Prevalence of medication errors and its related factors in Iranian nurses: an updated systematic review and meta-analysis Hadis Fathizadeh, Samaneh-Sadat Mousavi, Zahra Gharibi, Hamidreza Rezaeipour, Abdol-Rahim Biojmajd BMC Nursing, 2024 Background Nurses may make medication errors during the implementation of therapeutic interventions, which initially threaten the patient’s health and safety and prolong their hospital stay. These errors have always been a challenge for healthcare systems. Given that factors such as the timing, type, and causes of medication errors can serve as suitable predictors for their occurrence, we have decided to conduct a review study aiming to investigate the prevalence of medication errors and the associated factors among Iranian nurses. Methods In this systematic review and meta-analysis, studies were searched on PubMed, Web of Science, Scopus, Google Scholar, IranMedex, Magiran, and SID databases using a combination of keywords and Boolean functions. The study that reported the prevalence of medication errors among nurses in Iran without time limitation up to May 2023 was included in this study. Results A total of 36 studies were included in the analysis. The analysis indicates that 54% (95% CI: 43, 65; I2 = 99.3%) of Iranian nurses experienced medication errors. The most common types of medication errors by nurses were wrong timing 27.3% (95% CI: 19, 36; I2 = 95.8%), and wrong dosage 26.4% (95% CI: 20, 33; I2 = 91%). Additionally, the main causes of medication errors among nurses were workload 43%, fatigue 42.7%, and nursing shortage 38.8%. In this study, just 39% (95% CI: 27, 50; I2 = 97.1%) of nurses with medication errors did report their errors. Moreover, the prevalence of medication errors was more in the night shift at 41.1%. The results of the meta-regression showed that publication year and the female-to-male ratio are good predictors of medical errors, but they are not statistically significant(p > 0.05). Conclusions To reduce medication errors, nurses need to work in a calm environment that allows for proper nursing interventions and prevents overcrowding in departments. Additionally, considering the low reporting of medication errors to managers, support should be provided to nurses who report medication errors, in order to promote a culture of reporting these errors among Iranian nurses and ensure patient safety is not compromised.
Prevalence of needle stick and its related factors in Iranian health worker: an updated systematic review and meta-analysis Hadis Fathizadeh, Zahra Alirezaie, Fatemeh Saeed, Bita Saeed, Zahra Gharibi, Abdol R Biojmajd Journal of Global Health, 2023 Background Healthcare workers (HCWs) are at risk of acquiring blood-borne infections such as hepatitis B, hepatitis C, and human immunodeficiency virus through needlestick injuries (NSIs). We aimed to investigate the prevalence of needlestick injuries and other related indicators among HCWs in Iran through a systematic review and meta-analysis. Methods We searched various databases until the end of May 2023 for studies reporting the prevalence of NSIs among healthcare workers in Iran. We used a random model with 95% confidence intervals (CIs) to analyse the data and the Joanna Briggs Institute (JBI) tool to evaluate the quality of included studies. We conducted and reported the study according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results We included 87 studies in the analysis and found that 47% (95% CI = 42-52, I2 = 98.9%) of Iranian HCWs experienced NSI. NSIs were most frequently related to syringe needles (58%; 95% CI = 52-65, I2 = 96.8%) and most often caused by recapping (30%; 95% CI = 22-38, I2 = 98.5%). In this study, 56% (95% CI = 45-67, I2 = 98.6%) of HCWs with NSIs did not report their injury. Moreover, the prevalence of NSIs the highest in the morning shift (0.44; 95% CI = 0.36-0.53, I2 = 97.2%), emergency unit (0.20; 95% CI = 0.16-0.24, I2 = 93.7%), and intensive care unit (0.20; 95% CI = 0.16-0.24, I2 = 94.3%). Conclusions To reduce the high prevalence of NSIs, HCWs, especially those in emergency departments, should use safety equipment. Healthcare managers should provide a calm and stress-free environment for HCWs, educate them on safety principles and standards, and support experienced HCWs with NSIs.
RECENT SCHOLAR PUBLICATIONS
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MOST CITED SCHOLAR PUBLICATIONS
Prevalence of medication errors and its related factors in Iranian nurses: an updated systematic review and meta-analysis H Fathizadeh, SS Mousavi, Z Gharibi, H Rezaeipour, AR Biojmajd BMC nursing 23 (1), 175 , 2024 2024 Citations: 42
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Frequency of Needle Wound Injury (Needle-stick) and its related factors in nursing staff in Sirjan in 2020 AR Biojmajd, R Khajoei, M Balvardi, GZ Imani, AZ Izad Zahedan Journal of Research in Medical Sciences 25 (4), 1-8 , 2023 2023 Citations: 3
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Needlestick and Sharp Injuries Among Nurses in Kirkuk City Hospitals: Prevalence and Contributing Factors SA Mohammed, NA Mahmood Journal of Pioneering Medical Sciences 14, 33-39 , 2025 2025
Analysis the challenges of transition to new approach in the process of preparing Iran's urban development plans based on the experience of the first phase of Isfahan … M Sheikhi, M Arab Journal of Geography and Planning 28 (90), 366-349 , 2025 2025
Evaluation of students' knowledge, attitude, and performance towards research in the health faculty of Hormozgan University of Medical Sciences in 2022 S Dehghani, AR Biojmajd, B Kazemi Siahouee, M Balvardi, ... Journal of Environmental Science Studies 9 (4), 9423-9416 , 2025 2025
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