Prevalence and Risk Factors of Medication Errors in Enteral Tube Feeding Among ICU Patients: A Comprehensive Cross-Sectional Analysis
Objective: Most of the patients who are admitted to the intensive care unit (ICU) are forced to feed and use nutrition and medicine through an implanted tube. When administering medication through enteral feeding tubes, it is essential to be cautious, as some drugs may not be suitable due to interac...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-04-01
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| Series: | Journal of Research in Pharmacy Practice |
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| Online Access: | https://journals.lww.com/10.4103/jrpp.jrpp_47_24 |
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| author | Mansooreh Asghari-Varzaneh Shirinsadat Badri Shadi Farsaei |
| author_facet | Mansooreh Asghari-Varzaneh Shirinsadat Badri Shadi Farsaei |
| author_sort | Mansooreh Asghari-Varzaneh |
| collection | DOAJ |
| description | Objective:
Most of the patients who are admitted to the intensive care unit (ICU) are forced to feed and use nutrition and medicine through an implanted tube. When administering medication through enteral feeding tubes, it is essential to be cautious, as some drugs may not be suitable due to interactions with feeding formulas or adverse effects when crushed. Some errors during drug gavage can lead to feeding tube blockage, reduced drug effectiveness, or drug toxicity. This study aimed to assess medication errors (MEs) in ICU patients using enteral feeding tubes and identify factors that affect ME incidents.
Methods:
This descriptive and analytical study was conducted for 9 months in the special care department of hospitals affiliated with Isfahan University of Medical Sciences. It involved 257 patients in the ICU receiving oral medication through an implanted gastric tube. The study assessed the method of oral drug administration, verified the correctness of drug prescriptions, investigated errors in drug provision and administration, and monitored patients for possible side effects of these errors. Demographic information and details about the prescribing physician and relevant nurses were also recorded.
Findings:
Our findings show that not washing the tube before gavage was the most frequent error (99.6%). However, different factors, whether the patient or the nurse, did not affect them. The other most common errors included mixing drugs simultaneously (75.6%) and not cleaning the tube after administering medication (78.6%). These errors were influenced by factors such as the number of drugs received by the patient, the hospital, and specific shifts.
Conclusion:
In this study, we found that polypharmacy, the multiplicity of underlying diseases, and nurses’ gender are the most critical factors that increase the number of MEs during the gavage of drugs in patients hospitalized in ICUs. |
| format | Article |
| id | doaj-art-32891b65d9eb4d368ced4cb719205bf8 |
| institution | Kabale University |
| issn | 2319-9644 2279-042X |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Research in Pharmacy Practice |
| spelling | doaj-art-32891b65d9eb4d368ced4cb719205bf82025-01-14T06:42:05ZengWolters Kluwer Medknow PublicationsJournal of Research in Pharmacy Practice2319-96442279-042X2024-04-01132475210.4103/jrpp.jrpp_47_24Prevalence and Risk Factors of Medication Errors in Enteral Tube Feeding Among ICU Patients: A Comprehensive Cross-Sectional AnalysisMansooreh Asghari-VarzanehShirinsadat BadriShadi FarsaeiObjective: Most of the patients who are admitted to the intensive care unit (ICU) are forced to feed and use nutrition and medicine through an implanted tube. When administering medication through enteral feeding tubes, it is essential to be cautious, as some drugs may not be suitable due to interactions with feeding formulas or adverse effects when crushed. Some errors during drug gavage can lead to feeding tube blockage, reduced drug effectiveness, or drug toxicity. This study aimed to assess medication errors (MEs) in ICU patients using enteral feeding tubes and identify factors that affect ME incidents. Methods: This descriptive and analytical study was conducted for 9 months in the special care department of hospitals affiliated with Isfahan University of Medical Sciences. It involved 257 patients in the ICU receiving oral medication through an implanted gastric tube. The study assessed the method of oral drug administration, verified the correctness of drug prescriptions, investigated errors in drug provision and administration, and monitored patients for possible side effects of these errors. Demographic information and details about the prescribing physician and relevant nurses were also recorded. Findings: Our findings show that not washing the tube before gavage was the most frequent error (99.6%). However, different factors, whether the patient or the nurse, did not affect them. The other most common errors included mixing drugs simultaneously (75.6%) and not cleaning the tube after administering medication (78.6%). These errors were influenced by factors such as the number of drugs received by the patient, the hospital, and specific shifts. Conclusion: In this study, we found that polypharmacy, the multiplicity of underlying diseases, and nurses’ gender are the most critical factors that increase the number of MEs during the gavage of drugs in patients hospitalized in ICUs.https://journals.lww.com/10.4103/jrpp.jrpp_47_24drug deliveryenteral tube feedinggavagemedication errors |
| spellingShingle | Mansooreh Asghari-Varzaneh Shirinsadat Badri Shadi Farsaei Prevalence and Risk Factors of Medication Errors in Enteral Tube Feeding Among ICU Patients: A Comprehensive Cross-Sectional Analysis Journal of Research in Pharmacy Practice drug delivery enteral tube feeding gavage medication errors |
| title | Prevalence and Risk Factors of Medication Errors in Enteral Tube Feeding Among ICU Patients: A Comprehensive Cross-Sectional Analysis |
| title_full | Prevalence and Risk Factors of Medication Errors in Enteral Tube Feeding Among ICU Patients: A Comprehensive Cross-Sectional Analysis |
| title_fullStr | Prevalence and Risk Factors of Medication Errors in Enteral Tube Feeding Among ICU Patients: A Comprehensive Cross-Sectional Analysis |
| title_full_unstemmed | Prevalence and Risk Factors of Medication Errors in Enteral Tube Feeding Among ICU Patients: A Comprehensive Cross-Sectional Analysis |
| title_short | Prevalence and Risk Factors of Medication Errors in Enteral Tube Feeding Among ICU Patients: A Comprehensive Cross-Sectional Analysis |
| title_sort | prevalence and risk factors of medication errors in enteral tube feeding among icu patients a comprehensive cross sectional analysis |
| topic | drug delivery enteral tube feeding gavage medication errors |
| url | https://journals.lww.com/10.4103/jrpp.jrpp_47_24 |
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