The Effect of Blended Learning on the Rate of Medication Administration Errors of Nurses in Medical Wards
Abstract
Background: Medication error is one of the most important and most common events threatening patient safety. This study was conducted with the aim to determine the effect of asynchronous hybrid/blended learning on the rate of medication administration errors of nurses in medical wards.
Materials and Methods: This quasi-experimental study was conducted with a pretest-posttest design in 2019. The participants of this study included 57 clinical nurses working in the medical wards of a selected educational hospital affiliated to Lorestan University of Medical Sciences, Khorramabad, Iran. The study participants were selected through census method. An asynchronous hybrid/blended learning program was used in this study. Data collection was performed using a two-section researcher-made checklist. The collected data were analyzed using descriptive [Mean (SD)] and inferential (paired sample t-test) statistics in SPSS software. A p value of less than 0.05 was considered statistically significant.
Results: The results showed that the mean score of total errors in medication administration in the medical wards after the intervention was significantly lower than before the intervention; the mean score of errors before and after the study was 61.67 and 50.09, respectively (t56 = 11.41, p < 0.001).
Conclusions: Asynchronous hybrid/blended learning as a type of e-learning, simple, relatively inexpensive, and new educational strategy can improve nurses’ performance and reduce medication errorsFull Text:
PDFReferences
Hajibabaee F, Joolaee S, Peyravi H, Haghani H. The relationship of medication errors among nurses with some organizational and demographic characteristics. Iran J Nurs Res 2011;6:83-92.
Farzi S, Farzi S, Taheri S, Ehsani M, Moladoost A. Perspective of nurses toward the patient safety culture in neonatal intensive care units. Iran J Neonatol 2017;8:89-94.
Farzi S, Moladoost A, Bahrami M, Farzi S, Etminani R. Patient safety culture in intensive care units from the perspective of nurses: A cross-sectional study. Iran J Nurs Midwifery Res 2017;22:372-6.
Farzi S, Saghaei M, Irajpour A, Ravaghi H. The most frequent and important events that threaten patient safety in intensive care units from the perspective of health-care professionals’. J Res Med Sci 2018;23:104.
Available from: https://www.who.int/patientsafety/medicationsafety/en/. [Last accessed on 2020 Apr 18].
Farzi S, Irajpour A, Saghaei M, Ravaghi H. Weak professional Interactions as main cause of medication errors in intensive care units in Iran. Iran Red Crescent Med J 2017;19:e14946.
Al Tehewy M, Fahim H, Gad NI, El Gafary M, Rahman SA. Medication administration errors in a university hospital. J Patient Saf 2016;12:34-39.
Soori S, Rostami Z, Aghilidehkordi G. Occurrence and reporting of nurses’ medication errors in a teaching hospital in Isfahan. J Health Admin 2019;21:75-86.
Yousefi MS, Abed Saeedi Z, Maleki M, Sarbakhsh P. Frequency and causes of medication errors of nurses in different shift works in educational hospitals affiliated to Shahid Beheshti University of Medical Sciences. J Shahid Beheshti Sch Nurs Midwifery 2014;24:27-34.
Gahremani R, Sharifi H. Investigating the prevalence of medication errors in preparation and the administration of intravenous drugs in a second-level university hospital. Urmia Med J 2016;27:140-7.
Sozani A, Bagheri H, M P. Factors contributing to medication errors of view nursing staff shah rood in Parts Imam Hossain anymore Danesh and Tandorosti journal Shah rood University of Medical Sciences 2007;2.
Gaspar M, Silva CL, Cavalheiro M, Charneski SN, Pipino OJ, Baglie S. Risk management and the perception of the nursing staff on the error in the administration of antimicrobial. BioMed Central 2011;5:156.
Askari R, Mahjoub H. Ranking of the causes of medication errors in the viewpoints of nurses in selected hospitals affiliated with Yazd University of Medical Sciences, Iran. Manage Strat Health Syst 2017;2:154-61.
Kim KS, Kwon SH, Kim JA, Cho S. Nurses’ perceptions of medication errors and their contributing factors in South Korea. J Nurs Manage 2011;19:346-53.
Mercer S, Furler J, Moffat K, Fischbacher-Smith D, Sanci L. Multimorbidity: Technical series on safer primary care. World Health Organization; 2016.
Irajpour A, Farzi S, Saghaei M, Ravaghi H. Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units. J Educ Health Promot 2019;8:196.
