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Research article
Abulie Melku Takele
Madda Walabu University
Corresponding Author
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Background: Administration of medication is the primary responsibility of nurses. Medication errors occurring during the drug administration process can be attributed to a variety of safety effects, ranging from undetected errors to prolonged hospital stays, discomfort and death.
Objective: To determine the magnitude of the medication administration error and associated factors among nurses working at Madda Walabu University Goba Referral Hospital, Bale Zone Oromia Region, South East Ethiopia.
Methods: A facility-based cross-sectional study was conducted at Madda Walabu University Goba Referral Hospital Inpatient Department from February to March, 2020. The study included three hundred ninety-eight medication interventions administered by 89 inpatient unit working nurses during the study period. Data were collected using a pre-tested, structured questionnaire and drug administration assessment using a checklist. Data were analyzed using SPSS version 22 and Frequency , Percentage, Means and SD were analyzed for descriptive analysis. COR and AOR were calculated to see the association of independent variables and uncontrolled hypertension at 95% CI and p-value <0.05 was considered statistically significant.
Result: The magnitude of the medication error was 248 (62.3%). The most common type of medication error was wrong documentary evidence (53.5% ) , followed by wrong time (39.2%) and wrong dosage (28.%). Variables that were substantially associated with medication administration error include work experience of nurses 0-4 years (AOR = 10.8, 95% CI (4.5-25.86), 5-9 years of service (AOR = 4.05, 95% CI (1.47-11.715), nurses 1-6 (AOR = 0.36, 95% CI (0.17-0.76) nurses 7-10 (AOR = 0.45, 95%CI (0.21-0.96) route IV of medication (AOR =0.13, 95 % CI (0.03 - 0.60) and IM route (AOR =.0.12, 95 % CI (0.02 -0.74) at p-value <0.05.
Conclusion: Medication administration error was highly prevalent. Work experience, nurse to patient ratio and route of medication administration were statistically significant factors associated with occurrence of medication administration error. The preparation of nurses and the hospital staff profile would be helpful in minimizing mistakes in the administration of drugs.
Keywords
Medication, Medication Error, Medication Administration, Nurses
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Abulie Melku Takele
Madda Walabu University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 18 Nov, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Nutrition & Dietetics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Administration of medication is the primary responsibility of nurses. Medication errors occurring during the drug administration process can be attributed to a variety of safety effects, ranging from undetected errors to prolonged hospital stays, discomfort and death.
Objective: To determine the magnitude of the medication administration error and associated factors among nurses working at Madda Walabu University Goba Referral Hospital, Bale Zone Oromia Region, South East Ethiopia.
Methods: A facility-based cross-sectional study was conducted at Madda Walabu University Goba Referral Hospital Inpatient Department from February to March, 2020. The study included three hundred ninety-eight medication interventions administered by 89 inpatient unit working nurses during the study period. Data were collected using a pre-tested, structured questionnaire and drug administration assessment using a checklist. Data were analyzed using SPSS version 22 and Frequency , Percentage, Means and SD were analyzed for descriptive analysis. COR and AOR were calculated to see the association of independent variables and uncontrolled hypertension at 95% CI and p-value <0.05 was considered statistically significant.
Result: The magnitude of the medication error was 248 (62.3%). The most common type of medication error was wrong documentary evidence (53.5% ) , followed by wrong time (39.2%) and wrong dosage (28.%). Variables that were substantially associated with medication administration error include work experience of nurses 0-4 years (AOR = 10.8, 95% CI (4.5-25.86), 5-9 years of service (AOR = 4.05, 95% CI (1.47-11.715), nurses 1-6 (AOR = 0.36, 95% CI (0.17-0.76) nurses 7-10 (AOR = 0.45, 95%CI (0.21-0.96) route IV of medication (AOR =0.13, 95 % CI (0.03 - 0.60) and IM route (AOR =.0.12, 95 % CI (0.02 -0.74) at p-value <0.05.
Conclusion: Medication administration error was highly prevalent. Work experience, nurse to patient ratio and route of medication administration were statistically significant factors associated with occurrence of medication administration error. The preparation of nurses and the hospital staff profile would be helpful in minimizing mistakes in the administration of drugs.
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