Prescription and administration errors of antimicrobials in a pediatric inpatient unit

Objective: To identify errors in the prescription and administration of antimicrobials in a pediatric inpatient unit of a public teaching hospital. Methods: This is a cross-sectional study with a quantitative approach in which a direct observation was performed of the preparation and administration...

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Autores principales:	Gabriela M. MEIRA, Tuany S. SOUZA, Lucas B. LEMOS, Gisele S. LEMOS
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2020
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/cc2ec5e56cba4b6fa61b9277501fe15c
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spelling	oai:doaj.org-article:cc2ec5e56cba4b6fa61b9277501fe15c2021-11-28T02:44:27ZPrescription and administration errors of antimicrobials in a pediatric inpatient unit10.30968/rbfhss.2020.114.05022179-59242316-7750https://doaj.org/article/cc2ec5e56cba4b6fa61b9277501fe15c2020-10-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/502https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: To identify errors in the prescription and administration of antimicrobials in a pediatric inpatient unit of a public teaching hospital. Methods: This is a cross-sectional study with a quantitative approach in which a direct observation was performed of the preparation and administration of antimicrobials by daytime nursing technicians/assistants in patients hospitalized in the pediatric sector, as well as of their respective prescription with the prescribed antimicrobial item, in this order for ethical issues. The assessment was carried out with the help of two checklist forms, one of which was validated, following the safety protocol for the prescription, use and administration of medications by the Brazilian Ministry of Health. The data were tabulated in the Epidata 3.1 software and analyzed in SPSS 21.0, resulting in a sample of 174 administrations and prescriptions. Results: The most frequent inpatient diagnoses for using antimicrobials were diseases of the respiratory system (52.9%) followed by diseases of the urinary system (5.7%). The main types of prescription errors were absence of information about the diluent (97.1%), infusion rate (99.4%), incorrect dose (5.8%), and forbidden abbreviations (1.1%). In the administrations, the types of errors observed were the following: lack of patient identification by the professional (94.3%), lack of patient identification on the bed (12.1%), administration time (6.3%), and incorrect preparation and administration of the medication (1.1%). Conclusion: The main factors that led to errors in prescription and administration were evaluated, making it necessary to implement improvements in the electronic medical record with standardization for the dilution of the antimicrobials, issuing alerts in the prescription, integration of a clinical pharmacist in the team, effective communication, and coaching and permanent training. Gabriela M. MEIRATuany S. SOUZALucas B. LEMOSGisele S. LEMOSSociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticlePublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 11, Iss 4 (2020)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
spellingShingle	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950 Gabriela M. MEIRA Tuany S. SOUZA Lucas B. LEMOS Gisele S. LEMOS Prescription and administration errors of antimicrobials in a pediatric inpatient unit
description	Objective: To identify errors in the prescription and administration of antimicrobials in a pediatric inpatient unit of a public teaching hospital. Methods: This is a cross-sectional study with a quantitative approach in which a direct observation was performed of the preparation and administration of antimicrobials by daytime nursing technicians/assistants in patients hospitalized in the pediatric sector, as well as of their respective prescription with the prescribed antimicrobial item, in this order for ethical issues. The assessment was carried out with the help of two checklist forms, one of which was validated, following the safety protocol for the prescription, use and administration of medications by the Brazilian Ministry of Health. The data were tabulated in the Epidata 3.1 software and analyzed in SPSS 21.0, resulting in a sample of 174 administrations and prescriptions. Results: The most frequent inpatient diagnoses for using antimicrobials were diseases of the respiratory system (52.9%) followed by diseases of the urinary system (5.7%). The main types of prescription errors were absence of information about the diluent (97.1%), infusion rate (99.4%), incorrect dose (5.8%), and forbidden abbreviations (1.1%). In the administrations, the types of errors observed were the following: lack of patient identification by the professional (94.3%), lack of patient identification on the bed (12.1%), administration time (6.3%), and incorrect preparation and administration of the medication (1.1%). Conclusion: The main factors that led to errors in prescription and administration were evaluated, making it necessary to implement improvements in the electronic medical record with standardization for the dilution of the antimicrobials, issuing alerts in the prescription, integration of a clinical pharmacist in the team, effective communication, and coaching and permanent training.
format	article
author	Gabriela M. MEIRA Tuany S. SOUZA Lucas B. LEMOS Gisele S. LEMOS
author_facet	Gabriela M. MEIRA Tuany S. SOUZA Lucas B. LEMOS Gisele S. LEMOS
author_sort	Gabriela M. MEIRA
title	Prescription and administration errors of antimicrobials in a pediatric inpatient unit
title_short	Prescription and administration errors of antimicrobials in a pediatric inpatient unit
title_full	Prescription and administration errors of antimicrobials in a pediatric inpatient unit
title_fullStr	Prescription and administration errors of antimicrobials in a pediatric inpatient unit
title_full_unstemmed	Prescription and administration errors of antimicrobials in a pediatric inpatient unit
title_sort	prescription and administration errors of antimicrobials in a pediatric inpatient unit
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2020
url	https://doaj.org/article/cc2ec5e56cba4b6fa61b9277501fe15c
work_keys_str_mv	AT gabrielammeira prescriptionandadministrationerrorsofantimicrobialsinapediatricinpatientunit AT tuanyssouza prescriptionandadministrationerrorsofantimicrobialsinapediatricinpatientunit AT lucasblemos prescriptionandadministrationerrorsofantimicrobialsinapediatricinpatientunit AT giseleslemos prescriptionandadministrationerrorsofantimicrobialsinapediatricinpatientunit
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Prescription and administration errors of antimicrobials in a pediatric inpatient unit

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