American Journal of Nursing Research
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American Journal of Nursing Research. 2019, 7(4), 598-625
DOI: 10.12691/ajnr-7-4-22
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Barriers Facing Nurses in Reporting Medication Administration Errors in Saudi Arabia

Alatni Adel Saleh1, and Alan Barnard1

1School of Nursing and Midwifery, Queensland University of Technology

Pub. Date: June 09, 2019

Cite this paper:
Alatni Adel Saleh and Alan Barnard. Barriers Facing Nurses in Reporting Medication Administration Errors in Saudi Arabia. American Journal of Nursing Research. 2019; 7(4):598-625. doi: 10.12691/ajnr-7-4-22

Abstract

The purpose of this study was to evaluate nurses’ perceptions and the barriers that decrease the likelihood of reporting a medical administration error. Medication administration errors are a significant problem within the healthcare community and may be underreported or not reported due to a variety of factors. These may include personal perceptions, fear, misunderstanding of what constitutes an error, whether the significance of the error changes the requirement that all errors should be reported, and apprehension of the consequences for reporting and handling the error. This study included a quantitative survey of nurses in the KSA region and asked questions relating to their fears, perceptions, potential barriers, perceived barriers, and beliefs regarding medication administration errors. As was found, nurses underreport errors and may not consistently understand that all errors, regardless of perceived significance, should be reported through the same channels as for all other errors. This study also found that nurses tend to lack honesty with regards to their beliefs about how they report their own medication administration errors in; leading to the assumption that nurses either do not understand the appropriate protocols for error reporting or do not believe they have committed errors when they have. Finally, this study has offered suggestions for changes to the error reporting framework to dispel misconceptions and ensure nurses understand that all errors need to be reported regardless of significance, perceptions, or related fears.

Keywords:
barriers medication administration errors nursing reporting Saudi Arabia

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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References:

[1]  Reason, J. (2000). Human error: Models and management. British Medical Journal, 320, 768-770.
 
[2]  Cheragi, M.A., Manoocheri, H., Mohammadnejad, E., & Ehsani, S.R. (2013). Types and causes of medication errors from nurse’s viewpoint. Iranian Journal of Nursing and Midwifery Research, 18(3), 228-231.
 
[3]  Tabatabaee, S.S., Kalhor, R., Nejatazadegan, Z., Jahromi, V.K., & Sharifi, T. (2014). Barriers to medication error reporting from nurses’ perspective: A private hospital survey. International Journal of Hospital Research, 3(2), 97-102.
 
[4]  Alduais, A.M., Mogali, S., Al Shabrain, B., Al Enzazi, A., & Al-awad, F. (2014). Barriers and strategies of reporting medical errors in public hospitals in Riyadh city: A survey-study. IOSR Journal of Nursing and Health Science, 3(5), 72-85.
 
[5]  Anderson, P. (2010). Medication errors: Don’t let them happen to you. American Nurse Today, 5(3), 16-22.
 
[6]  Keers, R.N., Williams, S.D., Cooke, J., & Ashcroft, D.M. (2013). Causes of medication administration errors in hospitals: A systematic review of quantitative and qualitative evidence. Drug Safety, 36(11), 1045-1067).
 
[7]  Anderson, J.E., Kodate, N., Walters, R., & Dodds, A. (2013). Can indicent reporting improve safety? Healthcare practitioner’s views of the effectiveness of incident reporting. International Journal of Qualitative Health Care, 25(2), 141-150.
 
[8]  Holmstrom, A. R., Laaksonen, R., & Airaksinen, M. (2015). How to make medication error reporting systems work - Factors associated with their successful development and implementation. Health Policy, 119(8), 1046-1054.
 
[9]  Haw, C., Stubbs, J., & Dickens, G. L. (2014). Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. Journal of Psychiatric and Mental Health Nursing, 21(9), 797-805.
 
[10]  Covell, C.L., Ritchie, J.A. (2009). Nurses’ responses to medication errors: Suggestions for the development of organizational strategies to improve reporting. Journal of Nursing Care Qualitative Review, 24(4), 287-297.
 
[11]  Aboshaiqah, A.E. (2013). Barriers in reporting medication administration errors as perceived by nurses in Saudi Arabia. Middle-East Journal of Scientific Research, 17(2), 130-136.
 
[12]  Almutary, H., & Lewis, P. (2012). Nurses’ willingness to report medication administration errors in Saudi Arabia. Quality Management in Health Care, 21(3), 119-126.
 
[13]  Ministry of Health (MoH). (2017). Over 24,000 surgeries at Qassim hospitals last year. Ministry of Health Portal & News. Retrieved from http://www.moh.gov.sa/en/Ministry/MediaCenter/News/Pages/News-2017-02-12-002.aspx.
 
[14]  Alkolibi, F. M. (2002). Possible Effects of Global Warming on Agriculture and Water Resources in Saudi Arabia: Impact and Responses. Climate Change, 54(1), 225-245.
 
[15]  Alsulami, Z., Conroy, S., & Choonara, I. (2012). Medication errors in the Middle East countries: A systematic review of the literature. European Journal of Clinical Pharmacology, 69(4), 995-1008.
 
[16]  Graber, M.L. (2012). The incidence of diagnostic error in medicine. BMJ Quality and Safety, 22(2), 21-27.
 
