Safety Assessment of the Pharmacotherapy Process at the Nurse and Midwife Level – An Observational Study

Izabela Witczak,1 Izabella Uchmanowicz,2 Riccardo Tartaglia,3 Łukasz Rypicz1 1Department of Health Care Economics and Quality, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 2Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Po...

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Autores principales: Witczak I, Uchmanowicz I, Tartaglia R, Rypicz Ł
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:c572f0192a1242ea92a4da6b170094a82021-12-02T15:27:21ZSafety Assessment of the Pharmacotherapy Process at the Nurse and Midwife Level – An Observational Study1178-203Xhttps://doaj.org/article/c572f0192a1242ea92a4da6b170094a82020-11-01T00:00:00Zhttps://www.dovepress.com/safety-assessment-of-the-pharmacotherapy-process-at-the-nurse-and-midw-peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203XIzabela Witczak,1 Izabella Uchmanowicz,2 Riccardo Tartaglia,3 Łukasz Rypicz1 1Department of Health Care Economics and Quality, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 2Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 3President of the Italian Network for Safety in Health Care, Florence, ItalyCorrespondence: Izabella UchmanowiczFaculty of Health Sciences, Department of Clinical Nursing, Wroclaw Medical University, Bartla 5, Wroclaw 51-618, PolandTel +48 71 784 18 05Fax +48 71 345 93 24Email izabella.uchmanowicz@umed.wroc.plPurpose: Pharmacological errors are among the most common in the healthcare system. This study aimed to determine the level of safety of the pharmacotherapy process at the stage performed by nurses and midwives by indicating the key risk factors affecting patients’ safety.Methods: A group of 1276 nurses and 136 midwives in Poland participated in the study. The survey was conducted in the period from May 2019 to August 2019. The original Nursing Risk in Pharmacotherapy (NURIPH) tool was used.Results: The Cronbach alpha coefficient was 0.832. The low legibility of the medical orders (item 1) was indicated as the highest risk. A mean of 4.50 means that this factor’s significance is assessed between “very significant” and “significant.” The communication between physician, nurse and midwife, time pressure, and work organization were also rated high (Items 2, 3, and 4). The averages for these factors are higher than 4, so their evaluation is more than “significant.”.Conclusion: Nurses and midwives involved in the pharmacotherapy process are exposed to many ergonomic factors triggering risk. A huge problem is the lack of readability of medical orders, which may be a factor triggering a medical error.Keywords: patient safety, medication error, NURIPH tool, nurses and midwives, pharmacotherapy, risk managementWitczak IUchmanowicz ITartaglia RRypicz ŁDove Medical Pressarticlepatient safetymedication errornuriph toolnurses and midwivespharmacotherapyrisk managementTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol Volume 16, Pp 1057-1065 (2020)
institution DOAJ
collection DOAJ
language EN
topic patient safety
medication error
nuriph tool
nurses and midwives
pharmacotherapy
risk management
Therapeutics. Pharmacology
RM1-950
spellingShingle patient safety
medication error
nuriph tool
nurses and midwives
pharmacotherapy
risk management
Therapeutics. Pharmacology
RM1-950
Witczak I
Uchmanowicz I
Tartaglia R
Rypicz Ł
Safety Assessment of the Pharmacotherapy Process at the Nurse and Midwife Level – An Observational Study
description Izabela Witczak,1 Izabella Uchmanowicz,2 Riccardo Tartaglia,3 Łukasz Rypicz1 1Department of Health Care Economics and Quality, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 2Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 3President of the Italian Network for Safety in Health Care, Florence, ItalyCorrespondence: Izabella UchmanowiczFaculty of Health Sciences, Department of Clinical Nursing, Wroclaw Medical University, Bartla 5, Wroclaw 51-618, PolandTel +48 71 784 18 05Fax +48 71 345 93 24Email izabella.uchmanowicz@umed.wroc.plPurpose: Pharmacological errors are among the most common in the healthcare system. This study aimed to determine the level of safety of the pharmacotherapy process at the stage performed by nurses and midwives by indicating the key risk factors affecting patients’ safety.Methods: A group of 1276 nurses and 136 midwives in Poland participated in the study. The survey was conducted in the period from May 2019 to August 2019. The original Nursing Risk in Pharmacotherapy (NURIPH) tool was used.Results: The Cronbach alpha coefficient was 0.832. The low legibility of the medical orders (item 1) was indicated as the highest risk. A mean of 4.50 means that this factor’s significance is assessed between “very significant” and “significant.” The communication between physician, nurse and midwife, time pressure, and work organization were also rated high (Items 2, 3, and 4). The averages for these factors are higher than 4, so their evaluation is more than “significant.”.Conclusion: Nurses and midwives involved in the pharmacotherapy process are exposed to many ergonomic factors triggering risk. A huge problem is the lack of readability of medical orders, which may be a factor triggering a medical error.Keywords: patient safety, medication error, NURIPH tool, nurses and midwives, pharmacotherapy, risk management
format article
author Witczak I
Uchmanowicz I
Tartaglia R
Rypicz Ł
author_facet Witczak I
Uchmanowicz I
Tartaglia R
Rypicz Ł
author_sort Witczak I
title Safety Assessment of the Pharmacotherapy Process at the Nurse and Midwife Level – An Observational Study
title_short Safety Assessment of the Pharmacotherapy Process at the Nurse and Midwife Level – An Observational Study
title_full Safety Assessment of the Pharmacotherapy Process at the Nurse and Midwife Level – An Observational Study
title_fullStr Safety Assessment of the Pharmacotherapy Process at the Nurse and Midwife Level – An Observational Study
title_full_unstemmed Safety Assessment of the Pharmacotherapy Process at the Nurse and Midwife Level – An Observational Study
title_sort safety assessment of the pharmacotherapy process at the nurse and midwife level – an observational study
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/c572f0192a1242ea92a4da6b170094a8
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AT uchmanowiczi safetyassessmentofthepharmacotherapyprocessatthenurseandmidwifelevelndashanobservationalstudy
AT tartagliar safetyassessmentofthepharmacotherapyprocessatthenurseandmidwifelevelndashanobservationalstudy
AT rypiczł safetyassessmentofthepharmacotherapyprocessatthenurseandmidwifelevelndashanobservationalstudy
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