Incidence and reasons of medication errors in cardiovascular department
10.3760/cma.j.issn.1674-2907.2016.02.018
- VernacularTitle:心血管内科给药护理不良事件发生频率及相关因素分析
- Author:
Shaohua ZHANG
1
;
Xiaomei LI
;
Wenbo FU
;
Fang CHEN
Author Information
1. 430070 武汉,广州军区武汉总医院心血管内科
- Keywords:
Cardiovascular Department;
Medication errors;
Administration nursing;
Correlation factors
- From:
Chinese Journal of Modern Nursing
2016;22(2):215-218
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence of medication errors ( MEs ) in Cardiovascular Department and to analyze the reasons to the adverse events. Methods According to convenient sampling method, the study selected 328 patients who were hospitalized in Cardiovascular Department of Wuhan General Hospital of Guangzhou Military in January 2015. The medication details and adverse events ( including prescription, transcription, and administration) would be carefully recorded. The possible reasons would be interpreted by correlation analysis. Results In general, the incidence rate of MEs was 14. 97% (246/1643) and all of the adverse events wereⅠ-Ⅱdegree and did not harm the patients. In these events, 65 cases concerned prescription;76 cases concerned transcription;105 cases concerned administration. In medicine analysis:vasculardilation drugs and antiarrhythmic drugs′ MEs had positive correlation with infusion speed ( r=0. 053, 0. 046;P<0. 05); antihypertensive drugs, lipid-lowing drugs and antiplatelet drugs′ MEs had positive correlation with transcription omission (r=0. 037, 0. 062, 0. 044; P <0. 05); anticoagulants′ MEs had positive correlation with transcription omission and administration frequency errors (r=0. 075, 0. 034; P<0. 05). In administration route analysis, oral had positive correlation with transcription omission (r=0. 025, P<0. 05);intravenous injection had positive correlation with infusion speed ( r =0. 067, P <0. 05 ); intravenous drip had positive correlation with technical errors (r=0.036, P<0. 05). In nurses and patients′ general conditions factors, dose errors (excess or insufficient) had positive correlation with high patient-nurse ratio at night and weekend (r=0. 072, P<0. 05);drug interaction had positive correlation with nurses′ working experiences (r =0. 045, P<0. 05). Conclusions The incidence of MEs in Cardiovascular Department is related to high patient-nurse ratio, insufficient working experiences, great varieties of cardiovascular drugs and complicated administration methods. The director should improve the quality of nursing care from above aspects.
