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The Factors that leading to medication errors in Tishreen University Hospital from the point of view of nursing staff

العوامل المؤدية للأخطاء الدوائية في مشفى تشرين الجامعي من وجهة نظر الكادر التمريضي

2369   3   11   5.0 ( 1 )
 Publication date 2018
  fields Nursing
and research's language is العربية
 Created by Shamra Editor




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Medication errors are the most common medical errors, which may cause complications in patients, nursing staff are the first one who deal with these errors, so the current descriptive study aim to identify the factors leading to the Medication errors at Tishreen University Hospital from the Point of view of 48 nurses working at internal department by using suitable tool for the study object. The study found that the most important factors that lead to medication errors are the inability to read instructions because of the poor doctor's line, Inability to interpret physician order correctly, the Heavy workload and fatigue, tension and Lack of sleep, and interruption and Distract during Work by someone else, inconvenience during work. The study recommended to establishment of educational courses for the nursing staff in the hospital on the subject of the factors causing the Medication errors and ways to prevent their effects, to inform the doctors and nurses working at hospital about the results of this study, put these results in the consideration of policy makers of the hospital to develop rules and strategies that exceed the impact of these factors to include Patient safety, and similar studies in several hospitals to ascertain the results of the study.


Artificial intelligence review:
Research summary
تتناول هذه الدراسة العوامل المؤدية للأخطاء الدوائية في مشفى تشرين الجامعي من وجهة نظر الكادر التمريضي. تم إجراء الدراسة على 48 ممرضة يعملن في قسم الداخلية باستخدام استبيان مناسب. أظهرت النتائج أن العوامل الرئيسية التي تؤدي إلى الأخطاء الدوائية تشمل عدم القدرة على قراءة التعليمات بسبب سوء خط الطبيب، عدم تفسير تعليمات الطبيب بشكل صحيح، كثرة ضغط العمل والتعب، التوتر وقلة النوم، المقاطعة والتشتيت أثناء العمل، والإزعاج خلال العمل. أوصت الدراسة بإجراء دورات تثقيفية للكادر التمريضي حول العوامل المسببة للأخطاء الدوائية وسبل الوقاية منها، وإطلاع الأطباء والممرضين على نتائج الدراسة، وأخذ هذه النتائج بعين الاعتبار عند وضع سياسات المشفى لضمان سلامة المرضى، وإجراء دراسات مماثلة في مشافٍ أخرى للتأكد من النتائج.
Critical review
تقدم الدراسة نظرة شاملة ومهمة حول العوامل المؤدية للأخطاء الدوائية من وجهة نظر الكادر التمريضي، إلا أن هناك بعض النقاط التي يمكن تحسينها. أولاً، العينة المستخدمة في الدراسة صغيرة نسبياً (48 ممرضة)، مما قد يؤثر على تعميم النتائج. ثانياً، الدراسة تركزت فقط على قسم الداخلية في مشفى واحد، مما قد لا يعكس الوضع في أقسام أخرى أو في مشافٍ أخرى. ثالثاً، كان من الممكن أن تشمل الدراسة مقابلات أو ملاحظات مباشرة لتعزيز النتائج المستخلصة من الاستبيانات. على الرغم من هذه النقاط، فإن الدراسة تقدم توصيات قيمة يمكن أن تسهم في تحسين سلامة المرضى وتقليل الأخطاء الدوائية.
Questions related to the research
  1. ما هي العوامل الرئيسية التي تؤدي إلى الأخطاء الدوائية في مشفى تشرين الجامعي؟

    العوامل الرئيسية تشمل عدم القدرة على قراءة التعليمات بسبب سوء خط الطبيب، عدم تفسير تعليمات الطبيب بشكل صحيح، كثرة ضغط العمل والتعب، التوتر وقلة النوم، المقاطعة والتشتيت أثناء العمل، والإزعاج خلال العمل.

  2. ما هي التوصيات التي قدمتها الدراسة لتقليل الأخطاء الدوائية؟

    أوصت الدراسة بإجراء دورات تثقيفية للكادر التمريضي حول العوامل المسببة للأخطاء الدوائية وسبل الوقاية منها، وإطلاع الأطباء والممرضين على نتائج الدراسة، وأخذ هذه النتائج بعين الاعتبار عند وضع سياسات المشفى لضمان سلامة المرضى، وإجراء دراسات مماثلة في مشافٍ أخرى للتأكد من النتائج.

  3. كيف تم جمع البيانات في هذه الدراسة؟

    تم جمع البيانات باستخدام استبيان مطور من قبل الباحثة، والذي تضمن معلومات شخصية وثلاثة محاور رئيسية تتعلق بالعوامل المؤدية للأخطاء الدوائية. تم استخدام مقياس ليكرت الخماسي لتصنيف تصورات الكادر التمريضي حول كل عامل.

  4. ما هي العوامل المتعلقة بالبيئة المحيطة التي تؤدي إلى الأخطاء الدوائية؟

    العوامل المتعلقة بالبيئة المحيطة تشمل المقاطعة والتشتيت أثناء العمل من قبل شخص آخر، الإزعاج خلال العمل، العمل مع ممرضين لا يملكون الخبرة الكافية، عدم وجود طاقم كافٍ من التمريض، وسوء التواصل بين الممرضين والأطباء.


References used
SARI, A; SHELDON, T; CRACKNELL, A; TURNBULL, A; DOBSON, Y; GRANT, C; et al. Extent, nature and consequences of adverse events: results of a retrospective case note review in a large NHS hospital. Qual Saf Health Care, Vol 16, No 6, 2007, 434-473
SHAHROKHI, A; EBRAHIMPOUR, F; GHODOUSI, A. Factors effective on medication errors: A nursing view. Journal of Research in Pharmacy Practice, Vol 2, No 1, 2013, 18-24
MCLEOD, C; BARBER, N; FRANKLIN, D. Methodological variations and their effects on reported medication administration error rates. Quality and Safety in Health Care, Vol 22, No 4, 2013, 278-367
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