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dc.contributor.authorRamadaniati, Hesty Utami
dc.contributor.authorHughes, Jeff
dc.contributor.authorLee, Ya Ping
dc.contributor.authorEmmerton, Lynne
dc.identifier.citationRamadaniati, 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.

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.

dc.titleSimulated medication errors: A means of evaluating healthcare professionals' knowledge and understanding of medication safety
dc.typeJournal Article
dcterms.source.titleInternational Journal of Risk & Safety in Medicine

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curtin.departmentSchool of Pharmacy and Biomedical Sciences
curtin.accessStatusOpen access

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