Medical errors: Healthcare professionals’ perspective at a tertiary hospital in Kuwait

Medical errors are of economic importance and can contribute to serious adverse events for patients. Medical errors refer to preventable events resulting from healthcare interactions, whether these events harm the patient or not. In Kuwait, there is a paucity literature detailing the causes, forms, and risks of medical errors in their state-funded healthcare facilities. This study aimed to explore medical errors, their causes and preventive strategies in a Kuwait tertiary hospital based on the perceptions and experience of a cross-section of healthcare professionals using a questionnaire with 27 open (n = 10) and closed (n = 17) questions. The recruited healthcare professionals in this study included pharmacists, nurses, physicians, dentists, radiographers, hospital administrators, surgeons, nutritionists, and physiotherapists. The collected data were analysed quantitatively using descriptive statistics. A total of 203 participants filled and completed the survey questionnaire. The frequency of medical errors in Kuwait was found to be high at 60.3% ranging from incidences of prolonged hospital stays (32.9%), adverse events and life-threatening complications (32.3%), and fatalities (20.9%). The common medical errors result from incomplete instructions, incorrect dosage, and incorrect route of administration, diagnosis errors, and labelling errors. The perceived causes of these medical errors include high workload, lack of support systems, stress, medical negligence, inadequate training, miscommunication, poor collaboration, and non-adherence to safety guidelines among the healthcare professionals.

[1]  F. El-Jardali,et al.  Baseline assessment of patient safety culture in public hospitals in Kuwait , 2018, BMC Health Services Research.

[2]  Alan Cottney Improving the safety and efficiency of nurse medication rounds through the introduction of an automated dispensing cabinet , 2014, BMJ quality improvement reports.

[3]  H. M. Ibrahim,et al.  Assessment of Patient Safety Culture in Primary Health Care Settings in Kuwait , 2014, Epidemiology, Biostatistics, and Public Health.

[4]  C. Schneider,et al.  Medication reconciliation by a pharmacy technician in a mental health assessment unit , 2014, International Journal of Clinical Pharmacy.

[5]  Hana Yoo,et al.  Factors Affecting the Perception of Importance and Practice of Patient Safety Management among Hospital Employees in Korea. , 2013, Asian nursing research.

[6]  H. Khalili,et al.  Errors in fluid therapy in medical wards , 2012, International Journal of Clinical Pharmacy.

[7]  J Mainz,et al.  How are medication errors defined? A systematic literature review of definitions and characteristics. , 2010, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[8]  L. Treiber,et al.  When the 5 Rights Go Wrong: Medication Errors From the Nursing Perspective , 2010, Journal of nursing care quality.

[9]  Aviane Kwame The occurrence of medication errors and the occurrence of risk factors for medication errors in state hospitals in Ghana: Patients' safety improvement in focus , 2009 .

[10]  B. Happell,et al.  Shifting supervision: implications for safe administration of medication by nursing students. , 2008, Journal of clinical nursing.

[11]  Lorill Harding,et al.  Nursing student medication errors: a retrospective review. , 2008, The Journal of nursing education.

[12]  S. Asadi,et al.  SHORT COMMUNICATION: AN OBSERVATIONAL STUDY OF ERRORS RELATED TO THE PREPARATION AND ADMINISTRATION OF MEDICATIONS GIVEN BY INFUSION DEVICES IN A TEACHING HOSPITAL , 2010 .

[13]  Jânia Oliveira Santos,et al.  Sentimientos de profesionales de enfermería después de la ocurrencia de errores en la medicación , 2007 .

[14]  A. E. B. C. Silva,et al.  Feelings of nursing professionals after the occurrence of medication errors , 2007 .

[15]  Sigall K. Bell,et al.  Guilty, afraid, and alone--struggling with medical error. , 2007, The New England journal of medicine.

[16]  Majd T Mrayyan,et al.  Rate, causes and reporting of medication errors in Jordan: nurses' perspectives. , 2007, Journal of nursing management.

[17]  Shu Yu,et al.  Nurses relate the contributing factors involved in medication errors. , 2007, Journal of clinical nursing.

[18]  Martin G. Larson,et al.  Descriptive Statistics and Graphical Displays , 2006, Circulation.

[19]  David Taylor,et al.  Prescription errors in psychiatry – a multi-centre study , 2006, Journal of psychopharmacology.

[20]  P. Schattner,et al.  Doing A Pilot Study: Why Is It Essential? , 2006, Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia.

[21]  C. Marano,et al.  To err is human. Building a safer health system , 2005 .

[22]  R. Sequeira,et al.  An evaluation of prescribing errors in primary care in Bahrain. , 2005, International journal of clinical pharmacology and therapeutics.

[23]  Ethan D Grober,et al.  Defining medical error. , 2005, Canadian journal of surgery. Journal canadien de chirurgie.

[24]  T. Caeiro,et al.  [Error in medicine]. , 2004, Medicina.

[25]  David W Bates,et al.  Use of chart and record reviews to detect medication errors in a state psychiatric hospital. , 2003, Psychiatric services.

[26]  P. Maurette,et al.  [To err is human: building a safer health system]. , 2002, Annales francaises d'anesthesie et de reanimation.

[27]  D. Bates,et al.  Patient risk factors for adverse drug events in hospitalized patients. ADE Prevention Study Group. , 1999, Archives of internal medicine.

[28]  J. Reason Human Error , 1990 .