Medication wrong-route administrations in relation to medical prescriptions

Gimenes, Fernanda Raphael Escobar; Marques, Tatiane Cristina; Teixeira, Thalyta Cardoso Alux; Mota, Maria Lurdemiler Sabóia; Silva, Ana Elisa Bauer de Camargo; Cassiani, Sílvia Helena De Bortoli

doi:10.1590/s0104-11692011000100003

Cited by 15 publications

(25 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A total of 374 doses were observed and the WHO's ATC classification evidenced that the most common drug group administered was for the cardiovascular system, and included captopril, nimodipine, and simvastatin. This result is consistent with previous research (Gimenes et al, 2011). Nurses should not assume that all tablets can be safely administered through a feeding tube.…”

Section: Discussionsupporting

confidence: 93%

Medication incidents related to feeding tube: A cross-sectional study

Gimenes¹,

Pareira²,

Horak³

et al. 2017

Afr. J. Pharm. Pharmacol.

View full text Add to dashboard Cite

The aim is to evaluate the medication incidents relating to incorrect oral medication preparation and administration through enteral feeding tubes in hospitalized patients. A cross-sectional design was used to observe 374 doses of medications at three Brazilian hospitals. The patients consisted mostly of females (48.6%), elderly (65.71%), using polyurethane tubes (82.9%), with jejunal access (82.9%), and circulatory system diseases (45.71%). The most common medication incidents identified were: mixing tablets with other drug(s) (43.5%) and not labelling the prepared medication (60.4%). With regards to incorrect medication administration, not flushing the tube between medications (86.5%) and administering medications together (65.6%) were the most common errors. Tube obstruction was identified in 36.5% of doses administered. There was an association between tube obstruction and mixing tablet with other drug(s); tablet incorrectly reconstituted; tube not flushed prior to medication administration; tube not properly flushed between medications; concurrent administration of a medication and enteral formula; and enteral feeding not interrupted prior to medication administration. The results contribute to the development of knowledge in order to improve hospital nursing practice, especially in developing countries. Future studies should be conducted in order to access patients' outcomes related to incorrect oral medication preparation and administration through feeding tubes.

show abstract

Section: Discussionsupporting

confidence: 93%

Medication incidents related to feeding tube: A cross-sectional study

Gimenes¹,

Pareira²,

Horak³

et al. 2017

Afr. J. Pharm. Pharmacol.

View full text Add to dashboard Cite

show abstract

“…Remarkable differences are also evident in comparison to a study on wrong route administrations in five Brazilian hospitals [23], where cardiovascular agents, followed by medications acting on the nervous system and the digestive tract and metabolism, respectively, were most commonly involved. Different inclusion criteria may explain the observed differences.…”

Section: /22mentioning

confidence: 65%

Medication wrong route administration: a poisons center-based study

Bloch-Teitelbaum

Lüde

Rauber-Lüthy

et al. 2013

Expert Opinion on Drug Safety

View full text Add to dashboard Cite

OBJECTIVES: To describe clinical effects, circumstances of occurrence, management and outcomes of cases of inadvertent administration of medications by an incorrect parenteral route. METH-ODS: Retrospective single-center consecutive review of parenteral route errors of medications, reported to our center between January 2006 and June 2010. We collected demographic data and information on medications, route and time of administration, severity of symptoms/signs, treatment, and outcome. RESULTS: Seventy-eight cases (68 adults, 10 children) were available for analysis. The following wrong administration routes were recorded: paravenous (51%), intravenous (33%), subcutaneous (8%), and others (8%). Medications most frequently involved were iodinated x-ray contrast media (11%) and iron infusions (9%). Twenty-eight percent of the patients were asymptomatic and 54% showed mild symptoms; moderate and severe symptoms were observed in 9% and 7.7%, respectively, and were mostly due to intravenous administration errors. There was no fatal outcome. In most symptomatic cases local nonspecific treatment was performed. CONCLUSIONS: Enquiries concerning administration of medicines by an incorrect parenteral route were rare, and mainly involved iodinated x-ray contrast media and iron infusions. Most events occurred in adults and showed a benign clinical course. Although the majority of exposures concerned the paravenous route, the occasional severe cases were observed mainly after inadvertent intravenous administration. Statement about prior postings and presentationsWe confirm that our paper is not under review by another journal.Part of the data was presented at the 13th Joint Annual Meeting of the German, Swiss, and Austrian Societies for Clinical Pharmacology and Toxicology, October 20-22, 2011, Zurich, Switzerland. Key words:Iatrogenic errors; medications; poisons centre; route of administration. 2/22 Abstract ObjectivesTo describe clinical effects, circumstances of occurrence, management and outcomes of cases of inadvertent administration of medications by an incorrect parenteral route. MethodsRetrospective single-centre consecutive review of parenteral route errors of medications, reported to our centre between January 2006-June 2010. We collected demographic data and information on medications, route and time of administration, severity of symptoms/signs, treatment, and outcome. Results78 cases (68 adults, 10 children) were available for analysis. The following wrong administration routes were recorded: paravenous (51%), intravenous (33%), subcutaneous (8%), and others (8%). Medications most frequently involved were iodinated x-ray contrast media (11%) and iron infusions (9%). 28% of the patients were asymptomatic and 54%showed mild symptoms; moderate and severe symptoms were observed in 9% and 7.7%, respectively, and were mostly due to intravenous administration errors. There was no fatal outcome. In most symptomatic cases local nonspecific treatment was performed. ConclusionsEnquiries concerning administration...

