Identificación y análisis de los errores de medicación en seis hospitales brasileños
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2010
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Esta investigación identificó, a través del método de observación directa, los errores de medicación ocurridos en
unidades de clínica médica de seis hospitales brasileños. La muestra consistió de las dosis prescritas y administradas
en las unidades y observadas durante el periodo de recolección de datos, obedeciendo a un mínimo de
35 dosis/día, durante 30 días. Los resultados evidenciaron los siguientes aspectos: el 1,7% de los medicamentos
administrados fue diferente de los prescritos; el 4,8% de las dosis administradas difirieron de las prescritas; el
1,5% de los medicamentos fue administrado en vías diferentes de las prescritas; el 0,3% de los pacientes recibieron
medicamentos no autorizados; cerca del 7,4% de los medicamentos fue administrado más de 1 h después
del horario previsto y el 2,2% más de 1 h antes del prescrito.
This study identified medication errors that occurred at the medical clinics of 6 Brazilian hospitals, using direct observation. The sample consisted of doses prescribed and administered at the clinics, which were observed during the data collection period, respecting a minimum of 35 doses/day, during a 30-day period. The results evidenced that: 1.7% of the administered medication was different from the prescribed drugs; 4.8% of the administered doses were different from the prescriptions; 1.5% of the medication was administered through routes different from the prescriptions; 0.3% of patients received non-authorized medication; about 7.4% of the medication were administered more than 1 h after and 2.2% more than 1 h before the prescribed medication time.
This study identified medication errors that occurred at the medical clinics of 6 Brazilian hospitals, using direct observation. The sample consisted of doses prescribed and administered at the clinics, which were observed during the data collection period, respecting a minimum of 35 doses/day, during a 30-day period. The results evidenced that: 1.7% of the administered medication was different from the prescribed drugs; 4.8% of the administered doses were different from the prescriptions; 1.5% of the medication was administered through routes different from the prescriptions; 0.3% of patients received non-authorized medication; about 7.4% of the medication were administered more than 1 h after and 2.2% more than 1 h before the prescribed medication time.
Descrição
Palavras-chave
Errores de medicación, Seguridad del paciente, Administración de medicamentos, Medication errors, Patient safety, Medication administration
Citação
CASSIANI, Silvia Helena de Bortoli; MONZANI, Aline Aparecida Silvia; SILVA, Ana Elisa Bauer de Camargo; FAKIH, Flávio Trevisani; OPITZ; Simone Perufo; TEIXEIRA, Thalyta Cardoso Alux. Identificación y análisis de los errores de medicación en seis hospitales brasileños. Ciencia y Enfermería, Concepción, v. 16, n. 1, p. 85-95, 2010.