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Scoping review of contributors to fatigue and medication administration errors among nurses
  1. Ebtsam Aly Abou Hashish1,2
  1. 1 Faculty of Nursing, Alexandria University, Alexandria, Egypt
  2. 2 College of Nursing-Jeddah, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
  1. Correspondence to Ebtsam Aly Abou Hashish, Nursing Adminstration, Alexandria University Faculty of Nursing, Alexandria, Egypt; ebtsam_ss{at}

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Commentary on: Bell T, Sprajcer M, Flenady T, Sahay A. Fatigue in nurses and medication administration errors: A scoping review. J Clin Nurs. 2023 Sep;3217-18,:5445-5460. doi: 10.1111/jocn.16620. Epub 2023 Jan 27.


Implications for practice and research

  • Revising the ‘safe working hours policy’, limiting overtime, and developing fatigue management systems are vital approaches for managing nurses’ fatigue and reducing medication administration errors (MAEs).

  • Future research should use large-scale studies and diverse approaches of data collection to better report registered nurses’ (RNs) fatigue’s impact on MAEs.


Preventing MAEs is a top priority to ensure patient safety. The presence of fatigue among RNs has been recognised as a growing factor in the occurrence of MAEs.1 In light of the fact that nurses allocate a substantial amount of their time to the administration of medications, Bell …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.