Knowledge and Practice of Nurses Regarding High-Alert Medications: A Cross-Sectional Study
DOI:
https://doi.org/10.63666/ejsmr.1694-9013.3.I.2025.68Keywords:
High-alert medications, medication errors, nurses, patient safety, pharmacologyAbstract
Background: High-alert medications (HAMs) are associated with a high risk of severe patient harm when administered incorrectly. Nurses are primarily responsible for medication administration and play a critical role in preventing medication errors.
Objective: To assess the knowledge and practices of nurses regarding the administration and regulation of high-alert medications.Methods: A descriptive cross-sectional study was conducted among 197 registered nurses using a structured self-administered questionnaire. Data were analyzed using SPSS version 26 and summarized using descriptive statistics.
Results: Although nurses demonstrated acceptable knowledge in selected regulatory aspects of HAMs, substantial gaps were identified in IV bolus administration, insulin dosing, electrolyte handling, pediatric dose measurement, and storage practices. Knowledge levels were higher among ICU nurses, male nurses, and those with prior HAM-related training.
Conclusion: Nurses’ knowledge regarding high-alert medications remains inadequate in several critical areas, increasing the risk of medication errors. Regular training, standardized operating procedures, and strengthened interprofessional collaboration are urgently needed.
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