Errores de medicación en pacientes críticos adultos de un hospital universitario: Estudio prospectivo y aleatorio

Background: Critically ill patients are especially vulnerable to medication errors (ME) due to their severe clinical situation and the complexities of their management. Aim: To determine the frequency and characteristics of ME and identify shortcomings in the processes of medication management in an...

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Autores principales:	Salazar L,Nicole, Jirón A,Marcela, Escobar O,Leslie, Tobar,Eduardo, Romero,Carlos
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Critical illness Intensive care units Medication errors
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001100010
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spelling	oai:scielo:S0034-988720110011000102012-02-08Errores de medicación en pacientes críticos adultos de un hospital universitario: Estudio prospectivo y aleatorioSalazar L,NicoleJirón A,MarcelaEscobar O,LeslieTobar,EduardoRomero,Carlos Critical illness Intensive care units Medication errors Background: Critically ill patients are especially vulnerable to medication errors (ME) due to their severe clinical situation and the complexities of their management. Aim: To determine the frequency and characteristics of ME and identify shortcomings in the processes of medication management in an Intensive Care Unit. Patients and Methods: During a 3 months period, an observational prospective and randomized study was carried out in the ICU of a university hospital. Every step of patient's medication management (prescription, transcription, dispensation, preparation and administration) was evaluated by an external trained professional. Steps with higher frequency of ME and their therapeutic groups involved were identified. Medications errors were classified according to the National Coordinating Council for Medication Error Reporting and Prevention. Results: In 52 of 124 patients evaluated, 66 ME were found in 194 drugs prescribed. In 34% of prescribed drugs, there was at least 1 ME during its use. Half of ME occurred during medication administration, mainly due to problems in infusion rates and schedule times. Antibacterial drugs had the highest rate of ME. Conclusions: We found a 34% rate of ME per drug prescribed, which is in concordance with international reports. The identification of those steps more prone to ME in the ICU, will allow the implementation of an intervention program to improve the quality and security of medication management.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.11 20112011-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001100010es10.4067/S0034-98872011001100010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Critical illness Intensive care units Medication errors
spellingShingle	Critical illness Intensive care units Medication errors Salazar L,Nicole Jirón A,Marcela Escobar O,Leslie Tobar,Eduardo Romero,Carlos Errores de medicación en pacientes críticos adultos de un hospital universitario: Estudio prospectivo y aleatorio
description	Background: Critically ill patients are especially vulnerable to medication errors (ME) due to their severe clinical situation and the complexities of their management. Aim: To determine the frequency and characteristics of ME and identify shortcomings in the processes of medication management in an Intensive Care Unit. Patients and Methods: During a 3 months period, an observational prospective and randomized study was carried out in the ICU of a university hospital. Every step of patient's medication management (prescription, transcription, dispensation, preparation and administration) was evaluated by an external trained professional. Steps with higher frequency of ME and their therapeutic groups involved were identified. Medications errors were classified according to the National Coordinating Council for Medication Error Reporting and Prevention. Results: In 52 of 124 patients evaluated, 66 ME were found in 194 drugs prescribed. In 34% of prescribed drugs, there was at least 1 ME during its use. Half of ME occurred during medication administration, mainly due to problems in infusion rates and schedule times. Antibacterial drugs had the highest rate of ME. Conclusions: We found a 34% rate of ME per drug prescribed, which is in concordance with international reports. The identification of those steps more prone to ME in the ICU, will allow the implementation of an intervention program to improve the quality and security of medication management.
author	Salazar L,Nicole Jirón A,Marcela Escobar O,Leslie Tobar,Eduardo Romero,Carlos
author_facet	Salazar L,Nicole Jirón A,Marcela Escobar O,Leslie Tobar,Eduardo Romero,Carlos
author_sort	Salazar L,Nicole
title	Errores de medicación en pacientes críticos adultos de un hospital universitario: Estudio prospectivo y aleatorio
title_short	Errores de medicación en pacientes críticos adultos de un hospital universitario: Estudio prospectivo y aleatorio
title_full	Errores de medicación en pacientes críticos adultos de un hospital universitario: Estudio prospectivo y aleatorio
title_fullStr	Errores de medicación en pacientes críticos adultos de un hospital universitario: Estudio prospectivo y aleatorio
title_full_unstemmed	Errores de medicación en pacientes críticos adultos de un hospital universitario: Estudio prospectivo y aleatorio
title_sort	errores de medicación en pacientes críticos adultos de un hospital universitario: estudio prospectivo y aleatorio
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001100010
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Errores de medicación en pacientes críticos adultos de un hospital universitario: Estudio prospectivo y aleatorio

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