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    Causes and reporting of nursing medication errors
    (Maltepe Üniversitesi, 2019) Filiposka, Simona; Dimitrovska, Senior Lecturer Gordana Ristevska
    INTRODUCTION: Nurses are responsible for correct and safe administration of oral, subcutaneous, intramuscular and intravenous medication. Medication errors (ME) are common health threatening mistakes that as a global problem increase mortality rates, length of hospital stay, and healthcare costs. This survey was conducted to evaluate the causes and reporting of nursing medication errors. MATERIALS AND METHODS: The study is crosssectional and conducted in 2018. Ten nurses, working in PHI General Hospital Ohrid filled out a self-constructed questionnaire about medication errors. RESULTS: When asked what is the most common reason for medication errors, nurses answered: 3/10 using shortcuts; 3/10 errors in dosage; 1/10 similarities in medication name; 1/10 lack of pharmacological knowledge; and 2/10 all of the above.7/10 nurses would accept responsibility if they make an ME. Five nurses would tell a doctor about their error in medication, 2 would approach the director of the hospital and 3 nurses would tell the nursing director.9/10 nurses never made/witnessed an ME, and would know what to say if they did;10/10 would know whom to inform and would like to talk to somebody; 4/10 would not know how to react if someone from their team makes an ME; 4/10 think that the night shift increases chances for ME; 8/10 think that interruptions during preparation of therapy increase chances for ME; 6/10 think they have the necessary knowledge in pharmacology; 4/10 think that they risk their employment if they report an ME; 6/10 think that inexperienced nurses are prone to more ME. CONCLUSION: Our results show that interviewed nurses well understand the circumstances that increase medication errors, but struggle with reporting ME. We found that 1/3 of the interviewed nurses would not accept the responsibility for their medication error. The fear of losing employment is high among the interviewed nurses, which makes ME to be underreported. Most of the interviewed nurses prefer to inform a doctor for medication error rather than a responsible nurse. Only 2/3 of nurses find that they have sufficient pharmacological knowledge, something that should be further addressed in nursing education.