Developing risk management behaviours for nurses through medication incident analysis

Authors

  • Maree Johnson PhD RN,

    Corresponding author
    1. Clinical Professor, School of Nursing and Midwifery, College of Health and Science, Penrith South DC, New South Wales, Australia
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  • Duong Thuy Tran MIPH,

    1. Research Officer, School of Nursing and Midwifery, College of Health and Science, Penrith South DC, New South Wales, Australia
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  • Helen Young PhD

    1. Research Assistant, School of Nursing and Midwifery, College of Health and Science, Penrith South DC, New South Wales, Australia
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  • No funding or other fees were obtained for this study.

Maree Johnson, University of Western Sydney, Locked Bag 1797, Penrith South DC, NSW 1797, Australia. Email: m.johnson@uws.edu.au

Abstract

Johnson M, Tran DT, Young H. International Journal of Nursing Practice 2011; 17: 548–555

Developing risk management behaviours for nurses through medication incident analysis

The aim of this study was to define risk management behaviours related to medication safety. Mixed methods were used to analyze 318 nursing related medication incidents reported in an Australian metropolitan hospital. Most incidents did not result in patient harm (93%). Omission of medications was the most frequent often related to patient absences from the unit or nurses failing to sign for medications. Thematic analysis resulted in the Medication Safety Subscales including 29 behavioural statements within three domains—administering medications, storage and management of medications, managing adverse events related to medications. The Medication Safety Subscales can be used by managers, educators and clinicians to reinforce the importance of medication safety. Early action by nurses may reduce patient injury.

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