Medication deviation in healthcare settings
Hoylar, Anna Marie; Marquez, Freddie (2023)
2023
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-202305047573
https://urn.fi/URN:NBN:fi:amk-202305047573
Tiivistelmä
Safe and secure medication management is vital for providing adequate patient care. Medicine deviations pose a serious threat to patient safety. The purpose of this study was to conduct a diary format thesis by observation, to understand the medication process, to determine the medication administration related deviations from safe practice including the associated contributing factors done by nurses in a health care setting. The objective was to provide the nursing students with a guide to help them to be careful in handling medications. References have been provided by the school through Moodle. The databases used for data collection were CINAHL, MEDLINE, Epistemonikos and PubMed.
The results showed that medication deviations were caused by both individuals and organizations. The organizational issues included a heavy workload, miscommunication, an unsatisfactory work atmosphere, pharmaceutical errors, interruptions, and distractions. The individual factors included the nurses' poor protocol compliance, unsatisfactory medication awareness, and unique personalities.
The regulations for medication management, error reporting, and workplace environment development and improvement were emphasized as ways to prevent medication errors. Additional solutions in the competence and welfare of the personnel were suggested. Further study is recommended involving management style and culture.
The results showed that medication deviations were caused by both individuals and organizations. The organizational issues included a heavy workload, miscommunication, an unsatisfactory work atmosphere, pharmaceutical errors, interruptions, and distractions. The individual factors included the nurses' poor protocol compliance, unsatisfactory medication awareness, and unique personalities.
The regulations for medication management, error reporting, and workplace environment development and improvement were emphasized as ways to prevent medication errors. Additional solutions in the competence and welfare of the personnel were suggested. Further study is recommended involving management style and culture.