TY - JOUR
T1 - Errors in high-risk intravenous injections administered by nurses
T2 - The causes according to healthcare professionals
AU - Kim, Miran
AU - Seomun, Gyeong Ae
PY - 2014
Y1 - 2014
N2 - Background: High-risk intravenous injection errors are fatal to patients and bring great harm. Thus, it is of vital importance to identify the causes of such errors and establish a preventive system and safety culture among the health care professionals to prevent systematic injection errors in the hospital. Objective:The purpose of the present study was to identify the causes of and problems associated with high-risk intravenous injection errors from the perspective ofhealthcare providers. Methods and Material:A focus-group interview was carried out with 13 health care professionals (7 nurses, 3 doctors, 3 pharmacists) who work at a university hospital in Daejeon City and have work experience in and knowledge of high-risk intravenous injection. Results: Three causal categories responsible for errors emerged: human-related, injection procedure-related, and environmental factors. Specifically, lack of knowledge and awareness of high-risk medications, carelessness in controlling the speed and drip of fluids, injecting the wrong fluid, unclear verbal prescriptions from doctors, inappropriate medication management, a shortage of medicators, and a lack of injection experience were identified as the most common problems responsible for nurses' errors when administering high-risk intravenous injections. Conclusion: Our results may serve as baseline data for establishing a safety culture around high-risk intravenous injection administration.
AB - Background: High-risk intravenous injection errors are fatal to patients and bring great harm. Thus, it is of vital importance to identify the causes of such errors and establish a preventive system and safety culture among the health care professionals to prevent systematic injection errors in the hospital. Objective:The purpose of the present study was to identify the causes of and problems associated with high-risk intravenous injection errors from the perspective ofhealthcare providers. Methods and Material:A focus-group interview was carried out with 13 health care professionals (7 nurses, 3 doctors, 3 pharmacists) who work at a university hospital in Daejeon City and have work experience in and knowledge of high-risk intravenous injection. Results: Three causal categories responsible for errors emerged: human-related, injection procedure-related, and environmental factors. Specifically, lack of knowledge and awareness of high-risk medications, carelessness in controlling the speed and drip of fluids, injecting the wrong fluid, unclear verbal prescriptions from doctors, inappropriate medication management, a shortage of medicators, and a lack of injection experience were identified as the most common problems responsible for nurses' errors when administering high-risk intravenous injections. Conclusion: Our results may serve as baseline data for establishing a safety culture around high-risk intravenous injection administration.
KW - Intravenous injection
KW - Medication error
KW - Nurse
KW - Risk factor
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M3 - Article
AN - SCOPUS:84897480943
VL - 8
SP - 249
EP - 261
JO - Health Science Journal
JF - Health Science Journal
SN - 1108-7366
IS - 2
ER -