PS-043 Medicines errors in critically ill patients

Abstract

BackgroundMedication errors in critical care are frequent, serious and predictable. Critically ill patients are prescribed twice as many medications as patients outside the intensive care unit and nearly all will suffer a potential error at some point during their stay.PurposeTo quantify and characterise medication errors in a surgical intensive care unit (SICU).Material and methodsWe conducted a one-month prospective observational study to detect, quantify and score medication errors in a SICU.ResultsA total of 634 observations made over weekdays and weekends were performed including morning, noon and night shifts. 36.27% observations (230) included some type of error, a total of 245 medication errors were detected. According to the type of error found: 52 were prescription errors (21.22%), 2 omissions (0.82%), 44 related to administration technique (wrong speed) (17.96%), 10 omissions of the administration record (4.08%), 97 erroneous preparations (39.59%), 1 wrongly prescribed dose by default (0.41%) and 3 by excess (1.22%), 5 errors related to erroneous administration route (2.04%), 2 erroneous drug monitorization (0.82%) and 29 transcription errors (11.84%). According to severity within categories established by the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP), 26.12% errors were Category A, 10.20% were Category B, 61.63% were Category C, 1.63% Category D and 0.41% Category F.ConclusionDetermining the incidence of medication errors in our system and adopting measures to prevent them is a priority in order to improve the drug treatment process in critically ill patients. The integration of a pharmacist in the intensive care unit is one of the measures that our institution has adopted to reduce medication-related errors and improve quality of care.References and/or acknowledgementsNo conflict of interest.