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    Simulated medication errors: A means of evaluating healthcare professionals' knowledge and understanding of medication safety

    266592.pdf (444.8Kb)
    Access Status
    Open access
    Authors
    Ramadaniati, Hesty Utami
    Hughes, Jeff
    Lee, Ya Ping
    Emmerton, Lynne
    Date
    2018
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Ramadaniati, H. and Hughes, J. and Lee, Y. and Emmerton, L. 2018. Simulated medication errors: A means of evaluating healthcare professionals' knowledge and understanding of medication safety. International Journal of Risk & Safety in Medicine. 29 (3-4): pp. 149-158.
    Source Title
    International Journal of Risk & Safety in Medicine
    DOI
    10.3233/JRS-180001
    ISSN
    1878-6847
    School
    School of Pharmacy and Biomedical Sciences
    Remarks

    The final publication is available at IOS Press through http://dx.doi.org/10.3233/JRS-180001

    URI
    http://hdl.handle.net/20.500.11937/68925
    Collection
    • Curtin Research Publications
    Abstract

    OBJECTIVE: To determine multi-disciplinary perceptions of the clinical significance of medication errors (MEs), the responsible health professional(s), the contributing factors and potential preventive strategies. METHODS: The five simulated ME cases represented errors from five wards at a children's hospital in Australia. Pre-determined answers for each case were developed through consensus among the researchers. The root cause analysis (RCA) was undertaken via a questionnaire disseminated to physicians, nurses and pharmacists at the study hospital to seek their opinions on the ME cases. Agreement model between the participants and pre-determined responses regarding the contributing factors was conducted using general estimating equation (GEE) analysis. RESULTS: Of the 111 RCA questionnaires distributed, 25 were returned. The majority (93%) of respondents rated the significance of the MEs as either 'moderate' or 'life-threatening'. Furthermore, they correctly identified two contributing factors relevant to all cases: dismissal of policies/procedures or guidelines (90%) and human resources issues (87%). GEE analysis revealed varied agreement patterns across the contributing factors. Suggested prevention strategies focused on policy and procedures, staffing and supervision, and communication. CONCLUSION: Simulated case studies had potential use to seek front-line healthcare professionals' understanding of the clinical significance and contributing factors to MEs, along with preventive measures.

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