Impact of clinical pharmacist interventions in reducing paediatric prescribing errors

Fernández-Llamazares, Cecilia M.; Calleja‐Hernández, Miguel Ángel; Manrique-Rodríguez, Silvia; Pérez-Sanz, Cristina; Durán-García, Esther; Sanjurjo‐Sáez, María

doi:10.1136/archdischild-2011-301239

Cited by 54 publications

(50 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A maioria das pesquisas sobre o tema proposto foi realizada no exterior, com destaque para Estados Unidos da América (11)(12)(13)(14)(15)17,(22)(23)25,(27)(28)(29)(30)(31)33) . Com relação ao ano de publicação, há predomínio a partir do ano de 2011 (9,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(31)(32)(33)(34)(35) . Unidades pediátricas gerais aparecem como maior foco dos estudos (66,6%), entre elas, unidades de internação clínica e unidades cirúrgicas (9,(11)(12)(13)(17)(18)(19)(20)(21)(22)(23)25,(27)(28)(29)(31)…”

Section: Web Of Science 2016 Canadá Journal Of Evaluation In Clinicalunclassified

“…Com relação ao ano de publicação, há predomínio a partir do ano de 2011 (9,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(31)(32)(33)(34)(35) . Unidades pediátricas gerais aparecem como maior foco dos estudos (66,6%), entre elas, unidades de internação clínica e unidades cirúrgicas (9,(11)(12)(13)(17)(18)(19)(20)(21)(22)(23)25,(27)(28)(29)(31)(32)35) . A Unidade de Terapia Intensiva (UTI) foi o setor isolado mais estudado (18,5%) (2,10,24,26,30) .…”

Section: Web Of Science 2016 Canadá Journal Of Evaluation In Clinicalunclassified

“…Quanto à participação dos profissionais de saúde, destacam-se os farmacêuticos como profissionais fundamentais no processo medicamentoso e na prevenção dos eventos adversos. Um estudo desenvolvido na Espanha demonstrou o impacto significativo das intervenções do farmacêutico clínico na prevenção da ocorrência de erros de prescrição (19) .…”

Section: Discussão Estratégias Para Prevenção De Erros De Medicaçãounclassified

“…Em 17%, a taxa estimada foi de 27 erros/dia, representando 97163 pacientes que receberam fármacos trocados (33) . Em 40,7% dos estudos, somente as taxas de incidentes foram mensuradas após a implantação das ações educativas (9,(11)(12)15,(18)(19)23,28,(31)(32)35) . Um sistema de notificações espontâneas de um hospital universitário pediátrico de São Paulo demonstrou 120 ocorrências de erros de medicação, sendo 45,8% em 2007 e 54,2% em 2008 (9) .…”

Section: Número De Incidentes De Segurança Do Paciente Com Medicaçãounclassified

“…Impact of clinical pharmacist interventions in reducing pediatric prescribing errors (19) Fernández-Llamazares CM, CallejaHernandez MA, ManriqueRodriguez S, Pérez-Sanz C, Duran-García E,Sanjurjo-Saez M.…”

Section: Etapas Do Processo: Não Informadomentioning

confidence: 99%

See 4 more Smart Citations

Erros De Medicação Em Pediatria E Estratégias De Prevenção: Revisão Integrativa

et al. 2017

View full text Add to dashboard Cite

RESUMO: Trata-se de revisão integrativa com o objetivo de analisar as estratégias, os incidentes de segurança e a etapa do processo medicamentoso para prevenção de eventos adversos na pediatria. Realizou-se a coleta entre novembro/2015 e fevereiro/2017, nas bases: Literatura Latino-Americana em Ciências de Saúde, Cumulative Index of Nursing and Allied Health Literature, U.S. National Library of Medicine e Web of Science. Utilizaram-se os descritores: erros de medicação, segurança do paciente e criança. Foram selecionados 27 artigos, publicados entre 2004 e 2016. A etapa do processo medicamentoso mais pesquisada foi a prescrição médica. As taxas de incidentes de segurança variaram entre 0,91% e 54%, não sendo identificada padronização metodológica nos estudos. As estratégias de prevenção relatadas foram: uso da prescrição médica eletrônica, simulação clínica, protocolo de doses, e notificações de incidentes. É importante que a identificação de riscos e o planejamento das estratégias de prevenção subsidiem a análise global do processo medicamentoso. DESCRITORES: Segurança do paciente; Erros de medicação; Criança; Enfermagem. ERROS DE MEDICAÇÃO EM PEDIATRIA E ESTRATÉGIAS DE PREVENÇÃO ERRORES DE MEDICACIÓN EN PEDIATRÍA Y ESTRATEGIAS DE PREVENCIÓN: REVISIÓN INTEGRATIVARESUMEN: Esta es un revisión integrativa cuya finalidad fue analizar las estrategias, los incidentes de seguridad y la etapa del proceso medicamentoso para prevención de eventos adversos en la pediatría. Los datos fueron obtenidos entre noviembre/2015 y febrero/2017, en las bases: Literatura Latinoamericana en Ciencias de Salud, Cumulative Index of Nursingand Allied Health Literature, U.S. National Library of Medicine y Web of Science. Fueron utilizados los descriptores: errores de medicación, seguridad del paciente y niño. Se eligieron 27 artículos publicados entre 2004 y 2016. La etapa del proceso medicamentoso más investigada fue la prescripción médica. Las tajas de incidentes de seguridad variaron entre 0,91% y 54%, no siendo identificada estandarización metodológica en los estudios. Las estrategias de prevención relatadas fueron: uso de la prescripción médica electrónica, simulación clínica, protocolo de dosis, y notificaciones de incidentes. Es importante que la identificación de riesgos y el planeamiento de las estrategias de prevención subsidien el análisis global del proceso medicamentoso. DESCRIPTORES: Seguridad del paciente; Errores de medicación; Niño; Enfermería.

