Medication errors in chemotherapy preparation and administration: A survey conducted among oncology nurses in Turkey

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dc.authorid0000-0001-9717-4581
dc.contributor.authorUlaş, Arife
dc.contributor.authorSılay, Kamile
dc.contributor.authorAkıncı, Sema
dc.contributor.authorDede, Didem Şener
dc.contributor.authorAkıncı, Muhammed Bülent
dc.contributor.authorŞendur, Mehmet Ali
dc.contributor.authorÇubukçu, Erdem
dc.contributor.authorÇoşkun, Hasan Şenol
dc.contributor.authorDe?irmenci, Mustafa
dc.contributor.authorUtkan, Güngör Ör
dc.contributor.authorÖzdemir, Nuriye Yıldırım
dc.contributor.authorIşıkdoğan, Abdurrahman
dc.contributor.authorBüyükçeli?k, Abdullah
dc.contributor.authorİnanç, Mevlüde
dc.contributor.authorBilici, Ahmet Erkan
dc.contributor.authorOdabaşı, Hatice
dc.contributor.authorCihan, Şener
dc.contributor.authorAvcı, Nilüfer
dc.contributor.authorYalçın, Bülent
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:36:25Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:36:25Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground: Medication errors in oncology may cause severe clinical problems due to low therapeutic indices and high toxicity of chemotherapeutic agents. We aimed to investigate unintentional medication errors and underlying factors during chemotherapy preparation and administration based on a systematic survey conducted to reflect oncology nurses experience. Materials and Methods: This study was conducted in 18 adult chemotherapy units with volunteer participation of 206 nurses. A survey developed by primary investigators and medication errors (MAEs) defined preventable errors during prescription of medication, ordering, preparation or administration. The survey consisted of 4 parts: demographic features of nurses; workload of chemotherapy units; errors and their estimated monthly number during chemotherapy preparation and administration; and evaluation of the possible factors responsible from ME. The survey was conducted by face to face interview and data analyses were performed with descriptive statistics. Chi-square or Fisher exact tests were used for a comparative analysis of categorical data. Results: Some 83.4% of the 210 nurses reported one or more than one error during chemotherapy preparation and administration. Prescribing or ordering wrong doses by physicians (65.7%) and noncompliance with administration sequences during chemotherapy administration (50.5%) were the most common errors. The most common estimated average monthly error was not following the administration sequence of the chemotherapeutic agents (4.1 times/month, range 1-20). The most important underlying reasons for medication errors were heavy workload (49.7%) and insufficient number of staff (36.5%). Conclusions: Our findings suggest that the probability of medication error is very high during chemotherapy preparation and administration, the most common involving prescribing and ordering errors. Further studies must address the strategies to minimize medication error in chemotherapy receiving patients, determine sufficient protective measures and establishing multistep control mechanisms.
dc.identifier.citationUlaş, A., Sılay, K., Akıncı, S., Dede, D. Ş., Akıncı, M. B., Şendur, M. A. ... Yalçın, B. (2015). Medication errors in chemotherapy preparation and administration: A survey conducted among oncology nurses in Turkey. Asian Pacific Journal of Cancer Prevention, 16(5), 1699-1705. https://dx.doi.org/10.7314/APJCP.2015.16.5.1699
dc.identifier.doi10.7314/APJCP.2015.16.5.1699
dc.identifier.endpage1705
dc.identifier.issn1513-7368
dc.identifier.issue5
dc.identifier.scopusqualityQ2
dc.identifier.startpage1699
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1158
dc.identifier.urihttps://dx.doi.org/10.7314/APJCP.2015.16.5.1699
dc.identifier.volume16
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAsian Pacific Organization for Cancer Prevention
dc.relation.ispartofAsian Pacific Journal of Cancer Preventionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectChemotherapeutic Drug Preparation/Administration
dc.subjectChemotherapy
dc.subjectMedication Errors
dc.subjectNursing
dc.titleMedication errors in chemotherapy preparation and administration: A survey conducted among oncology nurses in Turkey
dc.typeArticle

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