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Aged-care nurses in rural Tasmanian clinical settings more likely to think hypothetical medication error would be reported and disclosed compared to hospital and community nurses

Citation

Carnes, D and Kilpatrick, S and Iedema, R, Aged-care nurses in rural Tasmanian clinical settings more likely to think hypothetical medication error would be reported and disclosed compared to hospital and community nurses, Australian Journal of Rural Health, 23, (6) pp. 346-351. ISSN 1038-5282 (2015) [Refereed Article]


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Copyright 2015 The Authors Licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/

DOI: doi:10.1111/ajr.12229

Abstract

Objective: This study aims to determine the likelihood that rural nurses perceive a hypothetical medication error would be reported in their workplace.

Design: This employs cross-sectional survey using hypothetical error scenario with varying levels of harm.

Setting: Clinical settings in rural Tasmania.

Participants: Participants were 116 eligible surveys received from registered and enrolled nurses.

Main outcome measures: Frequency of responses indicating the likelihood that severe, moderate and near miss (no harm) scenario would ‘always’ be reported or disclosed.

Results: Eighty per cent of nurses viewed a severe error would ‘always’ be reported, 64.8% a moderate error and 45.7% a near-miss error. In regards to disclosure, 54.7% felt this was ‘always’ likely to occur for a severe error, 44.8% for a moderate error and 26.4% for a near miss. Across all levels of severity, aged-care nurses were more likely than nurses in other settings to view error to ‘always’ be reported (ranging from 72–96%, P = 0.010 to 0.042,) and disclosed (68–88%, P = 0.000). Those in a management role were more likely to view error to ‘always’ be disclosed compared to those in a clinical role (50–77.3%, P = 0.008–0.024).

Conclusion: Further research in rural clinical settings is needed to improve the understanding of error management and disclosure.

Item Details

Item Type:Refereed Article
Keywords:disclosure, error management, medication error, reporting, rural nurse
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Public Health and Health Services not elsewhere classified
Objective Division:Health
Objective Group:Specific Population Health (excl. Indigenous Health)
Objective Field:Rural Health
Author:Carnes, D (Dr Deb Carnes)
Author:Kilpatrick, S (Professor Sue Kilpatrick)
Author:Iedema, R (Professor Rick Iedema)
ID Code:105660
Year Published:2015
Deposited By:Health Sciences
Deposited On:2016-01-12
Last Modified:2017-11-05
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