Management of Medication Error Reporting in HIV/AIDS Patients

Narges  Keshtkar; Iravan  Masoudi Asl; Somayeh  Hessam; Soad  Mahfoozpour

doi:10.18502/jebhpme.v7i2.13138

Narges Keshtkar Department of Health Services Management, Faculty of Management, Islamic Azad University, South Tehran Branch, Tehran, Iran
Iravan Masoudi Asl Department of Health Services Management, School of Management and Medical Information, Iran University of Medical Sciences, Tehran, Iran
Somayeh Hessam Department of Health Services Management, Faculty of Management, Islamic Azad University, South Tehran Branch, Tehran, Iran
Soad Mahfoozpour Department of Health Services Management, Faculty of Management, Islamic Azad University, South Tehran Branch, Tehran, Iran

DOI: https://doi.org/10.18502/jebhpme.v7i2.13138

Keywords: Error reporting, Medication error, HIV/AIDS, Patient safety, Exploratory factor analysis

Abstract

Background: One of the most frequent medical mistakes that lower patient safety and mortality is medication errors in HIV/AIDS patients. A structured reporting system is necessary for the efficient avoidance of these kinds of mistakes. In order to discover parameters influencing the management of medication mistake reporting in HIV-infected patients, the current research was carried out.

Methods: The current research is an example of an applied study that was carried out between 2010 and 2019 utilizing a hybrid (quantitative-qualitative) methodology. First, the primary factors impacting the management of medication mistake reporting in HIV positive patients were collected from a study of the research literature and 35 interviews with experts in the area of treating HIV patients, and a research questionnaire was created utilizing them. Using the Lawshe approach, the questionnaire was sent to and collected from 31 experts in order to assess its content validity. SPSS₂₃was then used to determine the questionnaire's reliability, which resulted in a Cronbach's alpha value of 0.920. 400 workers who treated HIV/AIDS patients provided information for the data collection. Exploratory factor analysis was used to analyze the data, together with SPSS₂₃ and Lisrel software.

Results: Four factors were found to be important in managing medication mistake reporting in HIV patients, including organizational factors (18 variables), person factors (9 variables), educational factors (10 variables), and communication factors (6 variables). The management of medication mistake reporting in HIV patients was impacted most and least by personal and educational variables, with factor loadings of 0.784 and 0.754, respectively.

Conclusion: It is preferable to concentrate on individual variables (employee-related hurdles, fear of the repercussions of reporting, and others' reactions) rather than addressing all four aspects at once in order to manage medication mistake reporting in HIV positive patients (managers, colleagues, patients). Managers, policymakers, specialists from behavioral disease counseling centers, and attending physicians should pay greater attention to both the individual (application and development of the integrated HIV management system).