: https://doi.org/https://doi.org/10.5817/CSF2022-5-179

Summary

Drug administration is one of the riskiest areas of healthcare provision, accompanied by several possible mistakes. Patient and family involvement is crucial for patient safety in a hospital environment. The research study aimed to evaluate the subjective perception of the safety of the drug administration process from hospitalized patients’ point of view and their involvement in drug administration. A structured questionnaire of its own design was used to obtain data. Three hundred twenty-nine respondents from 4 hospitals in the South Bohemian Region in the Czech Republic were included in the research, including patients hospitalized in the internal medicine, surgery, and follow-up and rehabilitation care departments. We found different perceptions and individual understandings of the safety of the drug delivery process by other groups of patients. Interest in participating in drug administration also varies between groups of patients. Women control the medication given to them by the nurse to a much greater extent than men. Patients under the age of 60, patients with higher professional and university education, and patients from the surgical department would like to be more involved in deciding which aplikovadrugs to use. Patients with a low level of education want to involve their family members more in their treatment decisions. Both healthcare professionals and patients should be led by hospital management to increase patient involvement in the hospitalization process.

Keywords:

nurse – Safety – Drug administration – hospitalized patient – patient involvement


Zdroje

1. Kullberg A., Larsen J., Sharp L. “Why is there another person” s name on my infusion bag?’ Patient safety in chemotherapy care – A review of the literature. Eur. J. Oncol. Nurs. 2013; 17(2), 228–235.

2. Byers J. F., White S. V. Patient safety: Principles and practice. New York: Springer 2004.

3. Feleke S. A., Mulatu M. A., Yesmaw A. S. Medication administration error: magnitude and associated factors among nurses in Ethiopia. BMC Nursing 2015; 14(1), 53.

4. Kruer R., Jarrell A., Latif A. Reducing medication errors in critical care: a multimodal approach. Clin. Pharmacol. 2014; 6, 117–126.

5. Flynn L., Liang Y., Dickson L. G., Xie M., Suh D. CH. Nurses’ practice environments, error interception practices and inpatient medication errors. J. Nurs. Scholarsh. 2012; 44(2), 180–186.

6. Zarea K., Mohammadi A., Beiranvand S., Hassani F., Baraz S. Iranian nurses’ medication errors: A survey of the types, the causes, and the related factors. Int. J. Africa Nursing Sci. 2018; 8, 112–116.

7. Laatikainen O., Sneck S., Turpeinen M. The Risks and Outcomes Resulting From Medication Errors Reported in the Finnish Tertiary Care Units: A Cross-Sectional Retrospective Register Study. Front Pharmacol. 2020; 10, 1571.

8. Khushboo J. Use of failure mode effect analysis (FMEA) to improve medication management process. Int. J. Health Care Qual. Assur. 2017; 30(2), 175–186.

9. Duhn L., Godfrey C., Medves J. Scoping review of patients’ attitudes about their role and behaviours to ensure safe care at the direct care level. Health Expect. 2020; 23(5), 979–991.

10. Richards T. Patients’ priorities. BMJ 1999; 318, 277.

11. Vincent C. A., Coulter A. Patient safety: what about the patient? Qual. Saf. Health Care 2002; 11, 76–80.

12. Coulter A., Ellins J. Patient-focused interventions: a review of the evidence. London: The Health Foundation 2006.

13. Davis R. E., Jacklin R., Sevdalis N., Vincent CH. A. Patient involvement in patient safety: what factors influence patient participation and engagement? Health Expect. 2007; 10, 259–267.

14. Longtin Y., Sax H., Leape L. L., Sheridan S. E., Donaldson L., Pittet D. Patient participation: current knowledge and applicability to patient safety. Mayo Clin. Proc. 2010; 85, 53–62.

15. Vincent C., Davis R. Patients and families as safety experts. CMAJ 2012; 184, 15–16.

16. Bucknall T., Fossum M., Hutchinson A. M., Botti M., Considine J., Dunning T., Hughes L., Weir-Phyland J., Digby R., Manias E. Nurses’ decision-making, practices and perceptions of patient involvement in medication administration in an acute hospital setting. J. Adv. Nurs. 2019b; 75(6), 1316–1327.

