Understanding why medication administration errors may not be reported

Douglas S. Wakefield, Bonnie J. Wakefield, Tanya Uden-Holman, Tyrone Borders, Mary Blegen, Thomas Vaughn

Research output: Contribution to journalArticlepeer-review

83 Scopus citations


Because the identification and reporting of medication administration errors (MAE) is a nonautomated and voluntary process, it is important to understand potential barriers to MAE reporting. This paper describes and analyzes a survey instrument designed to assist in evaluating the relative importance of 15 different potential MAE-reporting barriers. Based on the responses of over 1300 nurses and a confirmatory LISREL analysis, the 15 potential barriers are combined into 4 subscales: Disagreement Over Error, Reporting Effort, Fear, and Administrative Response. The psychometric properties of this instrument and descriptive profiles are presented. Specific suggestions for enhancing MAE reporting are discussed.

Original languageEnglish
Pages (from-to)81-88
Number of pages8
JournalAmerican Journal of Medical Quality
Issue number2
StatePublished - 1999

ASJC Scopus subject areas

  • Health Policy


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