Influencing Factors and Consequences of Near Miss Experience in Nurses' Medication Error
Journal of Korean Academy of Nursing
;
: 631-642, 2019.
Article
in Korean
| WPRIM
| ID: wpr-764693
ABSTRACT
PURPOSE:
This study aimed to predict the influencing factors and the consequences of near miss in nurses' medication error based upon Salazar & Primomo's ecological system theory.METHODS:
A convenience sample of 198 nurses was recruited for the cross-sectional survey design. Data were collected from July to September 2016. Using the collected data, the developed model was verified by structural equation modeling analysis using SPSS and AMOS program.RESULTS:
For the fitness of the hypothetical model, the results showed that χ² (χ²=258.50, p<.001) was not fit, but standardized χ² (χ²/df=2.35) was a good fit for this model. Additionally, absolute fit index RMR=.06, RMSEA=.08, GFI=.86, AGFI=.81 reached the recommended level, but the Incremental fit index TLI=.82, CFI=.85 was not enough to reach to the recommended level. With the path diagram of the hypothetical model, caution (β=−.29 p<.001), patient safety culture (β=−.20, p=.041), and work load (β=.18, p=.037) had a significant effect on the near miss experiences in nurses' medication error, while fatigue (β=−.06, p=.575) did not affect it. Moreover, the near miss experience had a significant effect on work productivity (β=−.25, p=.001).CONCLUSION:
These results have shown that to decrease the near miss experience by nurses and increase their work productivity in hospital environments would require both personal and organizational effort.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Cross-Sectional Studies
/
Ecosystem
/
Delivery of Health Care
/
Efficiency
/
Fatigue
/
Patient Safety
/
Medication Errors
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Academy of Nursing
Year:
2019
Type:
Article
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