title: Medication administration error reporting and associated factors among nurses working at the University of Gondar referral hospital, Northwest Ethiopia, 2015.
abstract: BACKGROUND
  Medication administration is the final step/phase of medication process in which its error directly affects the patient health. Due to the central role of nurses in medication administration, whether they are the source of an error, a contributor, or an observer they have the professional, legal and ethical responsibility to recognize and report. The aim of this study was to assess the prevalence of medication administration error reporting and associated factors among nurses working at The University of Gondar Referral Hospital, Northwest Ethiopia.
  
  
  METHODS
  Institution based quantitative cross - sectional study was conducted among 282 Nurses. Data were collected using semi-structured, self-administered questionnaire of the Medication Administration Errors Reporting (MAERs). Binary logistic regression with 95 % confidence interval was used to identify factors associated with medication administration errors reporting.
  
  
  RESULTS
  The estimated medication administration error reporting was found to be 29.1 %. The perceived rates of medication administration errors reporting for non-intravenous related medications were ranged from 16.8 to 28.6 % and for intravenous-related from 20.6 to 33.4 %. Education status (AOR =1.38, 95 % CI: 4.009, 11.128), disagreement over time - error definition (AOR = 0.44, 95 % CI: 0.468, 0.990), administrative reason (AOR = 0.35, 95 % CI: 0.168, 0.710) and fear (AOR = 0.39, 95 % CI: 0.257, 0.838) were factors statistically significant for the refusal of reporting medication administration errors at p-value <0.05.
  
  
  CONCLUSIONS
  In this study, less than one third of the study participants reported medication administration errors. Educational status, disagreement over time - error definition, administrative reason and fear were factors statistically significant for the refusal of errors reporting at p-value <0.05. Therefore, the results of this study suggest strategies that enhance the cultures of error reporting such as providing a clear definition of reportable errors and strengthen the educational status of nurses by the health care organization.
authors.affiliation: Department of Nursing, University of Gondar College of Medicine and Health Science, P. O. Box: 196, Gondar, Ethiopia.
authors.forename: Berhanu Boru
authors.initials: BB
authors.lastname: Bifftu
authors.affiliation: Department of Epidemiology and Biostatistics, Institute of Public Health, University of Gondar College of Medicine and Health Science, P. O. Box: 196, Gondar, Ethiopia.
authors.forename: Berihun Assefa
authors.initials: BA
authors.lastname: Dachew
authors.affiliation: Department of Nursing, University of Gondar College of Medicine and Health Science, P. O. Box: 196, Gondar, Ethiopia.
authors.forename: Bewket Tadesse
authors.initials: BT
authors.lastname: Tiruneh
authors.affiliation: Department of Nursing, University of Gondar College of Medicine and Health Science, P. O. Box: 196, Gondar, Ethiopia.
authors.forename: Debrework Tesgera
authors.initials: DT
authors.lastname: Beshah
keywords: Errors reporting; Medication administration; Nurses