Joshi, AlinaTuitui, Roshani LaxmiSapkota, Sochana2025-10-132025-10-132025https://hdl.handle.net/20.500.14572/2629Alina Joshi Department of Nursing, Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal Roshani Laxmi Tuitui Associate Professor, Bir Hospital Nursing Campus, National Academy of Medical Sciences, Kathmandu, Nepal Sochana Sapkota Associate Professor, Bir Hospital Nursing Campus, National Academy of Medical Sciences, Kathmandu, NepalAbstract: Introduction: Medication administration error (MAE) is a global concern related to patient safety and the problem of under reporting further increases the risk of morbidity and mortality. This study aimed to identify the knowledge and perception on medication administration error and its reporting among nurses working in a children hospital Methods: A cross sectional design with simple random sampling technique was used to select 121 nurses from children’s hospital. Self-administered semi-structured questionnaire was used to collect the data on knowledge on MAEs and perception towards MAEs reporting. Chi-square test was used to find out the association of selected socio-demographic variables with knowledge on MAEs and perception towards MAE reporting. Pearson’s correlation was used to assess correlation between knowledge and perception on MAE and its reporting. Results: The study revealed that majority (75.2%) of respondents had good knowledge on MAE and most (91.7%) of them had positive perception regarding MAE reporting. The most common perceived causes were overload of work due to inadequate staffing, lack of training and in-service education on MAEs and poor communication. Majority (62.8%) of the respondents have seen or heard of MAEs during their clinical experience. Fear from consequences, disciplinary action and negative image by patient party were the common reason for non-reporting of MAEs. Conclusion: The policy makers should emphasize in maintaining nurse-patient ratio as per the standard and blame free culture in the workplace should be promoted to enhance error reporting and mitigation with implementation of patient safety action plan.en-USknowledgeMedication administration errorMedication administration error reportingNursesPerceptionArticle