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Abstract

Medication reconciliation presents significant challenges for healthcare professionals, particularly due to communication gaps that contribute to patient safety incidents. The aim of the study was to investigate the perceived effect of verbal orders on in-patient medication reconciliation and safety. The study was a cross-sectional survey with nurse employees of the three tertiary hospitals in Kebbi State, Nigeria as population of the study. The instrument for the data collection was a 21-items researcher-constructed self-administered questionnaire. Chi-square and binomial regression analysis were used in data analysis. Over two-thirds (70.7%) of the respondents reported a negative perceived effect on the patient’s compliance. The least negative perceived effect was found to be on drug administration (40.2%). About 42% of the respondents perceived a breach in patient safety due to verbal orders out of which 40.6% caused an injury, and death occurred in 11.9%. Chi-square and binomial regression analyses revealed a significant association between nurses’ rank and perceived effects of verbal orders on medication list updates (P < 0.05). Chief Nursing Officers were 8.4 times more likely to perceive no negative effect (OR = 8.4). The verbal orders were perceived to have a high negative effect on patient compliance, medication list sharing, and medication list update. The verbal orders were perceived to pose a breach in patient safety by harming the patient or causing patient death.

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