Abstract

Introduction and Aims: It is possible that Complexity of care and, work dynamics as two of the changing pattern in health care delivery associated with drug errors as the most common medical error in the hospital emergency department; thus, the purpose if this study was to determine the relationship between the medication error with complexity of care work dynamics as well among Nurses who are work in the Emergency Departments of Fasa’s hospital. Material and Method: In this descriptive-correlational study was conducted by 100 of nursing working in in Emergency Departments in the hospitals affiliated to Fasa University of Medical Sciences in 2018. The data gathering tools in this study were demographic information checklist, Valsquezian nursing care complexity questionnaire (2005) and Wakefield et al questionnaire (2005 ) and the Salyar Work Dynamic Questionnaire (1996). Data were analyzed using SPSS software version 21 with statistical tests of analysis of variance, Pearson correlation test, independent t-test and linear regression. Results: According to the results of this study, the mean score of care complexity was 38.59 ± 14.4 (out of 60) and the average work dynamics score among the nurses studied was 25.85 ±5.69 (out of 42 scores) the mean score of reporting medication errors was 34.14 ±13.83 (out of 100). There was a significant relationship between work dynamics and drug error reporting (r = 0.23 , P = 0.01 =). There was no significant relationship between work dynamics and complexity of care (r = 0.11, P = 0.25). There was no significant relationship between complexity of care and reporting of drug errors (r= 0.9, P = 0.033). There was no significant relationship between the demographic characteristics of the studied nurses and job dynamics (r =- 0.44 = P = 0.12). Also, no significant relationship was observed between the demographic characteristics of the studied nurses and the complexity of care. There was a significant relationship between gender and level of education with the report of drug errors in nurses (P = 0.05 and P = 0.01(. Conclusion: Based on the result of the complexity of care and work dynamics as well as status of the reporting of medication errors status in the emergency department, it is clear that that managers of this organization pay attention more and more that and must need to provide some approaches and strategies of appropriate guidelines to reduce level of medication errors.