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Abstract
BARRIERS TO REPORTING OF MEDICATION ADMINISTRATION ERROR AMONG NURSES WORKING IN A TEACHING HOSPITAL, KATHMANDU
S. Shrestha* and S. Sharma
ABSTRACT
Introduction: Medication administration error reporting has been accepted as a basic attempt for the improvement of patient safety. The main objective of the study is to identify the perceived barriers to reporting of the medication administration error among nurses. Methods: Descriptive cross sectional research design was used. All the registered nurses working on various inpatient units of Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu were taken as study population. Proportionate stratified random sampling technique was used to select 228 nurses. A structured questionnaire was used to collect data. The collected data were entered into EPI DATA3.1 and transferred onto the statistical package for social science 16 version. Data was analyzed and interpreted by descriptive; mean, median, standard deviation, frequency and percentages and inferential statistics; independent t test. Results: Possible medication administration error was wrong dose (66.7%). Fear (1.76±0.36) and administrative response (1.46±0.39) related barrier was major barrier to reporting of medication administration error among nurses. It was observed that nurses who had less than five years of work experience present higher perception level regarding administrative response barriers in reporting MAEs. There was significant difference between disagreement over error related barrier and socio-demographic characteristics such as age (p=.02, marital status (p=.01), work experience (0.006). Conclusion: In this study, fear and administrative response related barriers are present as influential barrier to reporting of Medication Administration Error. So it is necessary to establish communicative environment in inpatient unit to reduce fear and provide positive reinforcement to encourage reporting.
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