Errors in high-risk intravenous injections administered by nurses: The causes according to healthcare professionals

  • Kim M
  • Seomun G
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Abstract

Background: High-risk intravenous injection errors are fatal to patients and bring great harm. Thus, it is of vital importance to identify the causes of such errors and establish a preventive system and safety culture among the health care professionals to prevent systematic injection errors in the hospital. Objective:The purpose of the present study was to identify the causes of and problems associated with high-risk intravenous injection errors from the perspective ofhealthcare providers. Methods and Material:A focus-group interview was carried out with 13 health care professionals (7 nurses, 3 doctors, 3 pharmacists) who work at a university hospital in Daejeon City and have work experience in and knowledge of high-risk intravenous injection. Results: Three causal categories responsible for errors emerged: human-related, injection procedure-related, and environmental factors. Specifically, lack of knowledge and awareness of high-risk medications, carelessness in controlling the speed and drip of fluids, injecting the wrong fluid, unclear verbal prescriptions from doctors, inappropriate medication management, a shortage of medicators, and a lack of injection experience were identified as the most common problems responsible for nurses' errors when administering high-risk intravenous injections. Conclusion: Our results may serve as baseline data for establishing a safety culture around high-risk intravenous injection administration.

Author-supplied keywords

  • Intravenous injection
  • Medication error
  • Nurse
  • Risk factor

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  • SCOPUS: 2-s2.0-84897480943
  • SGR: 84897480943
  • PUI: 372758693
  • ISSN: 1791809X

Authors

  • Miran Kim

  • GyeongAe Seomun

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