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Ethics code: IR.MEDILAM.REC.1403.216
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Sahraee S, Pakzad R, Vasiee A, Najafi F. Factors affecting the incidence of medication errors from the perspective of nurses working in teaching hospitals in Ilam, 2025. Journal of Health Sciences Perspective 2025; 2 (1) :1-12
URL: http://jhsp.medilam.ac.ir/article-1-55-en.html
URL: http://jhsp.medilam.ac.ir/article-1-55-en.html
Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
Abstract: (28 Views)
Introduction: Medication errors are one of the most important patient safety challenges and can increase mortality, length of stay, and costs. This study aimed to identify factors affecting the occurrence of medication errors in teaching hospitals in Ilam in 2025.
Materials and Methods: This descriptive-cross-sectional study was conducted among nurses working in teaching hospitals in Ilam. Data were collected using a questionnaire including demographic information and Medication Error Factors Questionnaire, the validity and reliability of which had been previously confirmed by Ghanadi et al. (2010). Simple Random sampling was performed from the list of nurses working in different departments of hospitals, and the sample size was 383 people. After data collection, the data were analyzed using statistical software (SPSS version 18) and descriptive statistics (mean, standard deviation, frequency) as well as analytical tests such as the Chi-square test and independent t-test and Pearson correlation tests. The level of statistical significance was set at p < 0.05.
Results: 73% of nurses had no errors in the past year, while 15.1% had made errors once, 7.3% twice, 2.7% three times, and 1.1% had made errors four times. The most influential factors on the occurrence of errors were related to personal and psychological conditions (21.94 ± 5.34), followed by management processes (20.32 ± 4.84), and ward conditions (18.98 ± 5.04); while the role of medication and physicians was evaluated lower 15.39 ± 3.73). From an individual perspective, economic problems (4.08 ± 1.14) and fatigue due to excessive work (4.00 ± 1.05) had the highest average. The occurrence of errors was significant with employment status (p = 0.048), overtime (p < 0.001), age (p = 0.009), and job history (p = 0.024).
Conclusion: Nursing errors are multidimensional and fatigue, economic problems, excessive overtime, and inexperience play the most important roles. Appropriate shift management, continuous training, and the use of electronic technologies can reduce the incidence of errors.
Materials and Methods: This descriptive-cross-sectional study was conducted among nurses working in teaching hospitals in Ilam. Data were collected using a questionnaire including demographic information and Medication Error Factors Questionnaire, the validity and reliability of which had been previously confirmed by Ghanadi et al. (2010). Simple Random sampling was performed from the list of nurses working in different departments of hospitals, and the sample size was 383 people. After data collection, the data were analyzed using statistical software (SPSS version 18) and descriptive statistics (mean, standard deviation, frequency) as well as analytical tests such as the Chi-square test and independent t-test and Pearson correlation tests. The level of statistical significance was set at p < 0.05.
Results: 73% of nurses had no errors in the past year, while 15.1% had made errors once, 7.3% twice, 2.7% three times, and 1.1% had made errors four times. The most influential factors on the occurrence of errors were related to personal and psychological conditions (21.94 ± 5.34), followed by management processes (20.32 ± 4.84), and ward conditions (18.98 ± 5.04); while the role of medication and physicians was evaluated lower 15.39 ± 3.73). From an individual perspective, economic problems (4.08 ± 1.14) and fatigue due to excessive work (4.00 ± 1.05) had the highest average. The occurrence of errors was significant with employment status (p = 0.048), overtime (p < 0.001), age (p = 0.009), and job history (p = 0.024).
Conclusion: Nursing errors are multidimensional and fatigue, economic problems, excessive overtime, and inexperience play the most important roles. Appropriate shift management, continuous training, and the use of electronic technologies can reduce the incidence of errors.
Type of Study: Research |
Subject:
Patient safety
Received: 2025/09/17 | Accepted: 2025/11/2 | Published: 2026/01/2
Received: 2025/09/17 | Accepted: 2025/11/2 | Published: 2026/01/2
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