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Open Access Frequency and Type of Errors and Near Errors Reported by Critical Care Nurses La fréquence et le type d'erreurs et de quasi-erreurs signalés par les infirmières œuvrant en soins de phase aiguë

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Abstract:

Research suggests that critically ill patients may be at high risk for medical errors. The purpose of this descriptive study was to determine the type and frequency of errors and near errors reported by a randomly selected sample of 502 critical care nurses. Data on errors and near errors were recorded in logbooks daily for 28 days. Over one quarter of the participants reported making an error and more than one third reported catching themselves making an error. There were 224 errors and 350 near errors reported during the study period. The most frequent type of error (56.7%) involved medication administration. Procedural errors and near errors, as well as transcription and charting errors, were also reported. These findings have significant implications for patient safety among a seriously ill population that has little natural resilience or ability to protect itself from health-care mishaps.

French
Selon la recherche, les taux d'erreurs médicales dans le domaine des soins aux patients en phase aiguë pourraient être très élevés. L'objectif de cette étude descriptive est de déterminer le type et la fréquence d'erreurs et de quasi-erreurs signalées par un échantillon aléatoirement choisi de 502 infirmières en soins de phase aiguë. Des données portant sur des erreurs et des quasi-erreurs ont été consignées quotidiennement dans un journal, pendant une période de 28 jours. Plus d'un quart des participantes ont dit avoir commis une ou plusieurs erreurs et plus d'un tiers ont dit avoir pris conscience d'être sur le point de commettre une erreur. Durant la période ciblée, 224 erreurs et 350 quasi-erreurs ont été signalées. Le type d'erreur le plus fréquent (56,7 %) portait sur l'administration de médicaments. Les participantes ont également signalé des erreurs et des quasierreurs de procédure, ainsi que des erreurs de transcription et de consignation au dossier. Ces résultats comportent des conséquences importantes en ce qui a trait à la sécurité des patients en phase critique, une population qui a peu de résilience naturelle ou de capacité de se protéger contre des accidents d'ordre médical.

Keywords: CRITICAL CARE; INTENSIVE CARE; MEDICAL ERRORS; NURSES; PATIENT SAFETY

Document Type: Research Article

Publication date: 2006-06-01

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