ArticleJournal of advanced nursing2020
Factors contributing to reported medication administration incidents in patients' homes - A text mining analysis.
Article in Journal of advanced nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Young Adults' Needs in Social Robot Assisted Medication Counselling: Applying Peplau's Interpersonal Relations Model.Nursing philosophy : an international journal for healthcare professionals · 2026Article
- Flow of Medication Information Incidents in the Home Care Setting in Finland: A Qualitative Descriptive Study.Journal of advanced nursing · 2026Article
- Medication Management Using Technology-Based Interventions in Older People at Home Care Settings: Protocol for a Scoping Review.JMIR research protocols · 2025Article
- Connected Healthcare System Technology Interventions to Improve Patient Safety by Reducing Medical Errors: A Systematic Review.Global journal on quality and safety in healthcare · 2025Review
- Factors impacting clinical data and documentation quality in Australian aged care and disability services: a user-centred perspective.BMC geriatrics · 2024Article
- Natural Language Processing Applied to Clinical Documentation in Post-acute Care Settings: A Scoping Review.Journal of the American Medical Directors Association · 2024Article
- Home care professionals' experiences of successful implementation, use and competence needs of robot for medication management in Finland.Nursing open · 2023Article
- Nurses' Perspectives on an Electronic Medication Administration Record in Home Health Care: Qualitative Interview Study.JMIR nursing · 2022Article
- Factors contributing to reported medication administration incidents in patients' homes - A text mining analysis.Journal of advanced nursing · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
aimsTo describe the characteristics of medication administration (MA) incidents reported to have occurred in patients' own homes (reporters' profession, incident types, contributing factors, patient consequence, and most common medications involved) and to identify the connection terms related to the most common contributing factors based on free text descriptions.
designA retrospective study using descriptive statistical analysis and text mining.
methodsMedication administration incidents (N = 19,725) reported to have occurred in patients' homes between 2013-2018 in one district in Finland were analysed, describing the data by the reporters' occupation, incident type, contributing factors, and patient consequence. SAS® Text Miner was used to analyse free text descriptions of the MA incidents to understand contributing factors, using concept linking.
resultsMost MA incidents were reported by practical (lower level) nurses (77.8%, N = 15,349). The most common category of harm was 'mild harm' (40.1%, N = 7,915) and the most common error type was omissions of drug doses (47.4%, N = 9,343). The medications most commonly described were Marevan [warfarin] (N = 2,668), insulin (N = 811), Furesis [furosemide] (N = 590), antibiotic (N = 446), and Panadol [paracetamol] (N = 416). The contributing factors most commonly reported were 'communication and flow of information' (25.5%, N = 5,038), 'patient and relatives' (22.6%, N = 4,451), 'practices' (9.9%, N = 1,959), 'education and training' (4.8%, N = 949), and 'work environment and resources' (3.0%, N = 598).
conclusionThere is need for effective communication and clear responsibilities between home care patients and their relatives and health providers, about MA and its challenges in home environments. Knowledge and skills relating to safe MA are also essential. IMPACT: These findings about MA incidents that have occurred in patients' homes and have been reported by home care professionals demonstrate the need for medication safety improvement in home care.
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