بررسی نوع و میزان خطاهای دارویی در بخش های مراقبت ویژه نوزادان

Abstract Aims: One of the common medical errors is medication errors. Since medication errors are doubly important in neonatal units and neonatal intensive care units, prevention of these errors are very important and necessary. The aim of this study has been determining the level and the type of medication errors in neonatal units and neonatal care units. Methods: The present research was a descriptive-correlative study. The method of sampling was census and included ۱۱۹ nurses working in the neonatal units and neonatal intensive care units in ۵ educational hospitals of ShahidBeheshti University of Medical Sciences. The data collection tool was questionnaire. The first questionnaire contained the demographic data. The second questionnaire was “ Medication Administration Error” in order to determine the level and types of medication errors) and they were used after that their validity and reliability were examined. The collected data were analyzed by SPSS ۱۸ software. Results: ۱۱.۸ percent of the nurses indicated that during the last ۶ months they did not commit medication errors and ۳۷.۸ percent of them had between ۱ to ۲ medication errors. Medication errors in injectable drugs respectively included error in time of administration of medication (۵۱ to ۶۰ percent), errors in pharmaceutical calculations (۵۱ to ۶۰ percent), neglecting the drug interaction in simultaneous prescription of drugs (۵۱ to ۶۰ percent), wrong dose of a drug (۴۱ to ۵۰ percent) and medication errors in non-injectable medications included respectively in medication calculations (۵۱ to ۶۰ percent) and after that error in medication dose (۴۱ to ۵۰ percent). Correlation between injectable and non-injectable medication showed that error is mostly in injectable drugs and nurses who have error in injectable medication also have errors in non-injectable medications. Conclusion: Identification of types and level of medication errors can lead to steps towards prevention of these errors and advancement in the increase of quality of neonatal care and safety.