title: Using incident reports to inform the prevention of medication administration errors.
abstract: OBJECTIVE
  To describe ways of preventing medication administration errors based on reporters' views expressed in medication administration incident reports.
  
  
  BACKGROUND
  Medication administration errors are very common, and nurses play important roles in committing and in preventing such errors. Thus far, incident reporters' perceptions of how to prevent medication administration errors have rarely been analysed.
  
  
  METHODS
  This is a qualitative, descriptive study using an inductive content analysis of the incident reports related to medication administration errors (n = 1012). These free-text descriptions include reporters' views on preventing the reoccurrence of medication administration errors. The data were collected from two hospitals in Finland and pertain to incidents that were reported between 1 January 2013 and 31 December 2014.
  
  
  RESULTS
  Reporters' views on preventing medication administration errors were divided into three main categories related to individuals (health professionals), teams and organisations. The following categories related to individuals in preventing medication administration errors were identified: (1) accuracy and preciseness; (2) verification; and (3) following the guidelines, responsibility and attitude towards work. The team categories were as follows: (1) distribution of work; (2) flow of information and cooperation; and (3) documenting and marking the drug information. The categories related to organisation were as follows: (1) work environment; (2) resources; (3) training; (4) guidelines; and (5) development of the work.
  
  
  CONCLUSIONS
  Health professionals should administer medication with a high moral awareness and an attempt to concentrate on the task. Nonetheless, the system should support health professionals by providing a reasonable work environment and encouraging collaboration among the providers to facilitate the safe administration of medication.
  
  
  CONCLUSIONS
  Although there are numerous approaches to supporting medication safety, approaches that support the ability of individual health professionals to manage daily medications should be prioritised.
authors.affiliation: Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
authors.forename: Marja
authors.initials: M
authors.lastname: Härkänen
authors.affiliation: Kuopio University Hospital, Kuopio, Finland.
authors.forename: Susanna
authors.initials: S
authors.lastname: Saano
authors.affiliation: Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.|Kuopio University Hospital, Kuopio, Finland.
authors.forename: Katri
authors.initials: K
authors.lastname: Vehviläinen-Julkunen
mesh_terms: D001291:Attitude of Health Personnel; D005387:Finland; D006282:Health Personnel / Q000458:organization & administration; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control*; D009736:Nursing Process / Q000458:organization & administration*; D036301:Qualitative Research; D012308:Risk Management / Q000379:methods*
keywords: hospital; medication error; medication management; nurses; thematic analysis