Linking the processes of medication administration to medication errors in the elderly

Health SA Gesondheid

 
 
Field Value
 
Title Linking the processes of medication administration to medication errors in the elderly
 
Creator Nicholson, Emerentia C. Damons, Anneleen
 
Subject Nursing; Elderly Care; Geriatrics elderly; long-term care facilities; medication; medication administration; medication errors; residential facilities
Description Background:Older people are more prone to chronic diseases than younger ones and typically receive multiple medications. Medication rounds in long-term care facilities (LTCFs) are usually lengthy, with most errors occurring during the administration phase. How nurses apply medication administration processes can affect resident outcomes.Aim: To determine the processes of medication administration followed by nurses in LTCFs as self-reported by them to identify possible factors associated with medication errors.Setting: Twenty-eight LTCFs for the elderly in the Western Cape province, South Africa.Methods: A non-experimental cross-sectional descriptive design was applied, using a quantitative approach. A stratified sampling method obtained equal samples of nurses from funded and private LTCFs, thus N = 123 respondents. Data collection was via self-administered questionnaires. The Statistical Package for the Social Sciences (SPSS27) was used for descriptive and inferential analysis.Results: Nurses’ self-reported medication errors such as the sharing of medication between residents (83%), the omission of doses (64.8%), neglecting to sign after medication administration (57%), and medication administered at the wrong time (50.8%). Frequent interruptions during medication rounds were the most common reason for medication errors (75.6%).Conclusion: Multiple medication administration process errors were self-reported by the nurses. LTCFs should provide mandatory medication training, monitor the adherence to correct medication administration procedures, and implement risk-management strategies.Contribution: The identified factors associated with medication errors during medication administration processes can assist with developing risk management strategies and policies in the LTCFs and improve evidence-based practice and resident outcomes.
 
Publisher AOSIS Publishing
 
Contributor
Date 2022-01-31
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quantitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/hsag.v27i0.1704
 
Source Health SA Gesondheid; Vol 27 (2022); 8 pages 2071-9736 1025-9848
 
Language eng
 
Relation
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Coverage South Africa; Western Cape 2019-2020 —
Rights Copyright (c) 2022 Emerentia C. Nicholson, Anneleen Damons https://creativecommons.org/licenses/by/4.0
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