show abstract

“…Déficits de conhecimento e de experiência foram identificados em situações em que estavam atuando estudantes de enfermagem de nível técnico e graduação, sem supervisão (11 estudos). O conhecimento inadequado da medicação, no que tange à terapêutica das drogas, formas alternativas e cálculos de dosagens inadequadas são responsáveis por muitos dos episódios envolvendo a medicação (45,46) . As falhas de comunicação e as distrações aparecem como fatores predisponentes ao erro, sendo que a comunicação eficiente minimiza em muito o erro, a ponto até de impedir que ele aconteça (4,47) .…”

Section: Discussionunclassified

“…Ao analisar a influência da redação da prescrição médica nos erros de via de administração, em estudo realizado (46) , os autores constataram que 91,3% das prescrições continham siglas/abreviaturas, 22,8% não continham dados do paciente e 4,3% não apresentavam data e continham rasuras. Esses erros são comuns e podem desencadear uma série de problemas no processo de administração de medicamentos.…”

Section: Discussionunclassified

“…Esses erros são comuns e podem desencadear uma série de problemas no processo de administração de medicamentos. Os autores atestam ainda, que outros fatores contribuem também para os erros de prescrição, como a falta de conhecimento, nome da droga, cálculos de dosagens e formulações inapropriadas (46) . Evidências apontam que os profissionais de saúde desenvolvem um trabalho no qual pode ocorrer erros de medicação, entretanto, as condições de trabalho oferecidas pelas instituições de saúde têm forte influência na geração do erro (4) .…”

Section: Discussionunclassified

See 1 more Smart Citation

A Relação Da Enfermagem Com Os Erros De Medicação: Uma Revisão Integrativa

2016

View full text Add to dashboard Cite

RESUMO: Revisão integrativa com o objetivo de identificar na literatura a relação dos erros de medicação com a equipe de enfermagem. A pesquisa foi realizada por duas colaboradoras independentes, em três bases de dados, no período 2011 a 2015, com 32 estudos. Os resultados foram divididos em duas macrocategorias: características dos estudos e as relações diretas e indiretas da enfermagem com os erros de medicação. As relações diretas se referem às questões do âmbito profissional, como a falta de conhecimento e de experiência, falhas na comunicação, estresse e distração dos profissionais. As relações indiretas são compostas por questões de prescrição e dispensação, as condições físicas do paciente e erros na produção dos medicamentos. Conclui-se que, além de a enfermagem atuar na administração de medicamentos com vistas à assistência segura ao paciente, pode atuar como barreira dos erros provenientes de outras fases do processo de medicação. DESCRITORES: Enfermagem; Erros de Medicação; Segurança do Paciente. A RELAÇÃO DA ENFERMAGEM COM OS ERROS DE MEDICAÇÃO: UMA REVISÃO INTEGRATIVA NURSING'S RELATIONSHIP WITH MEDICATION ERRORS: AN INTEGRATIVE REVIEWABSTRACT: This integrative review aimed to identify in the literature the relationship between medication errors and the nursing team. The study was undertaken by two independent collaborators, in three databases, in the period 2011 -2015, with 32 studies. The results were divided in two macrocategories: characteristics of the studies, and the direct and indirect relationships between nursing and the medication errors. The direct relationships refer to issues of the professional ambit, such as lack of knowledge and of experience, failures in communication, stress and the distraction of the professionals. The indirect relationships are made up of issues related to prescribing and dispensing, the patient's physical conditions, and errors in the production of the medications. It is concluded that, besides the nursing staff working in administering medications with a view to safe care for the patient, they can act as a barrier to errors arising from other phases of the medication process. Revisión integrativa cuyo objetivo fue identificar, en la literatura, la relación de los errores de medicación con el equipo de enfermería. Se realizó la investigación por dos colaboradoras independientes, en tres bases de datos, en el periodo de 2011 a 2015, con 32 estudios. Los resultados fueron organizados en dos macrocategorías: características de los estudios y las relaciones directas y indirectas de la enfermería con los errores de medicación. Las relaciones directas se refieren a las cuestiones del ámbito profesional, como la falta de conocimiento y de experiencia, faltas en la comunicación, estrés y distracción de los profesionales. Las relaciones indirectas se constituyen por cuestiones de prescripción y dispensación, las condiciones físicas del paciente y errores en la producción de los medicamentos. Se concluye que, además de la enfermería actuar en la administración de medicam...

show abstract

Medication wrong-route administrations in relation to medical prescriptions

Cited by 15 publications

References 17 publications

Medication incidents related to feeding tube: A cross-sectional study

Medication incidents related to feeding tube: A cross-sectional study

Medication wrong route administration: a poisons center-based study

A Relação Da Enfermagem Com Os Erros De Medicação: Uma Revisão Integrativa

Contact Info

Product

Resources

About