Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients

Romero, Carlos; Salazar, Nicole; Rojas, Lorena; Escobar, Leslie; Griñen, H; Berasaín, María Angélica; Tobar, Eduardo; Jirón, Marcela

doi:10.1016/j.jcrc.2012.11.011

Cited by 24 publications

(30 citation statements)

References 44 publications

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“…Another author, however, noted that patient and pharmacy storage calls were the most common cause (Elganzouri et al, 2009). We found that errors related to the time and administration technique were less frequent than in studies from other countries (Romero et al, 2013;Valentin et al, 2009).…”

Section: Discussioncontrasting

confidence: 48%

Medication errors in prescription and administration in critically ill patients

Suclupe

Martinez-Zapata

Mancebo

et al. 2020

Journal of Advanced Nursing

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Aim To determine the prevalence and magnitude of medication errors and their association with patients' sociodemographic and clinical characteristics and nurses' work conditions. Design An observational, analytical, cross‐sectional and ambispective study was conducted in critically ill adult patients. Methods Data concerning prescription errors were collected retrospectively from medical records and administration errors were identified through direct observation of nurses during drug administration. Those data were collected between April and July 2015. Results A total of 650 prescription errors were identified for 961 drugs in 90 patients (mean error 7[SD 4.1] per patient) and prevalence of 47.1% (95% CI 44–50). The most frequent error was omission of the prescribed medication. Intensive care unit stay was a risk factor associated with omission error (OR 2.14; 1.46–3.14: p < .01). A total of 294 administration errors were identified for 249 drugs in 52 patients (mean error 6 [SD 6.7] per patient) and prevalence of 73.5% (95% CI 68–79). The most frequent error was interruption during drug administration. Admission to the intensive care unit (OR 0.37; 0.21–0.66: p < .01), nurses’ morning shift (OR 2.15; 1.10–4.18: p = .02) and workload perception (OR 3.64; 2.09–6.35: p < .01) were risk factors associated with interruption. Conclusions Medication errors in prescription and administration were frequent. Timely detection of errors and promotion of a medication safety culture are necessary to reduce them and ensure the quality of care in critically ill patients. Impact Medication errors occur frequently in the intensive care unit but are not always identified. Due to the vulnerability of seriously ill patients and the specialized care they require, an error can result in serious adverse events. The study shows that medication errors in prescription and administration are recurrent but preventable. These findings contribute to promote awareness in the proper use of medications and guarantee the quality of nursing care.

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Section: Discussioncontrasting

confidence: 48%

Medication errors in prescription and administration in critically ill patients

Suclupe

Martinez-Zapata

Mancebo

et al. 2020

Journal of Advanced Nursing

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“…In another study, application of an inter-professional approach to reduce medication errors gave results consistent with the present study. [15] In the present study, intervention in the form of clinical supervision model included not only medication errors, but also adverse medication events, as both are important in medication safety. In a clinical trial with clinical supervision model aiming at investigation of administration of this model on nursing students’ skills such as medication therapy skills, no positive significant results were reported.…”

Section: Discussionmentioning

confidence: 99%

The effect of clinical supervision model on high alert medication safety in intensive care units nurses

Esfahani¹,

Varzaneh²,

Changiz³

2016

Iranian J Nursing Midwifery Res

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Background:Medication errors and adverse drug events of high alert medication are one of the major problems in therapeutic system. The purpose of the present study was to investigate ύthe effect of clinical supervision model on high alert medication safety in intensive care units nurses.Materials and Methods:This was a quasi-experimental study conducted on 32 nurses of intensive care units. The researcher observed the administration of high alert drugs including heparin, warfarin, norepinephrine, dobutamine, and dopamine by nurses and recorded the scores of the work in preventing medication errors, the work in preventing adverse drug events, and medication safety. Then, the researcher performed clinical supervision model and during performance of the model, the researcher reassessed the score of the work in preventing medication errors, The work in preventing adverse drug events and medication safety. Tool of data collection was action plan of high alert medication safety checklists (heparin, warfarin, norepinephrine, dobutamine, and dopamine checklists).Results:The result of the statistical trials showed that before and after applying the clinical supervision model, there was a statistically significant difference between the average scores of medication safety of heparin (15.7 vs 18.73), warfarin (11.08 vs 15.67), norepinephrine (14.60 vs 19.72), dobutamine (13.80 vs 19.30), and dopamine (14.25 vs 19.47).Conclusions:Based on the results of this study, it seems that administration of clinical supervision model in intensive care units can lead to improving the status of safety of high alert medication.

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“…A study in a Mexican ICU evaluating an intervention with a similar educational component, also showed a considerable reduction in error rates. However, the results are difficult to compare in more detail because of the many differences between the two studies (eg, the Mexican researchers also included prescribing errors, did not have a control group, etc) 16. There is a lack of other research on intravenous medication errors in resource-restricted settings for comparison with our results.…”

Section: Discussionmentioning

confidence: 81%

“…An exception is a recent study in an intensive care unit (ICU) in Mexico. A considerable reduction in various types of medication errors was found after a multifaceted intervention was implemented, including the participation of a clinical pharmacist in clinical rounds, standardisation of medication use, training, and the introduction of a medication error reporting system 16. However, lessons learnt from high-income nations are not always applicable.…”

Section: Introductionmentioning

confidence: 99%