Assessment of Nurses’ Awareness, Attitudes, and Performance Regarding Medication Errors: A Cross-Sectional Study at Aliabad Teaching Hospital, Kabul

Abdul Aziz Nooriyan; Sediqullah Ahmadi; Samiullah Sahil; Sayed Abdul Wahid Hashimi

doi:10.59733/medalion.v6i3.224

Authors

Abdul Aziz Nooriyan Kabul University of Medical Sciences (KUMS)
Sediqullah Ahmadi Kabul University of Medical Sciences (KUMS)
Samiullah Sahil Kabul University of Medical Sciences (KUMS)
Sayed Abdul Wahid Hashimi Kabul University of Medical Sciences (KUMS)

DOI:

https://doi.org/10.59733/medalion.v6i3.224

Keywords:

Medication errors, nurses, awareness, attitude, patient safety

Abstract

errors represent a significant threat to patient safety worldwide, particularly in developing countries where healthcare systems face resource limitations and high workload pressures. Nurses, as primary administrators of medications, play a critical role in ensuring safe practices. This study aimed to assess the awareness, attitudes, and performance of nurses regarding medication errors at Aliabad Teaching Hospital in Kabul, to identify key factors contributing to errors, and to inform strategies for improving patient safety. Method: A descriptive cross-sectional study was conducted among 118 nurses using structured questionnaires. Data on demographic characteristics, awareness of medication errors, knowledge of the five rights of medication administration, attitudes toward error reporting, and performance in clinical practice were collected and analyzed using frequency and percentage distributions. Findings revealed that 54.2% of nurses demonstrated good awareness, while 34.7% exhibited positive attitudes, and 44.1% maintained good performance in medication administration. Common errors included wrong medication and dosage, with the administration phase being most error-prone. Factors such as high workload, fear of punishment, and inadequate institutional support were identified as barriers to safe practice. Despite satisfactory knowledge levels, gaps in attitude and performance persist, highlighting the need for continuous training, supportive reporting culture, workload management, and systematic supervision to enhance medication safety.

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References

Afaya, E., Azongo, E., Yakong, A., Adatara, S., & Afaya, A. (2021). Improving patient safety through identifying barriers to reporting medication administration errors among nurses: An integrative review. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-07187-5

Alrasheeday, R., Alanazi, A., & Alosaimi, F. (2024). Nursing students’ perceptions of patient safety culture and barriers to reporting medication errors: A cross-sectional study. Nurse Education Today. https://doi.org/10.1016/j.nedt.2024.106539

Fatima, M., Rehman, A., & Ahmad, H. (2024). Knowledge and attitude of nurses about medication error in the emergency department at tertiary care hospital. Biological and Clinical Sciences Research Journal, 2024(1), Article 1320. https://doi.org/10.54112/bcsrj.v2024i1.1320

Gilavand, A., Jamali, H., & Moosavi, Z. (2023). Evaluation of medication errors in nursing during the COVID-19 pandemic and their relationship with shift work at teaching hospitals: A cross-sectional study in Iran. Heliyon. https://doi.org/10.1016/j.heliyon.2023.e17541

Khan, S., Ali, T., & Hussain, R. (2024). Knowledge and attitude of nurses toward medication administration errors. Cureus, 16(3), e56789. https://doi.org/10.7759/cureus.56789

Kwiecień-Jaguś, A., Zuk, P., & Nowak, M. (2025). Understanding medication errors in intensive care settings and operating rooms—A systematic review. Medicina, 61(3), 369. https://doi.org/10.3390/medicina61030369

Maruf, M., Tan, A., & Lim, L. (2022). Nursing interventions to reduce medication errors in paediatrics and neonates: Systematic review and meta-analysis. Journal of Pediatric Nursing, 62, 45–53. https://doi.org/10.1016/j.pedn.2021.08.024

Schroers, S., Ross, J., & Williams, A. (2022). Medication administration errors made among undergraduate nursing students: A need for change in teaching methods. Journal of Professional Nursing, 41, 102–109. https://doi.org/10.1016/j.profnurs.2022.05.012

Seed, A., Ahmed, S., & Khan, R. (2024). Medication errors among nurses in hospitals of Karachi, Pakistan: Prevalence, causes, and reporting practices. Journal of Clinical Nursing Studies, 12(3), 145–155.

Shahzeydi, M., Rezaei, H., & Gholami, N. (2024). Clinical simulation in nursing students’ safe medication administration: A systematic review. Iranian Journal of Nursing and Midwifery Research, 29(1), 56–65. https://doi.org/10.4103/ijnmr.ijnmr_323_23

Sharbaafchi, M., Heidari, A., & Bahrami, F. (2019). Occurrence and reporting of nurses’ medication errors in a teaching hospital in Isfahan. Journal of Health Administration, 22(3), 87–96. http://jha.iums.ac.ir/article-1-2826-en.html

Shastay, D., Roberts, R., & Patel, J. (2025). Medication errors. Nursing Science Quarterly, 38(1), 45–53. https://doi.org/10.1097/NSG.0000000000000158

Stolic, J., McAllister, M., & Green, A. (2022). Medication errors by nursing students on clinical practice: An integrative review. Nurse Education Today, 118, 105325. https://doi.org/10.1016/j.nedt.2022.105325