Publication Details

Title :

The impact of work-related stress on medication errors in Eastern Region Saudi Arabia.


Int J Qual Health Care.

Impact Factor:



Salam A1, Segal DM2, Abu-Helalah MA1, Gutierrez ML2,3, Joosub I4, Ahmed W4, Bibi R2, Clarke E4, Qarni AAA1,4


1 King Abdullah International Medical Research Center-Eastern Region, Ministry of National Guard Health Affairs, Al-Hasa 31982, Saudi Arabia.

2 Department of Health Services, College of Health Sciences, Walden University, 100 Washington Avenue South, Suite 900, Minneapolis, MN 55401, USA.

3 Department of Medicine, University of Tennessee Health Sciences Center, 956 Court Avenue, Coleman D222, Memphis, TN 38163, USA.

4 King Abdulaziz Hospital, Ministry of National Guard Health Affairs, Al-Hasa 31982, Saudi Arabia.

Year of Publication:





To examine the relationship between overall level and source-specific work-related stressors on medication errors rate.

A cross-sectional study examined the relationship between overall levels of stress, 25 source-specific work-related stressors and medication error rate based on documented incident reports in Saudi Arabia (SA) hospital, using secondary databases.

King Abdulaziz Hospital in Al-Ahsa, Eastern Region, SA.

Two hundred and sixty-nine healthcare professionals (HCPs).
The odds ratio (OR) and corresponding 95% confidence interval (CI) for HCPs documented incident report medication errors and self-reported sources of Job Stress Survey.

Multiple logistic regression analysis identified source-specific work-related stress as significantly associated with HCPs who made at least one medication error per month (P < 0.05), including disruption to home life, pressure to meet deadlines, difficulties with colleagues, excessive workload, income over 10 000 riyals and compulsory night/weekend call duties either some or all of the time. Although not statistically significant, HCPs who reported overall stress were two times more likely to make at least one medication error per month than non-stressed HCPs (OR: 1.95, P = 0.081).

This is the first study to use documented incident reports for medication errors rather than self-report to evaluate the level of stress-related medication errors in SA HCPs. Job demands, such as social stressors (home life disruption, difficulties with colleagues), time pressures, structural determinants (compulsory night/weekend call duties) and higher income, were significantly associated with medication errors whereas overall stress revealed a 2-fold higher trend.