Adverse drug events in a sentinel hospital in the State of Goiás, Brazil

Revista Latino-Americana de Enfermagem

Ana Elisa Bauer De Camargo Silva²  Adriano Max Moreira Reis¹  Adriana Inocenti Miasso¹  Jânia Oliveira Santos¹  Silvia Helena De Bortoli Cassiani¹ 

[1] ,Universidade Federal de Goiás Faculdade de Enfermagem Goiânia GO ,Brazil

关键词: Quality of Health Care;    Safety Management;    Medication Errors;    Qualidade da Assistência à Saúde;    Gerenciamento de Segurança;    Erros de Medicação;    Calidad de la Atención de Salud;    Administración de la Seguridad;    Errores de Medicación;   

DOI  :  10.1590/S0104-11692011000200021

来源: SciELO

【 摘 要 】

This was a retrospective, descriptive and documental study with the aim of identifying adverse drug events which occurred in the medication administration process and to classify these medication errors. This study was developed in the internal medicine unit of a general hospital of Goiás, Brazil. Report books used by nursing staff from the period 2002 to 2007, were analyzed. A total of 230 medication errors were identified, most of which occurred in the preparation and administration of the medications (64.3%). Medication errors were of omission (50.9%), of dose (16.5%), of schedule (13.5%) and of administration technique (12.2%) and were more frequent with antineoplastic and immunomodulating agents (24.3%) and anti-infective agents (20.9%). It was found that 37.4% of drugs were high alert medications. Considering the medication errors detected it is important to promote a culture of safety in the hospital.

【 授权许可】

CC BY   
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