ASSESSMENT OF MAGNITUDE AND CONTIRBUTING FACTORS OF MEDICATION ADMINSTRATION ERRORS AMONG NURSES IN GURAGE ZONE SELECTED HOSPITALS, SOUTH, ETHIOPIA, IN, 2020

Abstract

Background: inappropriate medication administration practice is the most and preventable cause of patient harm globally; which results in a significant morbidity and mortality to users. Medication administration error is not only affects the health of individual, but also causes them to face extra hospital stay, and extra healthcare costs. As nurses are involved in medication administration they have a great role both in prevention and occurrence of medication administration error. Objective: To determine the magnitude of medication administration errors and to identify contributing factors among Nurses in Gurage zone Hospitals, in, 2020 Methodology: An institutional based cross sectional study was conducted in Gurage zone Hospitals from December 5 up to December 11 in 2020 on sample of 362 nurses. Study participants were selected using simple random sampling method, and structured self administered questionnaire was used to collect data. The obtained data was entered into SPSS software version 25, and was analyzed. Binary and multiple logistic regressions were used to determine association independent variables with the outcome variable. Odd ratio with 95% CI was computed to assess the strength of the association, and significant level of association will be declared at a “p” value<0.05. Result: The magnitude(prevalence) of medication administration error In this study was 81.8% with wrong time 69.6% which is the most prevalent encountered type of medication administration error, and followed by documentation error 35.9%(130), wrong medication 20.2 %(73), wrong route 16%,(58), wrong dose 15.2%((55), and wrong patient 13.3 %(48) in a decreasing order respectively. Variables that were associated with medication were lacof training AOR 2.97, 95% CI (1.67-5.28), and interruption during medication administration with AOR 2.79, 95% CI (1.57-5.00). Conclusion and recommendation; The magnitude (prevalence) of medication administration error is high in this study (Gurage zone selected hospitals) which is 81.8% with wrong time is the most type of error occurrence accounting 69.9%. Lack of training and interruption are the variables which are associated with medication administration error and with AOR 2.97, 95% CI (1.67-5.28), And AOR 2.79, 95% CI (1.57-5.00). • We recommend Gurage zone health office and hospital administrators to provide training programs, and establish reporting system of MAEs with collaboration of ministry of health.