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Kanserli çocuğu olan ebeveynlerin ilaç hatalarına ilişkin algıları

Year 2020, Volume: 10 Issue: 1, 23 - 30, 31.03.2020
https://doi.org/10.16899/jcm.705059

Abstract

Amaç: İlaç hataları, tıbbi hataların en sık görülen önlenebilir nedenidir. Pediatrik popülasyonda erişkinlerden daha sık görülür ve daha zararlıdır. Bu çalışmanın amacı kanserli çocuğu olan ebeveynlerin ilaç hatalarına ilişkin algılarını değerlendirmektir.
Gereç ve Yöntem: Kesitsel tanımlayıcı tipteki araştırmanın örneklemini kemoterapi tedavisi gören 100 kanserli çocuğun ebeveyni oluşturmuştur. Araştırma verilerinin toplanmasında “Ebeveynlerin İlaç Uygulama Güvenliği Algısı, İlaç Uygulama Hatalarından Çocuğu Korumak İçin Kullandığı Yöntemler ve Sağlık Çalışanlarıyla İşbirliğine İlişkin İsteği ve Tutumlarına" ilişkin bir anket kullanılmıştır.
Bulgular: Ebeveynlerin %7’sinin gerçek bir ilaç hatası ile karşılaştığı, karşılaşılan ilaç hatasının %3’ünün yanlış ilaç olduğu saptanmıştır. Ebeveynlerin %68’inin tedavisi sırasında ilaç hatası oluşma ihtimalini düşündüğü saptanmıştır. Ebeveynlerin %37’sinin hemşireye çocuğuma uygulayacağı ilacın doğru ilaç olduğunu kontrol edip etmediğini sorarım, %61’inin doktorlara/hemşirelere güveniyorum, onları kontrol etmem, %92’sinin ilaç uygulaması sırasında bir hataya tanık olduğum zaman rapor ederim ifadelerine evet cevabı verdikleri belirlenmiştir.
Sonuç: Ebeveynlerin ilaç uygulama hatalarından çocuğu korumak için kullanılan yöntemlere ilişkin farkındalıklarının bazı uygulamalarda yetersiz iken bazılarında yeterli olduğu, ilaç uygulama hatalarına karşı sağlık çalışanlarıyla işbirliğine istekli oldukları saptanmıştır.
Anahtar Kelimeler: İlaç hatası, çocuk, kanser, ebeveyn, algı.

