Errors in medicine administration - profile of medicines: knowing and preventing

Acta Paulista de Enfermagem

Adriano Max Moreira Reis²  Tatiane Cristina Marques¹  Simone Perufo Opitz¹  Ana Elisa Bauer De Camargo Silva¹  Fernanda Raphael Escobar Gimenes¹  Thalyta Cardoso Alux Teixeira¹  Rhanna Emanuela Fontenele Lima¹  Silvia Helena De Bortoli Cassiani¹ 

[1] ,Federal University of Minas Gerais School of Pharmacy Belo Horizonte MG ,Brazil

关键词: Medication errors;    Medication systems hospital;    Erros de medicação;    Sistemas de medicação no hospital;    Errores de medicación;    Sistemas de medicación en hospital;   

DOI  :  10.1590/S0103-21002010000200005

来源: SciELO

【 摘 要 】

OBJECTIVES: To describe the pharmacological characteristics of medicines involved in administration errors and determine the frequency of errors with potentially dangerous medicines and low therapeutic index, in clinical units of five teaching hospitals, in Brazil. METHODS: Multicentric study, descriptive and exploratory, using the non-participant observation technique (during the administration of 4958 doses of medicines) and the anatomical therapeutic chemical classification (ATC). RESULTS: Of that total, 1500 administration errors were identified (30.3%). The administration of pharmacological groups - ATC (cardiovascular system, nervous system, alimentary tract and metabolism system and anti-infectives for systemic use) showed a higher frequency of errors. In 13.0% of errors were involved potentially dangerous medicines and in 12.2% medicines with low therapeutic index. CONCLUSION: The knowledge of the pharmacological profile could be an important strategy to be used in the prevention medication errors in health institutions.

【 授权许可】

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