RESUMO
This descriptive, correlational study examined the responses and concerns of healthcare professionals about making medication errors and estimated patient harm from such errors. A systematic random sample of nurses, pharmacists, and physicians (N = 402) completed a self-report survey about a medication error they judged to be serious. Respondents were guilty, nervous, and worried about the error. They feared for the safety of the patient, disciplinary action, and punishment. A few subjects indicated that they never reported the errors. The most frequent symptoms associated with errors were neurologically based. The injury suffered by patients was not severe overall according to the harm scales. Weak correlations were found for the harm scales and responses and concerns. The authors suggest a supportive environment for the provider following an error and continuous quality improvement efforts to eliminate system-based errors.
Assuntos
Atitude do Pessoal de Saúde , Erros de Medicação/efeitos adversos , Erros de Medicação/psicologia , Enfermeiras e Enfermeiros/psicologia , Farmacêuticos/psicologia , Médicos/psicologia , Competência Clínica/normas , Análise por Conglomerados , Disciplina no Trabalho/métodos , Disciplina no Trabalho/estatística & dados numéricos , Medo , Pesar , Humanos , Erros de Medicação/prevenção & controle , Erros de Medicação/estatística & dados numéricos , Pessoa de Meia-Idade , Pennsylvania , Fatores de Risco , Gestão de Riscos/métodos , Gestão de Riscos/estatística & dados numéricos , Autoeficácia , Inquéritos e QuestionáriosRESUMO
A medication error that killed a newborn and resulted in criminal charges against three Denver nurses didn't have to happen. Use this step-by-step account of what went wrong to discover system flaws that may threaten your patients.