1. Potential future risk of errors in medication administration recording
- Author
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Covadonga Pérez Menendez-Conde, Gema Nieto Gómez, Sagrario Martín-Aragón Álvarez, Teresa Gramage Caro, Ana M. Álvarez Díaz, Eva Delgado Silveira, Teresa Bermejo Vicedo, Teresa Rodríguez Cubilot, Noelia Vicente Oliveros, Beatriz Montero Errasquín, and M. Vélez-Díaz-Pallarés
- Subjects
medicine.medical_specialty ,business.industry ,030503 health policy & services ,Health Policy ,Public Health, Environmental and Occupational Health ,Nominal group ,Confidence interval ,03 medical and health sciences ,Inter-rater reliability ,Patient safety ,0302 clinical medicine ,Cohen's kappa ,Multidisciplinary approach ,medicine ,Medical physics ,030212 general & internal medicine ,0305 other medical science ,Risk assessment ,business ,Reliability (statistics) - Abstract
Rationale, aims and objectives The aim of this study is to adapt and assess the interrater reliability of a potential future risk matrix for medication errors in medication administration recording (ME-MAR). Methods The study was carried out in a teaching hospital. It was conducted in two phases. In the first phase, a consensus method was used in order to adapt the potential future risk matrix published by the National Patient Safety and Otero et al. to the ME-MAR. The consensus method consisted in a nominal group formed by four pharmacists. In the second phase, a multidisciplinary group of experts in patient safety assessed the reliability of the adapted matrix. Five raters evaluated 100 ME-MAR. Its reliability was evaluated using the kappa statistic. Results In the first phase, two meetings were necessary until consensus was reached to adapt the potential future risk matrix to the ME-MAR. For this purpose, the two following categories were defined: likelihood of ME-MAR's recurrence and most likely consequences of ME-MAR. The definition of each grade of likelihood of recurrence was based on the incidence of ME-MAR from an unpublished study carried out in our hospital. In order to determine the most likely consequences of ME-MAR, a two-dimensional matrix was designed, with severity per type of ME-MAR on one axis and the class of medication on the other. In the second phase, the reliability of the matrix was tested. The overall interrater agreement for the five raters was substantial at 0.68 (Confidence interval 95% 0.60–0.76). Conclusion The adapted matrix of potential future risk to ME-MAR is reliable and can serve as a guide for future studies.
- Published
- 2016