17. Tobiano G., Chaboyer W., Teasdale T., Raleigh R., Manias E. Patient engagement in admission and discharge medication communication: A systematic mixed studies review. Int. J. Nurs. Stud. 2019; 95, 87–102.

18. Kim J. M., Suarez-Cuervo C., Berger Z., Lee J., Gayleard J., Rosenberg C., Nagy N., Weeks K., Dy S. Evaluation of Patient and Family Engagement Strategies to Improve Medication Safety. Patient 2018; 11(2), 193–206.

19. Brabcová I., Bártlová S. Management v ošetřovatelské praxi. Praha: NLN 2015.

20. Bucknall T., Digby R., Fossum M., Hutchinson A.M., Considine J., Dunning T., Hughes L., Weir-Phyland J., Manias E. Exploring patient preferences for involvement in medication management in hospitals. J. Adv. Nurs. 2019a; 75(10), 2189–2199.

21. Garfield S., Jheeta S., Husson F., Lloyd J., Taylor A., Boucher C., Jacklin A., Bischler A., Norton C., Hayles R., Franklin B. D. The Role of Hospital Inpatients in Supporting Medication Safety: A Qualitative Study. PLoS One 2016; 11(4), e0153721.

22. Aljuaid M., Alajman N., Alsafadi A., Alnajjar F., Alshaikh M. K. Medication Error During the Day and Night Shift on Weekdays and Weekends: A Single Teaching Hospital Experience in Riyadh, Saudi Arabia. Risk Manag. Healthc. Policy 2021; 14, 2571–2578.

23. Brigitta I. R., Dhamanti I. Literature Review: Cause Factor Analysis and an Effort to prevent Medication Administration Error (MAE) at Hospital. Unnes J. Public Health 2020; 9(2), 98–107.

24. Salar A., Kiani F., Rezaee N. Preventing the medication errors in hospitals: a qualitative study. Int. J. Africa Nurs Sci. 2020; 13, 100235.

25. Afaya A., Konlan K. D., Kim Do H. Improving patient safety through identifying barriers to reporting medication administration errors among nurses: an integrative review. BMC Health Serv. Res. 2021; 21, 1156.

26. Ozavci G., Bucknall T., Woodward-Kron R., Hughes C., Jorm C., Joseph K., Manias E. A systematic review of older patients’ experiences and perceptions of communication about managing medication across transitions of care. Res. Social Adm. Pharm. 2021; 17(2), 273–291.

27. Bagge M., Norris P., Heydon S., Tordoff J. Older people’s experiences of medicine changes on leaving hospital. Res. Social Adm. Pharm. 2014; 10, 791–800.

28. Newell S., Jordan Z. The patient experience of patientcentered communication with nurses in the hospital setting: a qualitative systematic review protocol. JBI Database System Rev. Implement Rep. 2015; 13(1), 76–87.

29. Cooper J. M., Garrett T. Providing medicines information and education to hospital in‐patients: patients’ experiences and preferences. J. Pharm. Pract. Res. 2014; 44, 213–219.

30. Calabrese A. T., Cholka K., Lenhart S. E., McCarty B., Zewe G., Sunseri D., Roberts M., Kapoor W. Pharmacist involvement in a multidisciplinary inpatient medication education program. Am. J. Health Syst. Pharm. 2003; 60(10), 1012–1018.

31. SAK. Akreditačni standardy pro nemocnice. Spojena akreditační komise 2014 https://www.sakcr.cz/ files/2e6e410b-84857cf84cf734275644446f/nemsak- -standardy-nemocnice-2014.pdf (1. 3. 2022).

32. Härkänen M., Tiainen M., Haatainen K. Wrong-patient incidents during medication administrations. J Clin. Nurs. 2018; 27(3,4), 715–724.

33. Relihan E., O’Brien V., O’Hara S., Sike B. The impact of interventions to reduce interruptions and distractions to nurses during mediation administration. Qual. Saf. Health Care 2010; 19(5), 52–57.

34. McLeod M., Barber N., Franklin B. D. Facilitators and Barriers to Safe Medication Administration to Hospital Inpatients: A Mixed Methods Study of Nurses’ Medication Administration Processes and Systems (the MAPS Study). PLoS One 2015; 10(6), e0128958.