Bagheri-Nasami M, Esmaeili R, Tajari M. Frequency of noninjectable administration errors in nurses of cardiac critical care units in mazandaran province in 2014. J Rafsenjan Univ Med Sci 2015;15:151-64.
Raban MZ, Westbrook JI. Are interventions to reduce interruptions and errors during medication administration effective?. a systematic review. BMJ Qual Saf 2014;23:414-21.
Tabrizi JS, Alizadeh G, Golestani M, Kazemi L. Identification of medication errors with pronunciation, writing and similar packaging Shaheed Madani hospital in Tabriz in 2013. J Depiction of Health 2014;5:40-6.
Ahangarzadeh Rezaei S, Bagaei R, Feizi A, Rahimi F. A survy on the nursing-related factors influnecing medication error incidence. J Urmia Nurs Midwifery Faculty 2014;12:1088-93.
Cheraghi MA, Nasabadi N, Reza A, Mohammad Nejad E, Salari A, Kheyli EK, et al. Medication errors among nurses in intensive care units (ICU). J Mazandaran Univ Med Sci 2012;21:115-9.
Zarei Zavaraki E, Toofani E. Blended learning: A new approach in educational system. Quarterly J High Educ Lett 2011;4:71-87.
Sevari K, Falahi M. Develop and improve teaching and learning through blended learning teaching development and improvement through blended learning. J Educ Stud, Center for the Stud Dev Med Educ, Army Univ Med Sci 2015;5:20-6.
Salehi Omran E, Salari Z. Blended learning; a new approach in developing teaching and learning process. Iran Quarterly Educ trat 2012;5:69-75.
Ibrahimzadeh I, Zandi B, Alipour A, Zare H, Yazdani F. The kinds of e-learning and different forms of interaction on it. Interdiscip J Virtual Learn Med Sci 2020;1:11-22.
Ford DG, Seybert AL, Smithburger PL, Kobulinsky LR, Samosky JT, Kane-Gill SL. Impact of simulation-based learning on medication error rates in critically ill patients. Intensive Care Med 2010;36:1526-31.
Kozier & Erb’s Fundamentals of Nursing (10th ed.ition) (Fundamentals of Nursing (Kozier)) 10th Edition. 2018.
Schneider PJ, Pedersen CA, Montanya KR, Curran CR, Harpe SE, Bohenek W, et al. Improving the safety of medication administration using an interactive cd-rom program. Nederlands Tijdschrift voor Evidence Based Pract 2007;5:12-3.
Patanwala AE, Warholak TL, Sanders AB, Erstad BL. A prospective observational study of medication errors in a tertiary care emergency department. Ann Emerg Med 2010;55:522-6.
Bahrami M, Farzi S. The effect of a supportive educational program based on COPE model on caring burden and quality of life in family caregivers of women with breast cancer. Iran J Nurs Midwifery Res 2014;19:119-26.
Sharifi N, Alipour A. The effect of modern educational strategies in reducing intravenous drug administration error: A non-randomized clinical trial. Iran J Med Educ 2012;11:590-9.
Chua SS, Choo SM, Sulaiman CZ, Omar A, Thong MK. Effects of sharing information on drug administration errors in pediatric wards: A pre–post intervention study. Ther Clin Risk Manage 2017;13:345-53.
Raja Lope RJ, Boo NY, Rohana J, Cheah FC. A quality assurance study on the administration of medication by nurses in a neonatal intensive care unit. Singapore Med J 2009;50:68-72.
Douglass AM, Elder J, Watson R, Kallay T, Kirsh D, Robb WG, et al. A randomized controlled trial on the effect of a double check on the detection of medication errors. Ann Emerg Med 2018;71:74-82.
Härkänen M, Voutilainen A, Turunen E, Vehviläinen-Julkunen K. Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. Nurs Educ Today 2016;41:36-43.
Yigzaw M, Tebekaw Y, Kim YM, Kols A, Ayalew F, Eyassu G. Comparing the effectiveness of a blended learning approach with a conventional learning approach for basic emergency obstetric and newborn care training in Ethiopia. Midwifery 2019;78:42-9.
Shimizu I, Nakazawa H, Sato Y, Wolfhagen IH, Könings KD. Does blended problem-based learning make Asian medical students active learners? a prospective comparative study. BMC Med Educ 2019;19:147.
Najafi H. Comparing of the effect of blended and traditional teaching on learning. Res Med Educ 2019;11:54-63.
Refbacks
- There are currently no refbacks.