Frequency of pediatric medication administration errors and contributing factors

Journal of Nursing Care Quality

Volumn 26, Issue 2, 2011, Pages 136-143

  Ozkan, Suzan ^a   Kocaman, Gulseren ^a   Ozturk, Candan ^a   Seren, Seyda ^a  

^a DOKUZ EYLUL UNIVERSITY   (Turkey)

Author keywords

critical incident technique; medication administration errors; observation; organizational accident model; pediatric nursing

Indexed keywords

ARTICLE; CHILD; HEALTH CARE QUALITY; HOSPITAL ORGANIZATION; HUMAN; MEDICATION ERROR; METHODOLOGY; MODEL; NURSING; NURSING STAFF; ORGANIZATION AND MANAGEMENT; PEDIATRIC NURSING; STANDARD; UNIVERSITY HOSPITAL;

CHILD; HOSPITALS, UNIVERSITY; HUMANS; MEDICATION ERRORS; MEDICATION SYSTEMS, HOSPITAL; MODELS, NURSING; NURSING STAFF, HOSPITAL; PEDIATRIC NURSING; QUALITY ASSURANCE, HEALTH CARE;

EID: 79953083209     PISSN: 10573631     EISSN: None     Source Type: Journal    
DOI: 10.1097/NCQ.0b013e3182031006     Document Type: Article

References (33)

1. Lacey SR, Smith JB, Cox KS. Pediatric safety and quality. In: Hughes RG, ed. Advances in Patient Safety and Quality: An Evidence-Based Handbook for Nursing.Washington, DC: Agency for Healthcare Research and Quality; 2007;411-412.
2. Hughes RG, Lacey SR. Helping nurses reduce the riskof pediatric medication errors. In: Cima L, Clarke S, eds. The Nurse's Role in Medication Safety. Oak Borrok, IL: Joint Commission Resources; 2007;155-156.
3. Stratton KM, Blegen MA. Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. J Pediatr Nurs. 2004;19(6):385-392. (Pubitemid 40038085)
4. Prot S, Fontan JE, Alberti C, et al. Drug administration errors and their determinants in pediatric in-patients. Int J Qual Health Care. 2005;17(5):381-389. (Pubitemid 41782251)
5. Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33. (Pubitemid 44887148)
6. Nguyen EE, Connolly PM, Wong V. Medication safety initiative in reducing medication errors. J Nurs Care Qual. 2010;25(3):224-230.
7. Jones JH, Treiber L. When the 5 rights go wrong: Medication errors from the nursing perspective. J Nurs Care Qual. 2010;25(3):240-247.
8. Ghaleb MA, Wong CK. Systematic review of medication errors in pediatric patients. Ann Pharmacother. 2006;40(10):1766-1776. (Pubitemid 44544874)
9. Covell CL, Ritchie JA. Nurses' response to medication errors: Suggestions for the development of organizational strategies to improve reporting. J Nurs Care Qual. 2009;24(4):287-297.
10. Rosati JR, Nahata MC. Drug administration errors in pediatric patients. QRB Qual Rev Bull. 1983;9(7):212-213.
11. Tisdale JE. Justifying a pediatric critical-care satellite pharmacy by medication error reporting. Am J Health Syst Pharm. 1986;43(2):368-371. (Pubitemid 16177422)
12. Nahata MC. Paediatric drug therapy II-drug administration errors. J Clin Pharm Ther. 1988;13(6):399-402. (Pubitemid 19037902)
13. O'Brodovich M, Rappaport P. A study pre and post unit dose conversion in a pediatric hospital. Can J Hosp Pharm. 1991;44(1):5-15.
14. Schneider MP, Cotting J, Pannatier A. Evaluation of nurses' errors associated in the preparation and administration of medication in a pediatric intensive care unit. Pharm World Sci. 1998;20(4):178-182. (Pubitemid 28393873)
15. Buckley MS, Erstad BL, Kopp BJ, Theodorou AA, Priestley G. Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. Pediatr Crit Care Med. 2007;8(2):145-152. (Pubitemid 46568564)
16. Ghaleb MA, Barber N, Franklin BD, Wong IC. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 2010;95(2):113-118.
17. Bertsche T, Bertsche A, Krieg E-M, et al. Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: A programme for nurses, physicians and parents [published online ahead of print April 8, 2010]. Qual Saf Health Care. doi:10.1136/qshc.2009. 033753.
18. Taylor JA, Loan LA, Kamara J, Blackburn S, Whitney D. Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. Pediatrics, 2008;121(1):123-128.
19. Ozkan S, Kocaman G, Öztürk C. Pediatrik ilaç uygulama hatalarinin sikliǧi, tipleri, nedenleri veönleme girişimleri: Literatür incelemesi. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi. 2008;1(1):51-65.
20. Alparslan Ö, Erdemir F. Pediatri servislerinde kullanilan antibiyotiklerin sulandirilmasi saklanmasi ve hastaya verilmesi konusunda hemşirelerin bilgi ve uygulamalarinin belirlenmesi. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi. 1997;1(1):41-52.
21. Gladstone J. Drug administration errors: A study into the factors underlying the occurrence and reporting of drug errors in a district general hospital. J Adv Nurs. 1995;22(4):628-637.
22. Mayo AM, Duncan D. Nurse perceptions of medication errors: What we need to know for patient safety. J Nurs Care Qual. 2004;19(3):209-217. (Pubitemid 40090891)
23. Mrayyan M, Shishani K, Al-Faouri I. Rate, causes and reporting of medication errors in Jordan: Nurses' perspectives. J Nurs Manag. 2007;15(6):659-670.
24. Tang FL, Sheu SJ, Yu S, Well L, Chen CH. Nurses relate the contributing factors involved in medication errors. J Clin Nurs. 2007;16(3):447-457.
25. Brady AM, Malone AM, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. J Nurs Manag. 2009;17(6):679-697.
26. Reason J. Human Error. New York: Cambridge University Pres; 2006.
27. Reason J. Managing The Risks of Organizational Accidents. Brookfield: Ashgate Publishing; 2008.
28. Reason J. Understanding adverse events: Human factors. Qual Saf Health Care. 1995;4(2):80-89.
29. Reason J. Safety in the operating theatre-part 2: Human error and organisational failure. Qual Saf Health Care. 2005;14(1):56-60.
30. Vincent C. Understanding and responding to adverse events. N Engl J Med. 2003;13(11):1051-1056. (Pubitemid 36302252)
31. Flanagan JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358.
32. ASHP guidelines on preventing medication errors in hospitals. Am J Health Syst Pharm. 1993;50(2):305-314.
33. Taxis K, Barber N. Causes of intravenous medication errors observation of nurses in a German hospital. J Public Health. 2004;12(2):132-138. (Pubitemid 38798645)