Sudan Journal of Medical Sciences
ISSN: 1858-5051
High-impact research on the latest developments in medicine and healthcare across MENA and Africa
Errors and Near-miss Errors Encountered by Nursing Students in Clinical Settings in Governmental Universities, Khartoum State (2018)
Published date: Dec 31 2020
Journal Title: Sudan Journal of Medical Sciences
Issue title: Sudan JMS: Volume 15 (2020), Issue No. 4
Pages: 440–446
Authors:
Abstract:
Background: Identifying and analyzing the occurrence and sort of student clinical errors which will allow for early detection of problems and offer chance for system evaluation and improvement. This study intended to explain the types of errors along with near-miss errors encountered by nursing students in clinical settings. Methods: This descriptive cross-sectional study was conducted at five recognized governmental universities in Khartoum State and included 470 nursing students in their fourth year (2017–2018)who met the selection criteria of the study. A full-converge sampling method was used and data were first collected by the researcher using published self-administered survey and then analyzed.
Results: Initially, the study included 519 nursing students but only 470 of them responded(at a rate of 90.5%).The responses showed that while one-third of them, that is, 162(34.5%) students, had never encountered an error, 99(21.1%), 79 (16.8%), 71 (15.1%), 46(9.8%), and 13(2.8%) of them encountered errors with respect to needle stick, medical administration, omission of treatment, and wrong treatment, respectively. Regarding the near-miss errors encountered by the respondents, almost half, that is, 202(43%)of them had never encountered a near-miss errors, while 112(23.8%), 106(22.6%), 18(3.8%),17(3.6%), and 15(3.2%) of them encountered near-miss errors with respect to medication administration, omission of treatment, wrong patient, providing wrong treatment and others such as improper bedrail used, did not follow sterile precautions respectively. Conclusion: This study concluded that errors and near-miss errors exist and that awareness on clinical errors and near-misses need to be raised and strategies be developed for error management.
Keywords: errors, near-miss errors, nursing students, clinical setting, nursing errors
References:
[1] Sheikhtaheri, A. (2014). Near misses and their importance for improving patient safety. Iranian Journal of Public Health, vol. 43, no. 6, pp. 853–854.
[2] Linnard-Palmer, L. and Ngo, T. (2015). Near misses: nurses’ experiences with medication errors, power distance and error recover. Clinical Nursing Studies, vol. 4, no. 1, p. 40.
[3] Martinez, W., Lehmann, L. S., Hu, Y.-Y., et al. (2017). Processes for identifying and reviewing adverse events and near misses at an academic medical center. Joint Commission Journal on Quality and Patient Safety, vol. 43, no. 1, pp. 5–15.
[4] Gök, D. and Sarı, H. Y. (2017). Reporting of medication errors by pediatric nurses. Journal of Nursing Education and Practice, vol. 7, no. 9, p. 25.
[5] Disch, J., Barnsteiner, J., Connor, S., et al. (2017). CE: original research exploring how nursing schools handle student errors and near misses. American Journal of Nursing, vol. 117, no. 10, pp. 24–31.
[6] Cooper, E. E. (2017). Nursing students’ perception of safety in clinical settings: from the quality and safety officer. Nursing Education and Practice, vol. 7, no. 10, pp. 91–96.
[7] WHO. (2017).Patient Safety: Making Health Care Safer, pp. 20–24. Geneva: WHO. Available from: https://creativecommons.org/licenses/by-nc-sa/3.0/igo
[8] Johnson, K. F. (2016). US nursing students' perceptions of safe medication administration[PhD thesis], pp. 192–16.USA:Walden University.Available from: http://scholarworks.waldenu.edu/dissertations[accessed December 8, 2017].
[9] Nawafleh, H. A., El Abozead, S., Al Momani, M. M., et al. (2017). Investigating needle stick injuries: incidence, knowledge and perception among South Jordanian nursing students. Journal of Nursing Education and Practice, vol. 8, no. 4, p. 59.
[10] Claffey, C. (2018). Near-miss medication errors provide a wake-up call. Nursing, vol. 48, no. 1, pp. 53–55.
[11] Vrbnjak, D., Denieffe, S., O’Gorman, C., et al. (2016). Barriers to reporting medication errors and near misses among nurses: a systematic review. International Journal of Nursing Studies, vol. 63, pp. 162–178.