Estudio Multicéntrico español para la Prevención de Errores de Medicación. Resultados de cuatro años (2007-2011)

Lacasa, Carmen; Ayestarán, A.

doi:10.1016/j.farma.2011.10.002

Cited by 12 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several authors advocate it is the most adequate method (Santell et al, 2003;Forrey et al, 2007). However, more data from different institutions need to be collected (in methodologically similar fashion) so that comparisons can be made with the data presently available (Lacasa et al, 2012;Menendez et al, 2012). We identified two Brazilian studies that applied this classification.…”

Section: Resultsmentioning

confidence: 99%

Medication errors: classification of seriousness, type, and of medications involved in the reports from a university teaching hospital

Dalmolin

Rotta

Goldim

2013

Braz. J. Pharm. Sci.

View full text Add to dashboard Cite

Medication errors can be frequent in hospitals; these errors are multidisciplinary and occur at various stages of the drug therapy. The present study evaluated the seriousness, the type and the drugs involved in medication errors reported at the Hospital de Clínicas de Porto Alegre. We analyzed written error reports for 2010-2011. The sample consisted of 165 reports. The errors identified were classified according to seriousness, type and pharmacological class. 114 reports were categorized as actual errors (medication errors) and 51 reports were categorized as potential errors. There were more medication error reports in 2011 compared to 2010, but there was no significant change in the seriousness of the reports. The most common type of error was prescribing error (48.25%). Errors that occurred during the process of drug therapy sometimes generated additional medication errors. In 114 reports of medication errors identified, 122 drugs were cited. The reflection on medication errors, the possibility of harm resulting from these errors, and the methods for error identification and evaluation should include a broad perspective of the aspects involved in the occurrence of errors. Patient safety depends on the process of communication involving errors, on the proper recording of information, and on the monitoring itself.Uniterms: Medication/errors. Drug therapy. Patients/safety. Erros envolvendo medicamentos ocorrem frequentemente em hospitais, possuem natureza multidisciplinar e podem ocorrer nas várias etapas da terapia medicamentosa. O estudo avaliou a seriedade, o tipo e os medicamentos envolvidos nos erros de medicação notificados no Hospital de Clínicas de Porto Alegre. Foram analisadas notificações de erros realizadas por escrito em 2010-2011. A amostra foi composta por 165 notificações. Cento e catorze notificações foram classificadas como erros de fato (erros de medicação) e 51 notificações, como erros potenciais. Apesar de se ter realizado maior número de notificações de erros de medicação em 2011, comparativamente a 2010, não houve alteração significativa no perfil de seriedade destes eventos. O tipo de erro mais frequente foi o de prescrição (48,25%). Os erros ocorridos ao longo do processo geraram, em algumas situações, novos erros de medicação associados. Nas 114 notificações de erros de medicação identificadas citaram-se 122 medicamentos. A reflexão sobre os erros de medicação e a possibilidade de danos decorrentes dos mesmos, assim como dos métodos para a sua identificação e avaliação, deve incluir uma ampla perspectiva dos aspectos envolvidos na sua ocorrência. A segurança dos pacientes depende deste processo de comunicação, do registro adequado das informações e do monitoramento propriamente dito.

show abstract

Section: Resultsmentioning

confidence: 99%

Medication errors: classification of seriousness, type, and of medications involved in the reports from a university teaching hospital

Dalmolin

Rotta

Goldim

2013

Braz. J. Pharm. Sci.

View full text Add to dashboard Cite

show abstract

“…The overall prevalence of MEs in administering drugs was 73.5% in contrast with findings of Nicole Salazar et al () who reported a lower prevalence, 51%, in drug administration. One possible reason for these difference could be that we included interruptions as a circumstance of causing error and other authors did not consider this (Lacasa & Ayestarán, ; Merino et al, ; Nicole Salazar et al, ).…”

Section: Discussionmentioning

confidence: 98%

“…a lower prevalence, 51%, in drug administration. One possible reason for these difference could be that we included interruptions as a circumstance of causing error and other authors did not consider this (Lacasa & Ayestarán, 2012;Merino et al, 2013;Nicole Salazar et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Medication errors in prescription and administration in critically ill patients

Suclupe

Martinez-Zapata

Mancebo

et al. 2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

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.

show abstract

“…En los profesionales de los SEM destacó como cambio en su rutina de trabajo la incorporación de las comprobaciones cruzadas, elemento que incluye la Organización Mundial de la Salud (OMS) en sus recomendaciones para una administración segura de medicamentos 33 . Pese a que se está trabajando en ello, muchos de los profesionales de la salud, no tienen integrada esta forma de actuar, a la hora de, por ejemplo, realizar cálculos para diluciones, o de asegurarse de la correspondencia entre medicamento y paciente, lo que podría reducir la incidencia de errores 34 .…”

Section: Discussionunclassified

Emergency Crisis Resource Management course: a tool for transforming attitudes within emergency service teams

Espinosa-Ramírez,

Casal-Angulo,

Díaz-Agea

et al. 2024

Rev Esp Urg Emerg

View full text Add to dashboard Cite

OBJETIVO. Conocer la percepción sobre la influencia del factor humano en urgencias que adquieren los alumnos trasla realización de un curso E-CRM (Emergency Crisis Resource Management) de la Sociedad Española de Urgencias y Emergencias (SEMES) basado en simulación clínica. MATERIAL Y MÉTODO. Se analizaron las respuestas a un cuestionario ad hoc administrado a los 3 meses de las ediciones de los cursos E-CRM SEMES realizados entre 2017-19. El cuestionario valoraba la autopercepción sobre la influencia que ha tenido el curso en su desarrollo personal y profesional. RESULTADOS. Se recogieron las encuestas de 147 participantes (73,5% médicos, 20,4% enfermeras, 5,4% TES (Técnico en Emergencias Sanitarias) y 1,4% otras profesiones. El 65% de los profesionales tenía una antigüedad de más de 10 años. Existieron diferencias significativas entre las diferentes profesiones y servicios en los 5 ejes E-CRM (petición de ayuda, claridad de papeles, comunicación eficaz, uso de recursos y evaluación global). Se destacó el uso de ayudas cognitivas, la escucha activa y la planificación previa al inicio del turno. CONCLUSIONES. Tras la realización de un curso E-CRM basado en simulación, los participantes son conscientes de cómo el factor humano influye en el desempeño de su trabajo en los servicios de urgencias y emergencias, lo que pueder llevar a introducir cambios en su quehacer profesional y personal.

show abstract

Estudio Multicéntrico español para la Prevención de Errores de Medicación. Resultados de cuatro años (2007-2011)

Cited by 12 publications

References 7 publications

Medication errors: classification of seriousness, type, and of medications involved in the reports from a university teaching hospital

Medication errors: classification of seriousness, type, and of medications involved in the reports from a university teaching hospital

Medication errors in prescription and administration in critically ill patients

Emergency Crisis Resource Management course: a tool for transforming attitudes within emergency service teams

Contact Info

Product

Resources

About