[17]  Almoajel, A. (2016). Medical errors from healthcare professional’s perspective at a tertiary hospital, Riyadh, Saudi Arabia. La Prensa Medica Argentina, 102(4), 1-6.
 
[18]  Almutary, H.H. (2011). Nurses’ willingness to report medication administration errors in Saudi Arabia. Queensland University of Technology School of Nursing and Midwifery, 1-77.
 
[19]  Agyemang, R. E. O., & While, A. (2010). Medication errors: types, causes and impact on nursing practice. British Journal of Nursing, 19(6), 380-385.
 
[20]  Bower, R., Jackson, C., & Manning, J. C. (2015). Interruptions and medication administration in critical care. Nursing in Critical Care, 20(4), 183-195.
 
[21]  Asad, L., Rawat, N., Pustavoitau, A., Pronovost, P.J., & Pham, J.C. (2013). National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. Critical Care Medicine, 41(2), 389-398.
 
[22]  Shawahna, R., Masri, D., Al‐Gharabeh, R., Deek, R., Al-Thayba, L., & Halaweh, M. (2016). Medication administration errors from a nursing viewpoint: a formal consensus of definition and scenarios using a Delphi technique. Journal of Clinical Nursing, 25(3-4), 412-423.
 
[23]  Paiva, M.C., Popim, R.C., Melleiro, M.M., Tronchim, D.M.R., Lima, S.A.M., & Juliani, C.M. (2014). The reasons of the nursing staff to notify adverse events. Revista Latino-Americana de Enfermagem, 22(5), 747-754.
 
[24]  Glavin, R.J. (2010). Drug errors: Consequences, mechanisms, and avoidance. British Journal of Anaesthesia, 105(1), 76-82.
 
[25]  Hajibabaee, F., Joolaee, S., Peyravi, H., Alijany-Renany, H., Bahrani, N., & Haghani, H. (2014). Medication error reporting in Tehran: a survey. Journal of Nursing Management, 22(3), 304-310.
 
[26]  Griffith, R. (2015). Understanding the code: acting in a patient's best interests. British Journal of Community Nursing, 20(9), 458-461.
 
[27]  Andrew, S., & Mansour, M. (2014). Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues. Journal of Nursing Management, 22(3), 311-321.
 
[28]  Alghamdi, M. G., & Urden, L. D. (2016). Transforming the nursing profession in Saudi Arabia. Journal of Nursing Management, 24(1), E95-E100.
 
[29]  Mansouri, A., Ahmadvand, A., Hadjibabaie, M., Javadi, M., Khoee, S.H., Dastan, F., & Gholami, K. (2014). A review of medication errors in Iran: Sources underreporting reasons and preventive measures. Iranian Journal of Pharmaceutical Research, 13(1), 3-17.
 
[30]  API. (2012). Guidance for performing Root Cause Analysis (RCA) with Performance Improvement Projects (PIPs). CMS, 1-12.
 
[31]  Bahadori, M., Ravangard, R., Aghili, A., Sadeghifar, J., Manshadi, M.G., & Smaelinejad, J. (2013). The factors affecting the refusal of reporting on medication errors from the nurses’ viewpoints: A case study in a hospital in Iran. International Nursing Review, 1-5.
 
[32]  Almutairi, A. F., McCarthy, A., & Gardner, G. E. (2015). Understanding Cultural Competence in a Multicultural Nursing Workforce: Registered Nurses’ Experience in Saudi Arabia. Journal of Transcultural Nursing, 26(1), 16-23.
 
[33]  Mohammad, A.Z., Aljasser, I.A., & Sasidhar, B. (2016). Barriers to reporting medication administration errors among nurses in an accredited hospital in Saudi Arabia. British Journal of Economics, Management, & Trade, 11(4), 1-13.
 
[34]  Koohestani, H.R., & Baghcheghi, N. (2010). Barriers to the reporting of medication administration errors among nursing students. Australian Journal of Advanced Nursing, 27(1), 66-74.
 
[35]  Haber, J., Whitehead, D., Schneider, Z., & LoBiondo-Wood, G. (2012). Nursing and midwifery research: methods and appraisal for evidence based practice: Mosby.
 
[36]  Alanko, K., & Nyholm, L. (2007). Oops! Another medication error: a literature review of contributing factors and methods to prevent medication errors. Stadia Helsinki Polytechnic, 1-43.
 
[37]  Al-Saeed, A. (2007). Status of medical liability claims in Saudi Arabia. Saudi Journal of Anaesthesia, 1(1), 4.
 
[38]  Kagan, I., & Barnoy, S. (2013). Organizational safety culture and medical error reporting by Israeli nurses. Journal of Nursing Scholarship, 45(3), 273-280.
 
[39]  Schneider, Z., & Whitehead, D. (2013). Nursing and midwifery research: Methods and appraisal for evidence-based practice (4th ed.). Chatswood, N.S.W.: Elsevier Australia.
 
[40]  Wakefield BJ, Uden-Holman T, Wakefield DS. (2005). Development and Validation of the Medication Administration Error Reporting Survey. In: Henriksen K, Battles JB, Marks ES, et al., editors. Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products). Rockville, MD.
 
[41]  Doggett, A. M. (2005). Root cause analysis: A framework for tool selection. The Quality Management Journal, 12(4), 34.
 
[42]  Mello, M.M., Studdert, D.M., & Kachalia, A. (2013). The medical liability climate and prospects for reform. Clinical Review and Education, 312(20), 2146-2155.