Medication errors in a public hospital in Brazil.

This article describes the analysis o f the frequency, type and risk factors relating to errors in the preparation and administration o f medications in patients admitted to a public hospital in Brasilia Federal District, Brazil, which serves a population of approximately 500000 inhabitants. Patient...

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Publicado en:British Journal of Nursing Vol. 23; no. 11; pp. 552 - 560
Autores principales: Volpe, Cris Renata Grou, Pinho, Diana Lú';ia Moura, Stival, Marina Morato, de Oliveira Karnikowski, Margo Gomes
Formato: research tables/charts Journal Article
Publicado: Mark Allen Holdings Limited 6/12/2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Medication errors in a public hospital in Brazil.
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        au:
          Volpe, Cris Renata Grou
          Pinho, Diana Lú';ia Moura
          Stival, Marina Morato
          de Oliveira Karnikowski, Margo Gomes
        affil: Associate Professor of Nursing, University of Brasilia, Brazil
      sug:
        subj:
          Medication Errors Risk Factors
          Medication Errors Epidemiology
          Medication Errors Classification
          Human
          Brazil
          Hospitals, Public
          Cross Sectional Studies
          Descriptive Research
          Exploratory Research
          Observational Methods
          Logistic Regression
          Risk Assessment
          Risk Management
          Data Analysis Software
          Odds Ratio
          Confidence Intervals
          Chi Square Test
          Mann-Whitney U Test
          Drug Administration Routes
          Drug Administration Schedule
          Inpatients
          Medication Systems
          Nursing Practice
          Workload
      ab: This article describes the analysis o f the frequency, type and risk factors relating to errors in the preparation and administration o f medications in patients admitted to a public hospital in Brasilia Federal District, Brazil, which serves a population of approximately 500000 inhabitants. Patients are commonly affected and harmed by medication errors, almost half o f which are preventable. This is a cross-sectional, descriptive and exploratory study conducted in a clinical medicine unit. Direct observations were made by eight nurse technicians. The type o f error, the type of drug involved and associated risk factors were analysed. Relationships between the occurrence of errors and risk factors were studied with logistic regression models. Of the 484 observed doses, 69.5% errors occurred during drug administration, 69.6% during the preparation stage, 48.6% were timing errors, 1.7% were dose-related errors and 9.5% were errors o f omission. More than one error was detected in 34.5% o f occasions. Unlabelled drugs increased the risk o f timing errors by a factor o f 13.72. Interruptions in preparation increased the risk o f errors by a factor of 3.75. Caring for a larger number o f patients (8-9) increased the risk of timing errors by a factor o f 8.27. The research shows the need to manage the risk of medication errors in their real-life contexts by interposing safety barriers between the hazards and potential errors.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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