Reducing medication errors in nursing practice
Linda Cloete Lecturer, Faculty of nursing and health, Avondale College of Higher Education, Sydney, Australia
Medication errors remain one of the most common causes of unintended harm to patients. They contribute to adverse events that compromise patient safety and result in a large financial burden to the health service. The prevention of medication errors, which can happen at every stage of the medication preparation and distribution process, is essential to maintain a safe healthcare system. One third of the errors that harm patients occur during the nurse administration phase: administering medication to patients is therefore a high-risk activity. This article highlights factors that contribute to medication errors, including the safety culture of institutions. It also discusses factors that relate specifically to nurses, such as patient acuity and nursing workload, the distractions and interruptions that can occur during medication administration, the complexity of some medication calculations and administration methods, and the failure of nurses to adhere to policies or guidelines.
Nursing Standard. 29, 20,50-59. doi: 10.7748/ns.29.20.50.e9507
Received: 19 August 2014
Accepted: 13 October 2014
Published in print: 14 January 2015Peer review
This article has been subject to double blind peer review