Prevalence and Causes of Wrong Time Medication Administration Errors, Experience at a Tertiary Care Hospital, Karachi, Pakistan

2.50
Hdl Handle:
http://hdl.handle.net/10755/308540
Category:
Abstract
Type:
Presentation
Title:
Prevalence and Causes of Wrong Time Medication Administration Errors, Experience at a Tertiary Care Hospital, Karachi, Pakistan
Author(s):
Kirmani, Salimah Shamim Taufiq
Lead Author STTI Affiliation:
Rho Delta
Author Details:
Salimah Shamim Taufiq Kirmani, MSc Health Informatics, BSc Nursing, salimah.taufiq@aku.edu
Abstract:

Session presented on: Monday, November 18, 2013

Background:

Wrong time medication administration error (WTMAE) is a high risk to patient safety. It can result in severe harm, death or fatal consequences. No major study has yet focused on this issue. To help recognize and prevent such errors, technology has been developed such as the electronic medication administration record (eMAR) system which helps administering the medication on-time.

Aim:

The purpose of the study is to investigate the prevalence of WTMAEs via eMAR and to explore the contributing factors of WTMAE.

Methods:

A descriptive comparative study design with quantitative research approach was used for the study. The data was gathered from the nursing record of medication administration entered in eMAR system. The study was conducted at a private tertiary care university hospital in Karachi, Pakistan. The data was collected from adult medical, adult surgical, pediatric, intensive care unit and coronary care unit for 90 consecutive days.

Results:

Total 250,213 doses were observed out of which 231,380 doses were administered and 18,833 doses were not administered or were missing doses. Administered doses (n= 231,380) were further analyzed and identified for on-time administration (n=191,994; 83%) and wrong time administration (n=39,386; 17%). Study resulted highest percentage of WTMAE during the night shift. Data analysis for reasons of WTMAE exposed 50 different types of reasons for late administration and 9 different types of reasons for early administration.

Conclusion:

Medication administration is a complex process and WTMAE another major area of focus. The study increased the evidence of the frequency of WTMAE and provided familiarities to nursing practices about multiple reasons for WTMAE. It proved the great innovation of technology in the form of eMAR and proved the reliability of eMAR over voluntary reporting system. The study highlighted major issues of Medication Administration Error that are necessary to deal with in the present time.

Keywords:
Administration; Error; Medication
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePrevalence and Causes of Wrong Time Medication Administration Errors, Experience at a Tertiary Care Hospital, Karachi, Pakistanen_GB
dc.contributor.authorKirmani, Salimah Shamim Taufiqen_GB
dc.contributor.departmentRho Deltaen_GB
dc.author.detailsSalimah Shamim Taufiq Kirmani, MSc Health Informatics, BSc Nursing, salimah.taufiq@aku.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308540-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p><b>Background:</b><p>Wrong time medication administration error (WTMAE) is a high risk to patient safety. It can result in severe harm, death or fatal consequences. No major study has yet focused on this issue. To help recognize and prevent such errors, technology has been developed such as the electronic medication administration record (eMAR) system which helps administering the medication on-time. <p><b>Aim:</b><p>The purpose of the study is to investigate the prevalence of WTMAEs via eMAR and to explore the contributing factors of WTMAE. <p><b>Methods:</b><p>A descriptive comparative study design with quantitative research approach was used for the study. The data was gathered from the nursing record of medication administration entered in eMAR system. The study was conducted at a private tertiary care university hospital in Karachi, Pakistan. The data was collected from adult medical, adult surgical, pediatric, intensive care unit and coronary care unit for 90 consecutive days. <p><b>Results:</b><p>Total 250,213 doses were observed out of which 231,380 doses were administered and 18,833 doses were not administered or were missing doses. Administered doses (n= 231,380) were further analyzed and identified for on-time administration (n=191,994; 83%) and wrong time administration (n=39,386; 17%). Study resulted highest percentage of WTMAE during the night shift. Data analysis for reasons of WTMAE exposed 50 different types of reasons for late administration and 9 different types of reasons for early administration. <p><b>Conclusion: </b><p>Medication administration is a complex process and WTMAE another major area of focus. The study increased the evidence of the frequency of WTMAE and provided familiarities to nursing practices about multiple reasons for WTMAE. It proved the great innovation of technology in the form of eMAR and proved the reliability of eMAR over voluntary reporting system. The study highlighted major issues of Medication Administration Error that are necessary to deal with in the present time.en_GB
dc.subjectAdministrationen_GB
dc.subjectErroren_GB
dc.subjectMedicationen_GB
dc.date.available2013-12-19T17:32:40Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:40Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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