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QUESTIONNAIRE ON DETERMINANTS OF MEDICATION ERRORS AMONG HEALTH PROFESSIONAL
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1
Gender
Select one or more answers
Male
Female
Other (please specify)
2
Age
Select one or more answers
20-30
31-40
41-50
51-60
Above 60years
3
Profession
Select one or more answers
Nurse
Physician
Pharmacist
Allied Health Professional (please specify)
4
Years of experience in health care
Select one or more answers
Less than 1year
1-5years
6-10years
More than 10years
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5
Do you have access to electronic medication administration records (eMAR) or similar technology
Select one or more answers
Yes, always
Yes, somtimes
No
6
How would you rate the workload and staffing levels in your department/unit
Select one or more answers
Adequate
Slightly Inadequate
Inadequate
Overwhelming
7
Have you received specific training on medication safety and error prevention
Select one or more answers
Yes
No
Partially (please specify)
8
How confident are you in your knowledge of medication administration protocols and procedures
Select one or more answers
Very confident
Confident
Neutral
Not confident
Not at all confident
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9
How often do you communicate with other health-care professionals (e.g., nurses, pharmacists, physicians) regarding medication orders and administration
Select one or more answers
Daily
Weekly
Occasionally
Rarely
10
Do you feel comfortable raising concerns or clarifying medication orders with prescribers or colleagues
Select one or more answers
Always
Often
Sometimes
Rarely
Never
11
Have you ever made a medication error (e.g., wrong dose, wrong route, wrong patient)
Select one or more answers
Yes
No
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12
If yes, what do you believe were the main factors contributing to the error? (Check all that apply)
Select one or more answers
Lack of double-checking procedures
Distractions or interruptions during medication administration
Fatigue or workload pressure
Inadequate training or knowledge
Poor communication or unclear orders
Equipment or technology issues
Other (please specify)
13
How comfortable are you in reporting medication errors or near-misses to your supervisors or safety committees
Select one or more answers
Very comfortable
Comfortable
Neutral
Uncomfortable
Very uncomfortable
14
10. Please share any additional insights, experiences, or suggestions related to medication safety and error prevention in your health-care setting
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