| Abstrak/Abstract |
Background: The complexity of care processes, patient’s critical condition, high workload, and high level of psychological stress among the nurses in the Intensive Care Unit (ICU) could lead to potential nursing errors (NE). This research aims to identify nursing errors, categories of patient harm, nurses’profile, and the contributing factors perceived by the nurse in the ICU of Dr. Oen Surakarta Hospital. Methods: This was an observational study conducted using observation method with TERCAP modification instrument to identify any nursing practices in ICU to patients that were admitted during one-month study period. In total, 115 patients were observed and the analysis was conducted descriptively. Results: We found 8 types of 15 NE events, i.e. self extubation (26,66%), uprooted of IV line (20%) and NGT (13,33%), wrong dose (13,33%), omission (6,67%), wrong reason (6,67%), repricking in blood sugar examination (6,67%), and phlebitis due to wrong route (6,67%). Eight events (53,33%) did not harm the patients and the other 7 events (46,67%) harmed the patients temporarily. The profile of nurses involved was mostly with diploma education (93,33%), having special education/ training (80%), and more than 3 years working period in the ICU (86,67%). Eight TERCAP categories were related to medication errors (33,33%), documentation errors (26,67%), lack of attentiveness (73,33%), inappropriate clinical judgment (73,33%), lack of prevention (26,67%), lack of/inappropriate intervention (13,33%), missed/mistaken interpretation (33,33%), and lack of professional responsibility (40%). While the highest perceived contributing factor was overloaded task (73,33%). Conclusion: The common type of events was self-extubation. No permanent harm was found. This study recommends continuous dissemination on patient |
