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Table 1 Perceived importance of (risk) factors contributing to MAEs: descriptive statistics on 7-point Likert scale scores

From: Medication administration errors in the domain of infusion therapy in intensive care units: a survey study among nurses

 

Mean ± SD

Median (P25-P75)

Care professional-related factors

5.26 ± 0.99‡

5.35 (4.57–5.89)

 Problems in communication between caregivers

5.74 ± 1.36

6.00 (5.00–7.00)

 Mental state/sleep deprivation/fatigue

5.67 ± 1.18

6.00 (5.00–7.00)

 Notation errors in file

5.46 ± 1.38

5.00 (4.00–6.00)

 Shortage of medication knowledge

5.40 ± 1.36

6.00 (5.00–6.00)

 Wrong reading of the file

5.18 ± 1.39

5.00 (4.00–6.00)

 Shortage of work experience

4.95 ± 1.41

5.00 (4.00–6.00)

 Insufficient information and/or knowledge about using the pump

4.41 ± 1.63

4.00 (3.00–6.00)

Medication-related factors

5.17 ± 1.16¶

5.33 (4.33–6.00)

 No or incorrect dosage/concentration on labels

5.62 ± 1.45

6.00 (5.00–7.00)

 Large amount of medication

5.02 ± 1.59

5.00 (4.00–6.00)

 Type of medication (effect)

4.87 ± 1.74

5.00 (4.00–6.00)

Environmental factors—Intensive care-related factors

5.00 ± 0.82†

5.00 (4.44–5.53)

 Patient-nurse ratio on the ward

5.89 ± 1.43

6.00 (5.00–7.00)

 Frequent staff changes and frequent transfers of care

5.80 ± 1.29

6.00 (5.00–7.00)

 Urgent admissions

5.76 ± 1.37

6.00 (5.00–7.00)

 Deviation from protocols / hospital policy

5.68 ± 1.20

6.00 (5.00–7.00)

 Multiple different caregivers working

5.40 ± 1.34

5.00 (5.00–7.00)

 Complex environment

5.40 ± 1.65

6.00 (4.00–7.00)

 Use of new technologies and treatments

5.16 ± 1.42

5.00 (4.00–6.00)

 Shifts: night shift

5.09 ± 1.51

5.00 (4.00–6.00)

 Premature and nocturnal discharge

4.32 ± 1.41

4.00 (4.00–5.00)

 Insufficient supervision of the caregivers

4.26 ± 1.61

4.00 (3.00–5.00)

 Shifts: early shift

3.75 ± 1.30

4.00 (3.00–4.00)

 Shifts: late shift

3.69 ± 1.32

4.00 (3.00–4.00)

Patient-related factors

4.53 ± 1.23§

4.67 (3.67–5.33)

 Large number of treatments/interventions

5.56 ± 1.65

6.00 (5.00–7.00)

 Severity of the disease

4.88 ± 1.91

5.00 (4.00–7.00)

 Patient agitation

4.43 ± 1.58

5.00 (3.00–5.00)

 Lack of usual medication list (home medication)

4.30 ± 1.69

4.00 (3.00–5.00)

 Long-term hospitalizations

4.19 ± 1.70

4.00 (3.00–5.00)

 Sedation: patients unable to participate in care and defend themselves against mistakes

3.80 ± 1.65

4.00 (3.00–5.00)

Infusion pump-related factors

4.21 ± 1.32

4.12 (3.50–5.12)

 Problem in the pre-administration process

4.79 ± 1.58

5.00 (4.00–6.00)

 Hoses/connections

4.63 ± 1.62

5.00 (4.00–6.00)

 Low user-friendliness

4.51 ± 1.85

4.00 (3.00–6.00)

 Snapping the correct syringe into the pump

4.37 ± 1.90

4.00 (3.00–6.00)

 Programming/choosing the right pump (software)

4.32 ± 1.67

4.00 (3.00–6.00)

 Infusion pump failure

3.99 ± 1.68

4.00 (3.00–5.00)

 Device maintenance

3.64 ± 1.78

4.00 (2.00–5.00)

 Insufficient presence of required characteristics of the pump

3.45 ± 1.70

4.00 (2.00–4.00)

  1. ‡significantly different from patient-related factors and infusion pump-related factors (both p-values < 0.001)
  2. ¶significantly different from patient-related factors and infusion pump-related factors (both p-values < 0.001)
  3. †significantly different from patient-related factors and infusion pump-related factors (both p-values < 0.001)
  4. §significantly different from care-professional-related factors, medication related-factors, patient-related factors (all p-values < 0.001) and infusion pump-related factors (p = 0.01)