Medication errors in a public hospital in Brazil.
This article describes the analysis of the frequency, type and risk factors relating to errors in the preparation and administration of medications in patients admitted to a public hospital in Brasilia Federal District, Brazil, which serves a population of approximately 500 000 inhabitants. Patients...
| Publicado en: | British Journal of Nursing Vol. 23; no. 11; pp. 552 - 560 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
Jun2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=96556337&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 96556337 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660461 GHD jtl: British Journal of Nursing issn: 09660461 maglogo: N pubinfo: dt: Jun2014 vid: 23 iid: 11 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 96556337 96556337 96556337 10.12968/bjon.2014.23.11.552 96556337 ppf: 552 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Medication errors in a public hospital in Brazil. aug: au: Grou Volpe, Cris Renata Moura Pinho, Diana Lúcia Morato Stival, Marina Gomes de Oliveira Karnikowski, Margo affil: Associate Professor of Nursing, University of Brasilia, Brazil sug: subj: Medication Errors Prevention and Control Medication Errors Risk Factors Human Brazil Inpatients Hospitals, Public Cross Sectional Studies Descriptive Research Exploratory Research Observational Methods Logistic Regression Risk Assessment Medication Errors Epidemiology Medication Errors Classification Data Analysis Software Odds Ratio Confidence Intervals Chi Square Test Mann-Whitney U Test Drug Administration Routes Time Factors Medication Systems Risk Management Nursing Practice ab: This article describes the analysis of the frequency, type and risk factors relating to errors in the preparation and administration of medications in patients admitted to a public hospital in Brasilia Federal District, Brazil, which serves a population of approximately 500 000 inhabitants. Patients are commonly affected and harmed by medication errors, almost half of 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 of 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 of omission. More than one error was detected in 34.5% of occasions. Unlabelled drugs increased the risk of timing errors by a factor of 13.72. Interruptions in preparation increased the risk of errors by a factor of 3.75. Caring for a larger number of patients (8--9) increased the risk of timing errors by a factor of 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 refInfo: holdings: @attributes: islocal: N |
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