Evidence map›Paper›PMID 31492188›Full record

ArticleBMC health services research2019

Medication errors and drug knowledge gaps among critical-care nurses: a mixed multi-method study.

Juan Escrivá Gracia, Ricardo Brage Serrano, Julio Fernández Garrido

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  20. Medication errors in Najran, Saudi Arabia: Reporting, responsibility, and characteristics: A cross-sectional study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Juan Escrivá GraciaDepartment of nursing, University of Valencia, 46001 Jaume Roig St, Valencia, Spain. juanescrivagracia@gmail.com.ORCID http://orcid.org/0000-0002-7106-3581
Ricardo Brage SerranoDepartment of nursing, University of Valencia, 46001 Jaume Roig St, Valencia, Spain.
Julio Fernández GarridoDepartment of nursing, University of Valencia, 46001 Jaume Roig St, Valencia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedication errors are a serious and complex problem in clinical practice, especially in intensive care units whose patients can suffer potentially very serious consequences because of the critical nature of their diseases and the pharmacotherapy programs implemented in these patients. The origins of these errors discussed in the literature are wide-ranging, although far-reaching variables are of particular special interest to those involved in training nurses. The main objective of this research was to study if the level of knowledge that critical-care nurses have about the use and administration of medications is related to the most common medication errors.

methodsThis was a mixed (multi-method) study with three phases that combined quantitative and qualitative techniques. In phase 1 patient medical records were reviewed; phase 2 consisted of an interview with a focus group; and an ad hoc questionnaire was carried out in phase 3.

resultsThe global medication error index was 1.93%. The main risk areas were errors in the interval of administration of antibiotics (8.15% error rate); high-risk medication dilution, concentration, and infusion-rate errors (2.94% error rate); and errors in the administration of medications via nasogastric tubes (11.16% error rate).

conclusionsNurses have a low level of knowledge of the drugs they use the most and with which a greater number of medication errors are committed in the ICU.

Indexed as

Health Knowledge, Attitudes, PracticePharmaceutical PreparationsCritical Care NursingCritical IllnessFemaleFocus GroupsHumansIntensive Care UnitsIntubation, GastrointestinalMaleMedication ErrorsMiddle AgedSurveys and QuestionnairesPharmaceutical PreparationsCritical careError causeGaps in drug knowledgeMedication errors

Identifiers

PMID31492188
PMCPMC6729050

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.