Navegando por Palavras-chave "Medication Errors"

Agora exibindo 1 - 2 de 2
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Adesão da equipe de enfermagem à conferência da pulseira de identificação do paciente antes da administração de medicamentos
    (Universidade Federal de São Paulo (UNIFESP), 2020-08-27) Martins, Marcia [UNIFESP]; Kusahara, Denise Miyuki [UNIFESP]; Universidade Federal de São Paulo
    Introduction: Patient identification errors can occur at multiple points in time ranging from admission to discharge as well as during all stages of diagnosis and treatment, such as at the time of administering medication. Accurate identification of hospital patients is an essential condition for ensuring their safety. As such, the World Health Organization recommends the use of at least two identifiers that include full name and date of birth in order to confirm the patient’s identity as one method for error prevention. Although such recommendations are already known to healthcare professionals, failures still occur in adhering to this practice for safe health protection. Objectives: To verify the rate of which nursing professionals adhere to patient identification verification via identification wristbands before administering medications, which was measured before and after the implementation of educational interventions aimed at promoting the practice. Material and Method: Quasi-experimental before and after study of identification verification of hospitalized patients by nursing professionals selected non-randomly prior to the administration of medication conducted in a specialty inpatient unit specialized in neurology at a university hospital in the city of Sao Paulo. The study encompassed 280 direct observations (140 pre-intervention and 140 post-intervention). Variables were studied related to the form in which the identification wristbands were verified and their types, place of hospitalization, type and level of patient response, patient lists used by the healthcare professionals, and category of the nursing professionals. Data collection was conducted from August 2017 to February 2018 after approval by the Institution's Research Ethics Committee, under number CAAE 60350016.3.0000.5505. Data analysis was performed using descriptive and inferential statistics, adopting p≤0.05 values as the significance level. Results: All patients, without exception, wore identification wristbands during the period of the study. Among the 280 observations made, the bracelet was thoroughly checked in 105 (37.5%) of the opportunities. However, the frequency of observations at which patient identification was adequately verified increased significantly after the intervention, occurring in 12 (8.6%) observations in the pre-intervention stage and in 93 (66.4%) after the intervention (p <0.001). No statistically significant association was observed between the patient's length of stay and proper verification of the identification wristband (p = 0.464) in the pre-intervention period as well as in the post-intervention period (p = 0.219). In the multivariate analysis, only the intervention variable remained significantly associated with adequate wristband verification: OR = 24.43 (11.07 - 53.92), thus confirming the positive effect of the educational intervention on nursing professionals' adherence to conducting identification wristband verification prior to the administration of medication. Conclusion: After the educational intervention, there was a significant increase in adherence to the practice of verifying patients' identification wristband prior to the administration of medication.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Prescription errors in Brazilian hospitals: a multi-centre exploratory survey
    (Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2009-02-01) Miasso, Adriana Inocenti; Oliveira, Regina Célia de; Silva, Ana Elisa Bauer de Camargo; Lyra Junior, Divaldo Pereira de; Gimenes, Fernanda Raphael Escobar; Fakih, Flávio Trevisan [UNIFESP]; Cassiani, Sílvia Helena de Bortoli; Universidade de São Paulo (USP); Universidade de Pernambuco Faculdade de Enfermagem Nossa Senhora das Graças; Universidade Federal de Goiás Faculdade de Enfermagem; Universidade Federal de Sergipe Faculdade de Farmácia; Universidade Camilo Castelo Branco; Universidade Federal de São Paulo (UNIFESP)
    In Brazil, millions of prescriptions do not follow the legal requirements necessary to guarantee the correct dispensing and administration of medication. This multi-centre exploratory study aimed to analyze the appropriateness of prescriptions at four Brazilian hospitals and to identify possible errors caused by inadequacies. The sample consisted of 864 prescriptions obtained at hospital medical clinics in January 2003. Data was collected by three nurse researchers during one week using a standard data sheet that included items about: the type of prescription; legibility; completeness; use of abbreviations; existence of changes and erasures. There were statistically significant differences between incomplete electronic prescriptions at hospital A, and handwritten ones from hospitals C (Ç2 = 12.703 and p < 0.001) and D (Ç2 = 14.074 and p < 0.001). Abbreviations were used in more than 80% of prescriptions at hospitals B, C and D. Changes were found in prescriptions at all hospitals, with higher levels at hospitals B (35.2%) and A (25.3%). This study identified a range of vulnerable points in the prescription phase of the medication system at the hospitals. Physicians, pharmacists and nurses should therefore jointly propose strategies to avoid these prescription errors.