MAGNITUDE AND CONTRIBUTING FACTORS OF MEDICATION ADMINISTRATION ERRORS AMONG NURSES ON, GURAGE ZONE, ETHIOPIA, 2023

Abstract

Background: A Medication administration error [MAE] is any preventable act that contributes to the failure of proper medication use in the treatment process resulting in harm for the patient to the extent of disability and death. A Medication error listed in the top ten causes of mortality worldwide. Globally, Medication errors [MEs] present a substantial contribution to ill health, and even death and are listed as one of the five medical error categories classified by the American Institute of Medicine in Ethiopia. An institution-based, cross-sectional study conducted in two public hospitals in Southern Ethiopia indicated that 71% of nurses made MAE. However, however, only a few relevant studies were conducted in Ethiopia to assess this problem. Objective: To assess the magnitude and contributing factors of medication administration errors among nurse on, Gurage zone, Ethiopia, 2023. Methods; Crosse sectional study design was conducted. The study includes 348 nurses from four hospitals nurses were selected by systemic random sampling technique. Data was cleaned, checked for inconsistencies and missed values, coded and entered for analysis to SPSS (SPSS Inc. version 25).multi variable logistic regression was done to identify factors associated with medication administration errors. Result; A total of 320 nurses participated in this study, with 91.9% response rate. Of which 219(68.4%) nurses made Medication administration error in the last 12 months. In this study medication administration error was significantly associated with unavailability of guideline for MA [AOR=1.64; 95% CI (1.01, 2.64)], interruption during medication administration [AOR = 1.94, 95 % CI (1.12, 3.36)], low nurses to patient ratio [AOR = 5.19 % CI (1.74, 15.41)], and administering medication during night time [AOR = 2.75% CI (1.11, 6.84)]. Conclusion and recommendation: Medication administration error was highly prevalent in four selective hospitals in Gurage zone. This study showed that there is a significant association between medication administration error and factors such as Availability of guideline for MA, work load, interruption during MA, nurse to patient ratio, and Night shift. Develop appropriate guidelines for safe medication administration, minimizing distracters during medication administration, increase nurse to patent ratio and work load would be helpful for minimizing medication administration errors