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Understanding Why Medication Administration Errors May Not Be Reported

Division of Health Management and Policy, College of Medicine, The University of Iowa, douglas-wakefield{at}uiowa.edu

Bonnie J. Wakefield, PhD

Iowa City Veterans Affairs Medical Center, The College of Nursing, The University of Iowa

Tanya Uden-Holman, PhD

Institute for Quality Healthcare, The University of Iowa

Tyrone Borders, MA

Division of Health Management and Policy, College of Medicine, The University of Iowa

Mary Blegen, PhD

The College of Nursing, The University of Iowa

Thomas Vaughn, PhD

Division of Health Management and Policy, College of Medicine, The University of Iowa

Because the identification and reporting of medication administration errors (MAE) is a nonautomated and voluntary process, it is important to understand potential barriers to MAE reporting. This paper describes and analyzes a survey instrument designed to assist in evaluating the relative importance of 15 different potential MAE-reporting barriers. Based on the responses of over 1300 nurses and a confirmatory LISREL analysis, the 15 potential barriers are combined into 4 subscales: Disagreement Over Error, Reporting Effort, Fear, and Administrative Response. The psychometric properties of this instrument and descriptive profiles are presented. Specific suggestions for enhancing MAE reporting are discussed.

American Journal of Medical Quality, Vol. 14, No. 2, 81-88 (1999)
DOI: 10.1177/106286069901400203


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