The Relationship of Work Environment, Patient Safety Culture, and the Medication Errors among Nurses

Document Type : Original Article

Authors

1 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Khalkhal University of Medical Sciences, Khalkhal, Iran

2 Department of Public Health, Khalkhal University of Medical Sciences, Khalkhal, Iran

3 HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance Institute for Futures Studies in Health, University of Medical Sciences, Kerman, Iran

4 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences. Guilan, Iran

Abstract


Introduction: The quality of care consists of several factors, one of the most important of
which is patient safety. Nursing error, which is an unintentional error, affects the safety and
quality of patient care. This study aimed to determine the relationship between patient safety
culture, work environment index, and medication errors.
Methods: This is a cross-sectional study in which 300 nurses were enrolled using stratified
proportional sampling. The standard questionnaires of patient safety culture, work
environment index, and self-made medication error were used to collect data. Data analysis
was performed using Mann-Whitney, Kruskal-Wallis, and Spearman tests through SPSS
software version 22.
Results: The mean scores of nurse work environment, patient safety culture, and medication
error were 74.41±15.6, 144.94±14.82, and 38.96±6.04, respectively. A good relationship
between physician and nurse, sufficient number of nurses, and good patient safety culture
were directly related to reduction of medication errors.
Conclusion: The results of this study indicated that the high level of patient safety culture and
improvement of the work environment of nurses can reduce medication errors. Therefore, by
holding classes, workshops, and briefing programs, health managers can promote the patient
safety culture in hospitals.

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