Patient safety during medication administration: the influence of organizational and individual variables on unsafe work practices and medication errors

Fogarty, Gerard J. and McKeon, Christine (2006) Patient safety during medication administration: the influence of organizational and individual variables on unsafe work practices and medication errors. Ergonomics: An International Journal of Research and Practice in Human Factors and Ergonomics, 49 (5-6). pp. 444-456. ISSN 0014-0139

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Abstract

Medication errors are a leading cause of unintended harm to patients, both in Australia and internationally, and there is now a concerted attempt to identify and correct individual and workplace factors that encourage medication errors. The current study used structural equation modelling to measure organizational climate and to test a model with hypothesized links between climate and unsafe medication administration behaviours. The study also examined the possible mediating role of stress and morale. Data were collected from 176 nurses working in rural areas in Australia. The model provided a reasonable fit to the data with organizational climate accounting for 39% of the variance in individual distress, which in turn explained 7% of the variance in self-reported violations. The only variable that made a direct contribution to errors was violations, which accounted for 24% of the variance in medication errors. These findings highlight the importance of monitoring the state of the whole health system. Deficiencies at the organizational level affect the psychological well-being of hospital employees, and distressed employees are more likely to engage in substandard work practices that ultimately endanger the patients under their care.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Author's accepted version is deposited in accordance with the copyright policy of the publisher.
Depositing User: ePrints Administrator
Faculty / Department / School: Historic - Faculty of Sciences - Department of Psychology
Date Deposited: 06 Aug 2009 06:42
Last Modified: 25 Oct 2013 02:17
Uncontrolled Keywords: medication errors; patient safety; systems approach
Fields of Research (FOR2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111705 Environmental and Occupational Health and Safety
Socio-Economic Objective (SEO2008): C Society > 92 Health > 9202 Health and Support Services > 920204 Evaluation of Health Outcomes
Identification Number or DOI: doi: 10.1080/00140130600568410
URI: http://eprints.usq.edu.au/id/eprint/5539

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