Factor 1: knowledge about medication errors prevention
|
Dosage calculus of intravenous drug reduces preparation errors |
4.02 |
0.849 |
0.601 |
0.567 |
0.223 |
0.22 |
Computerized provide order entry system (CPOE) reduce errors during the preparation’s phase |
4.05 |
0.861 |
0.684 |
0.627 |
0.272 |
0.237 |
Provision of pre-packaged by the pharmacy reduces medication errors risk |
4.09 |
0.984 |
0.746 |
0.778 |
0.193 |
0.269 |
Availability of informative protocols, posters and brochures in the wards, promotes the decrease of the error risk |
4.09 |
0.884 |
0.841 |
0.758 |
0.472 |
0.2 |
Assistance of a pharmacist during drug preparation reduces the error risk |
4.16 |
0.914 |
0.778 |
0.762 |
0.315 |
0.222 |
Alarm noises and ward emergencies may cause distractions during drugs preparation and administration |
4.09 |
0.960 |
0.789 |
0.806 |
0.307 |
0.208 |
Workload (double shifts, extra time) contributes to pharmacological therapy errors |
4.34 |
0.963 |
0.765 |
0.666 |
0.171 |
0.485 |
Following the 8 R rule (right patient, right medication, right dose, right route, right time, right documentation, right reason, right response) reduces errors |
4.05 |
1.056 |
0.675 |
0.445 |
0.453 |
0.292 |
Factor 2: Attitude to medication errors prevention
|
Ongoing and specific training on safe management of IV drug could reduce the risk of errors |
2.80 |
0.408 |
0.557 |
0.23 |
0.405 |
0.405 |
Awareness of the prevention of the errors and management of the clinical risk could reduce the errors during the preparation and administration phases of the drugs |
2.77 |
0.476 |
0.845 |
0.56 |
0.582 |
0.329 |
The motivation of the workers can improve their professional performance during the whole medication process |
2.89 |
0.387 |
0.65 |
0.282 |
0.555 |
0.347 |
For a secure management of the entire managing process of IV drugs, some authoritative guidelines drawn up taking into account the available scientific evidence are necessary |
2.82 |
0.446 |
0.669 |
0.295 |
0.737 |
0.201 |
Protocols/guidelines/procedure can affect professional behaviour, ensuring proper management of therapeutic process |
2.77 |
0.476 |
0.747 |
0.333 |
0.806 |
0.236 |
Clinical skills about safe management of drug therapy should be regularly evaluated |
2.80 |
0.462 |
0.716 |
0.228 |
0.899 |
0.237 |
Medication errors should be reported in order to become an opportunity to improve the care service |
2.80 |
0.462 |
0.752 |
0.314 |
0.874 |
0.215 |
Factor 3: Behaviour to medication errors prevention
|
Hand-washing is necessary before the drug preparation and administration |
4.23 |
0.743 |
0.803 |
0.386 |
0.265 |
0.85 |
A check of vital signs before and after the vasoactive drug administration (dopamine, dobutamine, nitroglycerine, etc) reduces complications |
4.32 |
0.674 |
0.673 |
0.235 |
0.18 |
0.892 |
Respecting the speed of infusion of the IV administrated solutions (such as chemotherapy, antibiotics, amines, heparin, etc) reduces errors |
4.36 |
0.780 |
0.736 |
0.296 |
0.292 |
0.807 |
Before administration, it is necessary to perform a double check to verify the right correspondence among prescription, preparation and administration of the IV drug |
4.45 |
0.627 |
0.749 |
0.279 |
0.443 |
0.677 |
Eingevalue |
11.070 |
1.634 |
1.540 |
Percentage of variance explained |
25.950 |
25.121 |
20.250 |