||Study on Incident Causal Factors About The Oral Medicine By Nurses: Analysis From The Administration Prosses
Shimizu, Mayumi ,
Nishizawa, Toshiko ,
Aizu, Keiko ,
Tsuchiya, RyokoDaitoku, Kazuyuki
32 , 2017-10-05 , 弘前大学大学院医学研究科・弘前医学会
The aim of this study was to elucidate the differences in the causes of incidents at each stage of drugadministration between nurses with different numbers of years of experience and current nursing unit tenure.We evaluated 510 reports involving medications taken after meals where medication charts were utilized. Thesereports were selected from 1,173 incident reports involving drug administration by hospital ward nurses in advancedtreatment hospitals with 640 bed capacities in the northeastern area of Japan between fiscal 2012 and 2014.Approximately 40% of these were related to the drug preparation stage. There was no difference in the frequency ofincidents between nurses with less than 2 years and those with 11 or more years of experience. As per the resultsof our correspondence analysis of the relation between the nursing unit tenure and the causal factors for each stage,“insufficient checking” at all stages was the most common factor. At the drug preparation and distribution stages,11 or more years of experience were related to physical conditions. At all stages, nursing unit tenure of less than 2years was related to psychological conditions. The findings indicated that nurse training and organized approach are required to minimize human factors involved in medical incidents.