Interventions on Medication Administration Errors in Nigerian and Indonesian Hospitals: A Narrative Review

[i] The review question: What are the interventions on and recommended interventions to medication administration errors in hospitals in Indonesia and Nigeria?

Table 2

Included Studies for Review

Country	Author (Year)	Study Aim	Setting	Study Design
Indonesia	Mahendra (2021) [31]	Explored the rate of medication errors reporting	Dr. Soeradji Tirtone-	Retrospective and goro General Hospital descriptive Medical Center
	Musharyanti et al. (2019) [32]	Explored Indonesian nursing students’ perceptions of the types and causes of medication errors in clinical rotations.	A closed discussion room	Descriptive qualitative study
	Mulatsih et al. (2018) [33]	Determined the effects of the implementation of MSP in chemotherapy on the incidence of medication errors	Dr. Sardjito Hospital	Quasi-experimental study with pre- and post-intervention without control
	Lumbantobing et al. (2017) [34]	Assessed the effect of pharmacist intervention on the number and types of drug-related problems in outpatients undergoing hemodialysis	Indonesia Christian University Hospital	Pre- and post- prospective study
	Ernawati et al. (2014) [35]	Determine frequency of medication errors during medication delivery processes the nature	Public teaching hospital geriatric ward in Bali	Prospective study
Nigeria	Adeleye et al. (2021) [36]	Explored inappropriate use of mannitol (medical error) amongst head injury (HI) patients	Neurosurgery unit	Cross-sectional study
	Bello (2021) [37]	Assessed adherence to medication administration guidelines among nurses	State Specialist Hospital Akure	Cross-sectional study
	Ayorinde and Alabi (2019) [38]	Assessed perception and contributing factors to medication administration errors	University College Hospital Ibadan	Quantitative descriptive design
	Johnson and Ebirim (2017) [39]	Assessed the frequency of drug administration errors by anaesthetists, the drugs commonly involved, and the effects of such errors.	–	Cross-sectional study
	Ilesanmi et al. (2016) [40]	Examined the methods of reporting medication administration errors (MAEs) by nurses	University College Hospital, Ibadan	Cross-sectional study
	Nwasor et al. (2014) [41]	Studied the incidence of medication errors among anesthesia practitioners	Secondary and tertiary hospitals in Kaduna State	Cross-sectional study
	Ogboli-Nwasor (2013) [42]	Highlighted the significance of medication errors and discussed the best methods of prevention	Teaching hospital	Case report

Table 3

Interventions on and Recommended Interventions to Medication Administration Errors for Prevention or Elimination

Category	Interventions / Recommended interventions	Country(s) where intervention was recommended	Author
Category	Interventions / Recommended interventions	Country(s) where intervention was recommended	[31]	[36]	[37]	[32]	[38]	[33]	[34]	[39]	[40]	[41]	[35]	[42]
Intervention	Medication Safety Practice (MSP) training	Indonesia						√
Intervention	Pharmacist-led intervention in haemodialysis room	Indonesia							√
Recommended intervention	Education/Training	Indonesia and Nigeria	√	√	√	√					√	√
	Reporting system	Nigeria					√				√	√		√
	Proper drug labeling and packaging	Indonesia and Nigeria	√				√		√		√	√		√
	Provision of in-hospital clinical pharmacy services	Indonesia	√						√				√
	Adequate staffing	Indonesia and Nigeria	√									√
	Ensure double-checking of drugs/drug labels	Indonesia and Nigeria										√
	Color coding of syringes	Nigeria										√		√
	Vigilance	Nigeria										√		√
	Timeliness of drug supply towards	Indonesia	√
	Develop a universal medication procedure/protocol	Nigeria			√
	Enabling environment for reporting	Nigeria					√
	Address the interdisciplinary communication problem	Nigeria					√
	Pharmacists collaborate with other healthcare professionals	Indonesia							√
	Improve drug ampoule design	Nigeria								√
	Organisation of drug drawers and workspaces	Nigeria										√

[i] Notes. Keys:

[ii] [31]: Mahendra (2021)

[iii] [36]: Adeleye et al. (2021)

[iv] [37]: Bello (2021)

[v] [32]: Musharyanti et al. (2019)

[vi] [38]: Ayorinde and Alabi (2019) [33]: Mulatsih et al. (2018)

[vii] [34]: Lumbantobing et al. (2017) [39]: Johnson and Ebirim (2017)

[viii] [40]: Ilesanmi et al. (2016)

[ix] [41]: Nwasor et al. (2014)

[x] [35]: Ernawati et al. (2014)

[xi] [42]: Ogboli-Nwasor (2013)

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DOI: https://doi.org/10.15566/kxb1x733 | Journal eISSN: 2167-2415

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Language: English

Page range: 168 - 179

Submitted on: Aug 2, 2025

Accepted on: Jan 26, 2026

Published on: Apr 17, 2026

Published by: Global Health Institute at William Carey International University

In partnership with: Paradigm Publishing Services

© 2026 Oyebode Dosunmu, Eliza Dwinta, Fatma Siti Fatimah, published by Global Health Institute at William Carey International University
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 13 (2026): Issue 1

Interventions on Medication Administration Errors in Nigerian and Indonesian Hospitals: A Narrative Review

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