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Medication errors among Iranian emergency nurses: A systematic review
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Zohreh Hosseini Marznaki, Somaye Pouy, Waliu Jawula Salisu, Amir Emami Zeydi
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Epidemiol Health. 2020;42:e2020030. Published online May 13, 2020
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DOI: https://doi.org/10.4178/epih.e2020030
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Abstract
OBJECTIVES Medication errors (MEs) made by nurses are the most common errors in emergency departments (EDs). Identifying the factors responsible for MEs is crucial in designing optimal strategies for reducing such occurrences. The present study aimed to review the literature describing the prevalence and factors affecting MEs among emergency ward nurses in Iran.
METHODS We searched electronic databases, including the Scientific Information Database, PubMed, Cochrane Library, Web of Science, Scopus, and Google Scholar, for scientific studies conducted among emergency ward nurses in Iran. The studies were restricted to full-text, peer-reviewed studies published from inception to December 2019, in the Persian and English languages, that evaluated MEs among emergency ward nurses in Iran.
RESULTS Eight studies met the inclusion criteria. Most of the nurses (58.9%) had committed MEs only once. The overall mean rate of MEs was 46.2%, and errors made during drug administration accounted for 41.7% of MEs. The most common type of administration error was drug omission (17.8%), followed by administering drugs at the wrong time (17.5%) and at an incorrect dosage (10.6%). The lack of an adequate nursing workforce during shifts and improper nurse-patient ratios were the most critical factors affecting the occurrence of MEs by nurses.
CONCLUSIONS Despite the increased attention on patient safety in Iran, MEs by nurses remain a significant concern in EDs. Therefore, nurse managers and policy-makers must take adequate measures to reduce the incidence of MEs and their potential negative consequences.
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Summary
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Citations
Citations to this article as recorded by
- The factors influencing patient safety management as perceived by emergency department nurses: A qualitative study
Fateme Mohammadi, Sanaz Rustaee, Mostafa Bijani Nursing Open.2024;[Epub] CrossRef - Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity
Phuong Thi Lan Nguyen, Thu Anh Thi Phan, Van Bich Ngoc Vo, Nhi T. N. Ngo, Ha Thi Nguyen, Toi Lam Phung, Mai Thi Tuyet Kieu, Thao Huong Nguyen, Khanh N. C. Duong International Journal of Clinical Pharmacy.2024; 46(5): 1024. CrossRef - Recurrence of medical errors despite years of preventive measures: A grounded theory study
Aidin Aryankhesal, Negar Aghighi, Pouran Raeissi, Zhila Najafpour Journal of Education and Health Promotion.2023;[Epub] CrossRef - Frequency and influential factors on occurrence of medical errors: A three-year cross-sectional study
Negar Aghighi, Aidin Aryankhesal, Pouran Raeissi, Zhila Najafpour Journal of Education and Health Promotion.2023;[Epub] CrossRef - Medication Errors among Iranian Intensive Care Nurses: A Systematic Review
Zohreh Hosseini Marznaki, Amir Emami Zeydi, Mohammad Javad Ghazanfari, Waliu Jawula Salisu, Mehdi Mohammadian Amiri, Samad Karkhah Iranian Journal of Nursing and Midwifery Research.2023; 28(2): 123. CrossRef - Predictors of patient safety competency among emergency nurses in Iran: a cross-sectional correlational study
Aghil Habibi Soola, Mehdi Ajri-Khameslou, Alireza Mirzaei, Zahra Bahari BMC Health Services Research.2022;[Epub] CrossRef - Analysis of contributory factors to incidents related to medication assistance for residents taking medicines in residential care homes for the elderly: a qualitative interview survey with care home staff
Hayato Kizaki, Daisuke Yamamoto, Hiroki Satoh, Kotaro Masuko, Hideyuki Maki, Yukari Konishi, Satoko Hori, Yasufumi Sawada BMC Geriatrics.2022;[Epub] CrossRef - Intravenous medication errors in the emergency department, knowledge, tendency to make errors and affecting factors: An observational study
Sümeyye Arslan, Özlem Fidan, Arife Şanlialp Zeyrek, Durdu Ok International Emergency Nursing.2022; 63: 101190. CrossRef - An umbrella review of systematic reviews on contributory factors to medication errors in health-care settings
Lina Naseralallah, Derek Stewart, Ruba Azfar Ali, Vibhu Paudyal Expert Opinion on Drug Safety.2022; 21(11): 1379. CrossRef - Applicability of Clinical Decision Support in Management among Patients Undergoing Cardiac Surgery in Intensive Care Unit: A Systematic Review
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A systematic review and meta-analysis of the genetic characterization of human echinococcosis in Iran, an endemic country
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Abolghasem Siyadatpanah, Davood Anvari, Amir Emami Zeydi, Seyed Abdollah Hosseini, Ahmad Daryani, Shahabeddin Sarvi, Christine M. Budke, Reza Esmaeelzadeh Dizaji, Mohammad Ali Mohaghegh, Mohammad Hasan Kohansal, Samira Dodangeh, Reza Saberi, Shirzad Gholami
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Epidemiol Health. 2019;41:e2019024. Published online June 15, 2019
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DOI: https://doi.org/10.4178/epih.e2019024
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16,004
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334
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15
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Abstract
Human echinococcosis is an infectious disease caused by tapeworms belonging to the species Echinococcus. This parasite has a worldwide distribution and is considered a neglected tropical disease by the World Health Organization. Due to the diversity of Echinococcus spp. hosts, as well as variation in geographical, climatic, and socio-ethnic conditions, the question of the strains or genotypes of Echinococcus spp. that are involved in human infections is important. The aim of this study was to provide a summary of the available data on genotypes of Echinococcus obtained from the Iranian population. Four international databases (PubMed, Scopus, Science Direct, and Web of Science) and 4 Persian databases (Magiran, Scientific Information Database, Iran Medex, and IranDoc) were searched for cross-sectional studies that reported the genotypes of Echinococcus spp. in human echinococcosis cases using molecular methods in Iran through July 2018. The Newcastle-Ottawa Scale was used to assess the quality of the selected studies. A total of 559 cases of human cystic echinococcosis were reported in the 21 included articles. The majority of cases belonged to genotype G1 (89.2%; 95% confidence interval [CI], 80.1 to 95.8), genotype G6 (8.2%; 95% CI, 2.8 to 15.9), and genotype G3 (2.3%; 95% CI, 1.1 to 3.9). Since genotype G1 of Echinococcus appears to be the most prevalent genotype affecting humans in Iran, disease control initiatives aimed at sheep intermediate hosts may be the most beneficial. In addition, educational programs and serological screening in individuals may help reduce the national impact of the disease.
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Summary
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Citations
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