Journal Article Review Epublish 2 citations
PubMed: 37332377 DOI: 10.4103/ijnmr.ijnmr_310_21
Medication Errors among Iranian Intensive Care Nurses: A Systematic Review.
Iran J Nurs Midwifery Res 28(2):123-131
Authors: Zohreh Hosseini Marznaki, Amir Emami Zeydi, Mohammad Javad Ghazanfari, Waliu Jawula Salisu, Mehdi Mohammadian Amiri, Samad Karkhah
Affiliations
- Imam Ali Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
- Department of Medical-Surgical Nursing, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
- Clinical Nurse, Cambridge Liver Unit, Cambridge University Hospitals NHS Foundation Trust, Addenbrookes Hospital, Hills Road, CB2 0QQ, Cambridge, United Kingdom.
- Department of Emergency Medicine, School of Medicine, Babol University of Medical Sciences, Mazandaran, Iran.
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
- Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Abstract
Background
Medication Error (ME) is a major patient safety concern in Intensive Care Units (ICUs). Critical care nurses play a crucial role in the safe administration of medication. This study was conducted to comprehensively review the literature concerning the prevalence of ME and associated factors and outcomes in Iranian ICU nurses.
Materials and Methods
An extensive search of the literature was carried in international databases including PubMed, Web of Science, Scopus, and Google Scholar, as well as Persian databases such as Magiran and Scientific Information Database (SID) using ME-related keywords and the Persian equivalent of these keywords, from the first article written in this field to artcles published on March 30, 2021. The appraisal tool (AXIS tool) was used to assess the quality of the included studies.
Results
Fifteen studies were included in this systematic review. The prevalence of MEs made by ICU nurses was 53.34%. The most common types of MEs were wrong infusion rate (14.12%), unauthorized medication (11.76%), and wrong time (8.49%) errors, respectively. MEs occurred more frequently in morning work shifts (44.44%). MEs happened more frequently for heparin, vancomycin, ranitidine, and amikacin. The most important influential factor in the occurrence of MEs in ICUs was management and human factors.
Conclusions
The prevalence of MEs made by Iranian ICU nurses is high. Therefore, nurse managers and policymakers should develop appropriate strategies, including training programs, to reduce the occurrence of MEs made by nurses in ICUs.
MeSH
Medication Errors, Nurses, Intensive Care Units, Prevalence