35. Johnson M., Sanchez P., Langdon R., Manias E., Levett-Jones T., Weidemann G., Aguilar V., Everett B. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J. Nurs. Manag. 2017; 25, 498–507.

36. Flynn F., Evanish J. Q., Fernald J. M., Hutchinson D. E., Lefaiver C. Progressive Care Nurses Improving Patient Safety by Limiting Interruptions During Medication Administration. Crit. Care Nurse 2016; 36(4), 19–35.

37. Freeman R., McKee S., Lee-Lehner B., Pesenecker J. Reducing interruptions to improve patient safety. J. Nurs Care Qual. 2013; 28(2), 176–185.

38. Yoder M., Schadewald D., Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J. Infus. Nurs. 2015; 38(2), 140–151.

39. Mortaro A., Pascu D., Pancheri S., Mazzi M., Tardivo S., Bellamoli C., Ferrarese F., Poli A., Romano G., Moretti F. Reducing interruptions during medication preparation and administration. Int. J. Health Care Qual. Assur. 2019; 32(6), 941–957.

40. Sze W. T., Pudney R., Wei L. Inpatients’ satisfaction towards information received about medicines. Eur. J. Hosp. Pharm. 2020; 27, 280–285.

41. Martyn A., Paliadelis P., Perry C. The safe administration of medication: Nursing behaviors beyond the five-rights nurse Educ. Pract. 2019; 37, 109–114.

42. Wondmieneh A., Alemu W., Tadele N., Demis A. Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC Nurs. 2020; 19, 4.

43. Schwappach D. L., Frank O., Davis R. E. A vignette study to examine health care professionals’ attitudes towards patient involvement in error prevention. J. Eval. Clin. Pract. 2013; 19, 840–848.

44. Mishra S. R., Haldar S., Pollack A. H., Kendall L., Miller A. D., Khelifi M., Pratt W. “Not Just a Receiver”: Understanding Patient Behavior in the Hospital Environment. Proc. SIGCHI Conf. Hum. Factor Comput. Syst. 2016; 2016(7), 3103–3114.

45. Mohsin-Shaikh S., Garfield S., Franklin B. D. Patient involvement in medication safety in hospital: an exploratory study. Int. J. Clin. Pharm. 2014; 36(3), 657–666.

46. Schwappach D. L. B., Wernli M. Barriers and facilitators to chemotherapy patients’ engagement in medical error prevention. Ann. Oncol. 2011; 22, 424–430.

47. Doherty C., Stavropoulou C. Patients’ willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. Soc. Sci. Med. 2012; 75, 257–263.

48. Davis R. E., Koutantji M., Vincent C. A. How willing arepatients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. Qual Saf. Health Care 2008; 17, 90–96.

49. Ericsson C., Skagerström J., Schildmeijer K., Ärestedt K., Broström A., Pakpour A., Nilsen P. Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs. BMJ Qual. Saf. 2019; 28(8), 657–666.

50. McTier L., Botti M., Duke M. Patient participation in medication safety during an acute care admission. Health Expect. 2015; 18(5), 1744–1756.

51. Eloranta S., Arve S., Isoaho H., Aro I., Kalam-Salminen L., Routasalod P. Finnish nurses’ perceptions of care of older patients. Int. J. Nurs Pract. 2014; 20(2), 204–211.

52. Molina-Mula J., Gallo-Estrada J. Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making. Int. J. Environ. Res. Public Health 2020; 17(3), 835.

53. Davis R. E., Vincent C., Sevdalis N. Predictors of Patients’ Intentions to Participate in Incident Reporting and Medication Safety. J. Patient Saf. 2015; 11(4), 191– 197.

54. Schwappach D. L. B. Frequency of and predictors for patient-reported medical and medication errors in Switzerland. Swiss Med. Wkly. 2012; 141, w13262, 1–8.

55. Harrison R., Walton M., Manias E., Smith-Merry J., Kelly P., Iedema R., Robinson L. The missing evidence: a systematic review of patients’ experiences of adverse events in health care. Int. J. Qual. Health Care 2015; 27(6), 424–442.

Štítky
Pharmacy Clinical pharmacology

Článok vyšiel v časopise

Czech and Slovak Pharmacy

Číslo 5

2022 Číslo 5

Najčítanejšie v tomto čísle
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#