<abstract xmlns="http://www.w3.org/1999/xhtml">

<bold>Aim.</bold> The study aimed to identify the occurrence of medication administration errors in clinical practice.
<bold>Material and methods.</bold> This was a direct observational study. The study included observing the medication administration process over three years in four hospitals in the Czech Republic. STROBE was used as a checklist.
<bold>Results.</bold> A total of 18,370 medication administrations to hospitalized patients were observed and recorded, including morning, noon, and evening administrations. The most common MAE was substituting a prescribed medication without the doctor’s consent, especially among nurses aged 35-44 (p &lt; 0.001). These MAEs involved giving a medication of diff erent strength than prescribed (p &lt; 0.001), giving the wrong medication (p &lt; 0.001), and giving a diff erent dose (p &lt; 0.001). Substitutions of MAEs occurred most often during morning medication administration (p &lt; 0.001).
<bold>Conclusions.</bold> A critical fi nding of this study was the substitution of medications without a doctor’s consent. It has been found that MAEs were not uncommon in clinical practice, and factors such as the nurse’s age, overall length of clinical practice, education, and workplace interruptions played a role.
</abstract>

Aim. The study aimed to identify the occurrence of medication administration errors in clinical practice.
Material and methods. This was a direct observational study. The study included observing the medication administration process over three years in four hospitals in the Czech Republic. STROBE was used as a checklist.
Results. A total of 18,370 medication administrations to hospitalized patients were observed and recorded, including morning, noon, and evening administrations. The most common MAE was substituting a prescribed medication without the doctor’s consent, especially among nurses aged 35-44 (p < 0.001). These MAEs involved giving a medication of diff erent strength than prescribed (p < 0.001), giving the wrong medication (p < 0.001), and giving a diff erent dose (p < 0.001). Substitutions of MAEs occurred most often during morning medication administration (p < 0.001).
Conclusions. A critical fi nding of this study was the substitution of medications without a doctor’s consent. It has been found that MAEs were not uncommon in clinical practice, and factors such as the nurse’s age, overall length of clinical practice, education, and workplace interruptions played a role.

Medication administration errors in the selected Czech hospitals: an observational study

University of South Bohemia in Ceske Budejovice, Faculty of Health and Social Sciences

Department of Social and Clinical Pharmacy

Charles University, Faculty of Pharmacy in Hradec Králové

Pielegniarstwo  XXI wieku / Nursing in the 21st Century

This work is licensed under the Creative Commons Attribution 4.0 International License.

Aim. The study aimed to identify the occurrence of medication administration errors in clinical practice.
Material and methods. This was a direct observational...

Medication administration errors in the selected Czech hospitals: an observational study

Data publikacji: 09 kwi 2024

Zakres stron: 36 - 40

Otrzymano: 06 gru 2023

Przyjęty: 20 gru 2023

DOI: https://doi.org/10.2478/pielxxiw-2024-0009

Słowa kluczowe
hospitals, prescriptions, medication administration errors, nursing

© 2024 Hana Hajduchová et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Medication administration errors in the selected Czech hospitals: an observational study

Data publikacji: 09 kwi 2024

Zakres stron: 36 - 40

Otrzymano: 06 gru 2023

Przyjęty: 20 gru 2023

DOI: https://doi.org/10.2478/pielxxiw-2024-0009

Słowa kluczowehospitals, prescriptions, medication administration errors, nursing

© 2024 Hana Hajduchová et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Słowa kluczowe
hospitals, prescriptions, medication administration errors, nursing