References

  • 1. Gonzales K. Medication administration errors and the pediatric population: A systematic search of the literature. J Pediatr Nurs [Internet]. Elsevier Inc.; 2010;25(6):555–65.
  • 2. Büyük ET, Güdek E, Güney Z, Yıldırım S, Akkoca S. Chemotherapeutic Drug Administration Mistakes Experienced by Nurses Working in Pediatric Oncology Units. J Pediatr Res. 2014;1(4):207–11.
  • 3. Cousins DH, Gerrett D, Warner B. A review of medication incidents reported to the National Reporting and Learning System in England and Wales over 6 years ( 2005 – 2010 ). Br J Clin Pharmacol. 2011;74(4):597–604.
  • 4. Harris N, Badr LK, Saab R, Khalidi A. Caregivers’ perception of drug administration safety for pediatric oncology patients. J Pediatr Oncol Nurs [Internet]. 2014;31(2):95–103.
  • 5. Hartel MJ, Staub LP, Röder C, Eggli S. High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. BMC Health Serv Res [Internet]. BioMed Central Ltd; 2011;11(1):199.
  • 6. Lan YH, Wang KWK, Yu S, Chen IJ, Wu HF, Tang FI. Medication errors in pediatric nursing: Assessment of nurses’ knowledge and analysis of the consequences of errors. Nurse Educ Today [Internet]. Elsevier Ltd; 2014;34(5):821–8.
  • 7. Özkan S, Kocaman G, Öztürk C. Effect of strategies for preventing medication administration errors in pediatric inpatients. Turk Arch Ped. 2013;299–302.
  • 8. Rinke ML, Shore AD, Morlock L, Hicks RW, Miller MR. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110(1):186–95.
  • 9. Chen CJ. Medication errors in pediatrics. Pediatr Neonatol [Internet]. Elsevier Taiwan LLC; 2013;54(1):3–4.
  • 10. U.S. Food and Drug Administration. Medication Errors Related to Drugs [Internet]. U.S. Food and Drug Administration. 2014 [cited 2015 Mar 30].
  • 11. Guerrero-aznar MD, Jiménez-mesa E, Cotrina-luque J, Villalba-moreno A. Validation of a method for notifying and monitoring medication errors in paediatrics ଝ. An Pediatría (English Ed [Internet]. Asociación Española de Pediatría; 2014;81(6):360–7.
  • 12. Törüner Kılıçarslan E, Erdemir F. Prevention of Medication Errors in Pediatric Patients. Hacettepe Üniversitesi Sağlık Bilim Fakültesi Hemşirelik Derg. 2010;63–71. 13. Uzun Ş, Arslan F. Medication Errors: Scientific Letter. Turkiye Klin J Med Sci. 2008;28(2):217–22.
  • 14. Schwappach DLB, Wernli M. Chemotherapy Patients’ Perceptions of Drug Administration Safety. J Clin Oncol [Internet]. 2010;28(17):2896–901.
  • 15. Anderson C, Rolfe P, Brennan-Hunter A. Administration of over-the-counter medication to children at home--a survey of parents from community health centers. J Community Health Nurs. 2013;30(3):143–54.
  • 16. Leufer T, Cleary-holdforth J. Nurse Education in Practice Let ’ s do no harm : Medication errors in nursing : Part 1. Nurse Educ Pract [Internet]. Elsevier Ltd; 2013;13(3):213–6.
  • 17. Beckett VL, Tyson LD, Carroll D, Gooding NM, Kelsall AW. Accurately administering oral medication to children isn’t child’s play. Arch Dis Child. 2012;(97):838–41.
  • 18. Li SF, Lacher B, Crain EF. Acetaminophen and ibuprofen dosing by parents. Pediatr Emerg Care. 2000;16(6):394–7.
  • 19. Ghaleb M, Barber N, Franklin B, Yeung V, Khaki Z, Wong I. Systematic review of medication errors in pediatric patients. Ann Pharmacother. 2006;40:1766−1776.
  • 20. Star K, Nordin K, Pöder U, Edwards IR. Challenges of safe medication practice in paediatric care - A nursing perspective. Acta Paediatr Int J Paediatr. 2013;102(5):532–8.
  • 21. Crawford D. Maintaining good practice in the administration of medicines to children. Nurs Child Young People. 2012;24(4):29–35; quiz 36.
  • 22. Stebbing C, Wong ICK, Kaushal R, Jaffe A. The role of communication in paediatric drug safety. Arch Dis Child. 2007;92(5):440–5.

Perceptions of parents of children with cancer about medications errors

Year 2020, Volume: 10 Issue: 1, 23 - 30, 31.03.2020
https://doi.org/10.16899/jcm.705059

Abstract

Aim: To evaluate perceptions of parents of children with cancer about medications errors.
Materials and Methods: The sample of the study with a cross-sectional descriptive design consisted of parents of 100 children with cancer who received chemotherapy treatment. "The Parents’ Perceptions of Drug Application Security,” “The Methods Used by Parents to Protect Their Children from Medication Errors,” and “The Parents’ Willingness and Attitudes Toward Collaboration with Health Care Professionals" was used to collect research data.
Results: It was found that 7% of the parents confronted with a real medication error; of these, 3% medication errors occurred in the form of wrong drug administration. It was also determined that 68% of the parents thought about the possibility of a medication error occurring during their children treatment. The parents responded as “yes” with the corresponding percentage to the following statements: “I always ask the nurse check whether the drug that he/she will administer on my child is the right drug” (37%), “I trust doctors/nurses, so I do not check them” (61%), and “If I encounter with a wrong drug administration, I definitely report it to the relevant authorities” (92%).
Conclusions: The participant parents' awareness of the methods to protect their children from medication errors was found to be inadequate in some applications, but adequate in some others. It was also determined that they were willing to cooperate with health care professionals against medication errors.

