Medication errors and professional practice of registered nurses

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      This Australian study identified and described the incidence of medication errors among registered nurses, the type and causes of these errors and the impact that administration of medications has on the professional practice of registered nurses. Mostly, medication errors were attributed to documentation issues, including: illegible handwriting, misunderstanding abbreviations, misplaced decimal point, misreading and misinterpreting written orders. Several human factors were attributed to potential causes of medication errors, including: stress, fatigue, knowledge and skill deficits. Environmental factors, namely, interuptions and distractions during the administration of medications, were also attributed to potential errors. The study found professional nursing practice involving administration of medications had a strong education, patient and ethical focus. Over a quarter of the respondents indicated that further training in medication administration would positively impact on their nursing practice. The registered nurses also highlighted they would appreciate more time to spend with patients when administering medications. Medication errors are not the sole responsibility of any single professional group, therefore, collaboration with other health professionals is central to establishing processes, policies, strategies and systems that will reduce their occurrence. The organisation and those nurses employed within it share an accountability to ensure safe administration of medications to patients. Based on study results, several recommendations are directed towards preventing or reducing medication errors and supporting nurses in providing best practice.

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        • Anderson JA
        • Webster CS
        A systems approach to the reduction of medication error on the hospital ward.
        Journal of Advanced Nursing. 2001; 35: 34-41
      1. Australian Council for Safety and Quality in Health Care 2001 Improving medication safety: report of a medication safety workshop. July, Government Publishers, Canberra

        • Benner P
        • Sheets V
        • Malloch K
        • Jamison D
        Individual, practice and system causes of errors in nursing: a taxonomy.
        Journal of Nursing Administration. 2002; 32: 509-523
        • Brown MM
        Managing medication errors by design.
        Critical Care Nursing Quarterly. 2001; 24: 77-97
        • Carothers NB
        Medication errors: the problem and its scope.
        International Journal of Trauma Nursing. 1998; 4: 104-108
      2. Fox-Young S 2003 Nurse regulation and medications. Nursing Review Sept 6

        • Gladstone J
        Drug administration errors: a study into the factors underlying the occurrence and reporting of drug errors in a district general hospital.
        Journal of Advanced Nursing. 1995; 22: 628-637
        • Jarman H
        • Jacobs E
        • Zielinski V
        Medication study supports registered nurses' competence for single checking.
        International Journal of Nursing Practice. 2002; 8: 330-335
        • Leape LL
        • Bates DW
        • Cullen DJ
        • Cooper J
        • Demonaco HJ
        • Gallivan T
        • et al.
        Systems analysis of adverse drug events.
        Journal of the American Medical Association. 1995; 274: 35-43
        • Mayo AM
        • Duncan D
        Nurse perceptions of medication errors: what we need to know for patient safety.
        Journal of Nursing Care Quality. 2004; 19: 209-217
      3. NCCMERP 1998 About medication errors. Retrieved January 21 2004 from the World Wide Web:

        • Nurses Board of Victoria
        General statement for nurses undertaking clinical practice/procedure. Nurses Board of Victoria, Melbourne1995
        • Osborne J
        • Blais K
        • Hayes JS
        Nurses' perceptions: when is it a medication error?.
        Journal of Nursing Administration. 1999; 29: 33-38
        • Phillips J
        • Beam S
        • Brinker A
        • Holquist C
        • Honig P
        • Lee LY
        • Pamer C
        Retrospective analysis of mortalities associated with medication errors.
        American Journal Health-System Pharmacy. 2001; 58: 1835-1841
      4. The Royal Melbourne Hospital Inquiry (RMH) 2002 Health Services Commissioner, Melbourne, Victoria

        • Reason J
        Human error: models and management.
        British Medical Journal. 2000; 320: 768-770
        • Ross LM
        • Wallace J
        • Paton JY
        Medication errors in a paediatric teaching hospital in the UK: five years operational experience.
        Archives of Disease in Childhood. 2000; 83: 492-497
        • Shea E
        Factors contributing to medication errors: a literature review.
        Journal of Clinical Nursing. 1999; 8: 496-504
        • Walker SB
        • Lowe MJ
        Nurses' views on reporting medication incidents.
        International Journal of Nursing Practice. 1998; 4: 97-102