Simulation of training solution for the prevention of medication errors in the emergency ward
DOI:
https://doi.org/10.46542/pe.2022.221.492497Keywords:
Emergency ward, Medication error, Nurse, SimulationAbstract
Objectives: The purpose of the present study was to determine the effect of simulation training on nurses' drug errors in the hospital emergency ward in Iran.
Methods: This quasi-experimental research was conducted over six months. The statistical population, who entered the study through a census, consisted of 52 nurses working in the emergency department of Imam Hossein Hospital. Data collection tools included a demographic questionnaire and Wakefield's drug error questionnaire.
Results: The mean and standard deviation of the difference in medication errors before and after the intervention was 0.31. ± 0.55 for non-injectables and 0.18 ± 0.61 for injectable drugs. A yearly increase in nurse working experience was associated with a decrease in medication errors of -1.73.
Conclusion: The present study results showed that simulation training using clinical scenarios for nurses is an efficacious step to prevent drug errors.
References
Atayee, R. S., Awdishu, L., & Namba, J. (2016). Using Simulation to Improve First-Year Pharmacy Students' Ability to Identify Medication Errors Involving the Top 100 Prescription Medications. American journal of pharmaceutical education, 80(5), 86. https://doi.org/10.5688/ajpe80586
Basak, T., Aslan, O., Unver, V., & Yildiz, D. (2016). Effectiveness of the training material in drug-dose calculation skills. Japan journal of nursing science: JJNS, 13(3), 324–330. https://doi.org/10.1111/jjns.12112
da Silva, B. A., & Krishnamurthy, M. (2016). The alarming reality of medication error: a patient case and review of Pennsylvania and National data. Journal of community hospital internal medicine perspectives, 6(4), 31758. https://doi.org/10.3402/jchimp.v6.31758
Ehsani, S. R., Cheraghi, M. A., Nejati, A., Salari, A., Esmaeilpoor, A. H., & Nejad, E. M. (2013). Medication errors of nurses in the emergency department. Journal of medical ethics and history of medicine, 6, 11
Hajibeglou, A., Tafreshi, M. Z., Kamrani, F., & Nasiri, M. (2018). The Impact of Training on Medication Error Rate of the Emergency Department in Hospitals Affiliated to Golestan University of Medical Sciences. Advances in Nursing & Midwifery, 27(4), 32-36
Hardenberg, J., Rana, I., & Tori, K. (2019). Simulation exposure improves clinical skills for postgraduate critical care nurses. Clinical Simulation in Nursing, 28, 39-45
Harris, M. A., Pittiglio, L., Newton, S. E., & Moore, G. (2014). Using simulation to improve the medication administration skills of undergraduate nursing students. Nursing education perspectives, 35(1), 26–29. https://doi.org/10.5480/11-552.1
Hirani, S.A.A., & McFarlane, J.M. (2016). Medication errors by novice nurses in a pediatric and neonatal care setting of Pakistan: Analysis of problems and proposed solutions. Pediatrics And Neonatal Nursing: Open Access (ISSN 2470-0983), 2(1), 2470-0983.2110. http://dx.doi.org/10.16966/2470-0983.110
Khani-Jazani, R., Molavi-Taleghani, Y., Seyedin, H., Vafaee-Najar, A., Ebrahimipour, H., & Pourtaleb, A. (2015). Risk Assessment of Drug Management Process in Women Surgery Department of Qaem Educational Hospital (QEH) Using HFMEA Method (2013). Iranian journal of pharmaceutical research : IJPR, 14(2), 495–504
Miller, K., Haddad, L., & Phillips, K. D. (2016). Educational strategies for reducing medication errors committed by student nurses: a literature review. International Journal of Health Sciences Education, 3(1), 2
Stevens, A. D., Hernandez, C., Jones, S., Moreira, M. E., Blumen, J. R., Hopkins, E., Sande, M., Bakes, K., & Haukoos, J. S. (2015). Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: A randomized crossover trial. Resuscitation, 96, 85–91. https://doi.org/10.1016/j.resuscitation.2015.07.035
Mosakazemi, S. Z., Bastani, P., Marzaleh, M. A., & Peyravi, M. R. (2019). A survey on the frequency of medication errors caused due to look-alike drugs in the emergency department of the educational hospitals of Shiraz, Iran, 2016. Iranian Journal of Health, Safety and Environment, 6(1), 1167-1174
Niemann, D., Bertsche, A., Meyrath, D., Koepf, E. D., Traiser, C., Seebald, K., Schmitt, C. P., Hoffmann, G. F., Haefeli, W. E., & Bertsche, T. (2015). A prospective three-step intervention study to prevent medication errors in drug handling in paediatric care. Journal of clinical nursing, 24(1-2), 101–114. https://doi.org/10.1111/jocn.12592
Siebert, J. N., Ehrler, F., Combescure, C., Lacroix, L., Haddad, K., Sanchez, O., Gervaix, A., Lovis, C., & Manzano, S. (2017). A Mobile Device App to Reduce Time to Drug Delivery and Medication Errors During Simulated Pediatric Cardiopulmonary Resuscitation: A Randomized Controlled Trial. Journal of medical Internet research, 19(2), e31. https://doi.org/10.2196/jmir.7005
Tenhunen, M. L., Smithers, B., & Tucker, B. (2016). Identifying Medication-Related Adverse Drug Events in Nursing Facilities in East Texas. The Consultant pharmacist: the journal of the American Society of Consultant Pharmacists, 31(8), 436–439. https://doi.org/10.4140/TCP.n.2016.436
Thomas, C. M., McIntosh, C. E., & Allen, R. (2014). Creating a distraction simulation for safe medication administration. Clinical Simulation in Nursing, 10(8), 406-411
Wakefield, B. J., Uden-Holman, T., & Wakefield, D. S. (2005). Development and Validation of the Medication Administration Error Reporting Survey. In K. Henriksen (Eds.) et. al., Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products). Agency for Healthcare Research and Quality (US)
Wong, B. M., Etchells, E. E., Kuper, A., Levinson, W., & Shojania, K. G. (2010). Teaching quality improvement and patient safety to trainees: a systematic review. Academic medicine: journal of the Association of American Medical Colleges, 85(9), 1425–1439. https://doi.org/10.1097/ACM.0b013e3181e2d0c6
Zarea, K., Mohammadi, A., Beiranvand, S., Hassani, F., & Baraz, S. (2018). Iranian nurses’ medication errors: A survey of the types, the causes, and the related factors. International Journal of Africa Nursing Sciences, 8, 112-116. https://doi.org/10.1016/j.ijans.2018.05.001