References

  • 1. Gonzales K. Medication administration errors and the pediatric population: A systematic search of the literature. J Pediatr Nurs [Internet]. Elsevier Inc.; 2010;25(6):555–65.
  • 2. Büyük ET, Güdek E, Güney Z, Yıldırım S, Akkoca S. Chemotherapeutic Drug Administration Mistakes Experienced by Nurses Working in Pediatric Oncology Units. J Pediatr Res. 2014;1(4):207–11.
  • 3. Cousins DH, Gerrett D, Warner B. A review of medication incidents reported to the National Reporting and Learning System in England and Wales over 6 years ( 2005 – 2010 ). Br J Clin Pharmacol. 2011;74(4):597–604.
  • 4. Harris N, Badr LK, Saab R, Khalidi A. Caregivers’ perception of drug administration safety for pediatric oncology patients. J Pediatr Oncol Nurs [Internet]. 2014;31(2):95–103.
  • 5. Hartel MJ, Staub LP, Röder C, Eggli S. High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. BMC Health Serv Res [Internet]. BioMed Central Ltd; 2011;11(1):199.
  • 6. Lan YH, Wang KWK, Yu S, Chen IJ, Wu HF, Tang FI. Medication errors in pediatric nursing: Assessment of nurses’ knowledge and analysis of the consequences of errors. Nurse Educ Today [Internet]. Elsevier Ltd; 2014;34(5):821–8.
  • 7. Özkan S, Kocaman G, Öztürk C. Effect of strategies for preventing medication administration errors in pediatric inpatients. Turk Arch Ped. 2013;299–302.
  • 8. Rinke ML, Shore AD, Morlock L, Hicks RW, Miller MR. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110(1):186–95.
  • 9. Chen CJ. Medication errors in pediatrics. Pediatr Neonatol [Internet]. Elsevier Taiwan LLC; 2013;54(1):3–4.
  • 10. U.S. Food and Drug Administration. Medication Errors Related to Drugs [Internet]. U.S. Food and Drug Administration. 2014 [cited 2015 Mar 30].
  • 11. Guerrero-aznar MD, Jiménez-mesa E, Cotrina-luque J, Villalba-moreno A. Validation of a method for notifying and monitoring medication errors in paediatrics ଝ. An Pediatría (English Ed [Internet]. Asociación Española de Pediatría; 2014;81(6):360–7.
  • 12. Törüner Kılıçarslan E, Erdemir F. Prevention of Medication Errors in Pediatric Patients. Hacettepe Üniversitesi Sağlık Bilim Fakültesi Hemşirelik Derg. 2010;63–71. 13. Uzun Ş, Arslan F. Medication Errors: Scientific Letter. Turkiye Klin J Med Sci. 2008;28(2):217–22.
  • 14. Schwappach DLB, Wernli M. Chemotherapy Patients’ Perceptions of Drug Administration Safety. J Clin Oncol [Internet]. 2010;28(17):2896–901.
  • 15. Anderson C, Rolfe P, Brennan-Hunter A. Administration of over-the-counter medication to children at home--a survey of parents from community health centers. J Community Health Nurs. 2013;30(3):143–54.
  • 16. Leufer T, Cleary-holdforth J. Nurse Education in Practice Let ’ s do no harm : Medication errors in nursing : Part 1. Nurse Educ Pract [Internet]. Elsevier Ltd; 2013;13(3):213–6.
  • 17. Beckett VL, Tyson LD, Carroll D, Gooding NM, Kelsall AW. Accurately administering oral medication to children isn’t child’s play. Arch Dis Child. 2012;(97):838–41.
  • 18. Li SF, Lacher B, Crain EF. Acetaminophen and ibuprofen dosing by parents. Pediatr Emerg Care. 2000;16(6):394–7.
  • 19. Ghaleb M, Barber N, Franklin B, Yeung V, Khaki Z, Wong I. Systematic review of medication errors in pediatric patients. Ann Pharmacother. 2006;40:1766−1776.
  • 20. Star K, Nordin K, Pöder U, Edwards IR. Challenges of safe medication practice in paediatric care - A nursing perspective. Acta Paediatr Int J Paediatr. 2013;102(5):532–8.
  • 21. Crawford D. Maintaining good practice in the administration of medicines to children. Nurs Child Young People. 2012;24(4):29–35; quiz 36.
  • 22. Stebbing C, Wong ICK, Kaushal R, Jaffe A. The role of communication in paediatric drug safety. Arch Dis Child. 2007;92(5):440–5.
There are 21 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Elif Bilsin

Hatice Bal Yılmaz

Gülçin Özalp Gerçeker

Şeyda Binay This is me

Zümrüt Başbakkal

Publication Date March 31, 2020
Acceptance Date December 23, 2019
Published in Issue Year 2020 Volume: 10 Issue: 1

Cite

AMA Bilsin E, Bal Yılmaz H, Özalp Gerçeker G, Binay Ş, Başbakkal Z. Perceptions of parents of children with cancer about medications errors. J Contemp Med. March 2020;10(1):23-30. doi:10.16899/jcm.705059