show abstract

Section: Web Of Science 2016 Canadá Journal Of Evaluation In Clinicalunclassified

Section: Discussão Estratégias Para Prevenção De Erros De Medicaçãounclassified

Section: Número De Incidentes De Segurança Do Paciente Com Medicaçãounclassified

Section: Etapas Do Processo: Não Informadomentioning

confidence: 99%

See 3 more Smart Citations

Erros De Medicação Em Pediatria E Estratégias De Prevenção: Revisão Integrativa

et al. 2017

View full text Add to dashboard Cite

show abstract

Snapshot versus continuous documentation of pharmacists’ interventions: are snapshots worthwhile?

2014

View full text Add to dashboard Cite

Background:The documentation of pharmacists' interventions is important but there are limited studies evaluating the different methods of documentation.Aim: To compare the nature of pharmacists' interventions documented during snapshots versus direct observation in a paediatric hospital and to gather pharmacists' opinions on the utility of the different documentation methods. Method:The pattern and rates of pharmacists' interventions from the snapshot reports and direct observation were compared across five study wards. The snapshots represented pharmacists' self-reported interventions over a period of 5 days. The researcher observed and documented pharmacists' interventions for 35-37 non-consecutive days. A focus group discussion was conducted to gather pharmacists' opinions on the documentation methods. Results:A total of 398 interventions were documented by pharmacists during three snapshots with 'clarification of medication orders' being the commonest type of intervention. A total of 982 pharmacists' interventions were documented during direct observation. The overall rate of pharmacists' interventions documented during observation was not significantly different compared to that of the snapshots (p = 0.054). However, the rate of active interventions (i.e. interventions leading to a change in drug therapy) was significantly higher (p = 0.002) during direct observation, and the pattern of interventions was significantly different. From the focus group discussion, participants felt that the snapshot reports were an inadequate representation of pharmacists' clinical activities.Conclusion: Documentation of pharmacists' active interventions during snapshots was not representative of those documented during observation. This suggests that snapshot data may underestimate the impact of pharmacists' interventions in minimising medication misadventure amongst paediatric inpatients.

show abstract

Analysis of clinical intervention records by pharmacists in an Australian principal referral and specialist women's and newborns' hospital

Teoh

Hattingh

Lebedevs

et al. 2017

Pharmacy Practice and Res

View full text Add to dashboard Cite

Aim: The objectives of this study were to evaluate clinical interventions recorded by pharmacists in an Australian principal referral and specialist women's and newborns' hospital, as well as to identify common medications involved in each specialty area (neonatology, obstetrics and gynaecology), to assess the risks of medication-related problems (MRPs) likely to have been prevented, and to obtain institution-specific MRPs for future staff education. Methods: This retrospective, observational study involved an analysis of all interventions documented by pharmacists from January 2005 to December 2014. The interventions recorded were collated according to ward, medication involved, description of the intervention and the risk classification. Results: There were a total of 14 085 interventions documented over 10 years; 60.33% made in obstetric patients, 28.71% in gynaecology patients and 10.96% in neonates. The three main intervention types were: (i) dose/frequency/time incorrect (25.70%, n = 3260); (ii) prescribing clarification (21.77%, n = 3066); and (iii) medicine omission (15.21%, n = 2143). An average of 12.02% of the interventions were regarded as high-risk and 0.85% as extreme-risk. Of the MRPs documented within each specialty, the prevalence of extreme risk interventions was higher in the neonatal ward. Discussion: The most common intervention was identifying incorrect medication dose/frequency/time. Common medications involved in the MRPs included: opioids and antihypertensives in gynaecology; parenteral nutrition and gentamicin in neonatology; and opioids and non-steroidal anti-inflammatory drugs (NSAIDs) in obstetrics. The medications involved in high and extreme risk MRPs included gentamicin, opioids and NSAIDs. Conclusion: This study demonstrates that hospital pharmacists contribute to the reduction of MRPs, including some potentially fatal adverse medicine events. These findings also enable targeted, site-specific education, which is valuable in improving patient safety. Analysis of pharmacists interventions ina women's and newborns' hospital 1 (1.8) Antiviral 1 (1.8) GORD = gastro-oesophageal reflux disease; NSAIDs = nonsteroidal anti-inflammatory drugs. Only the ten most common medications are reported for each specialty each year. Analysis of pharmacists interventions in a women's and newborns' hospital 141 (86.57) 894 (72.1) 1848 (70.53) NSAIDs = nonsteroidal anti-inflammatory drugs.

show abstract

Impact of clinical pharmacist interventions in reducing paediatric prescribing errors

Abstract: Interventions by a clinical pharmacist had a major impact on reducing prescribing errors in the study period, thus improving the quality and safety of care provided.

Cited by 54 publications

References 34 publications

Erros De Medicação Em Pediatria E Estratégias De Prevenção: Revisão Integrativa

Erros De Medicação Em Pediatria E Estratégias De Prevenção: Revisão Integrativa

Snapshot versus continuous documentation of pharmacists’ interventions: are snapshots worthwhile?

Analysis of clinical intervention records by pharmacists in an Australian principal referral and specialist women's and newborns' hospital

Contact Info

Product

Resources

About