Errores de medicación en el Servicio de Medicina de un hospital de alta complejidad

Background: Patients admitted to internal medicine services receive multiple drugs and thus are at risk of medication errors. Aim: To determine the frequency of medication errors (ME) among patients admitted to an internal medicine service of a high complexity hospital. Material and Methods: A prosp...

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Autores principales: Smith M,Ann-Loren, Ruiz A,Inés, Jirón A,Marcela
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2014
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000100007
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spelling oai:scielo:S0034-988720140001000072014-08-18Errores de medicación en el Servicio de Medicina de un hospital de alta complejidadSmith M,Ann-LorenRuiz A,InésJirón A,Marcela Medication errors Pharmaceutical preparations Quality control Safety Background: Patients admitted to internal medicine services receive multiple drugs and thus are at risk of medication errors. Aim: To determine the frequency of medication errors (ME) among patients admitted to an internal medicine service of a high complexity hospital. Material and Methods: A prospective observational study conducted in 225 patients admitted to an internal medicine service. Each stage of drug utilization system (prescription, transcription, dispensing, preparation and administration) was directly observed by trained pharmacists not related to hospital staff during three months. ME were described and categorized according to the National Coordinating Council for Medication Error Reporting and Prevention. In each stage of medication use, the frequency of ME and their characteristics were determined. Results: A total of 454 drugs were prescribed to the studied patients. In 138 (30,4%) indications, at least one ME occurred, involving 67 (29,8%) patients. Twenty four percent of detected ME occurred during administration, mainly due to wrong time schedules. Anticoagulants were the therapeutic group with the highest occurrence of ME. Conclusions: At least one ME occurred in approximately one third of patients studied, especially during the administration stage. These errors could affect the medication safety and avoid achieving therapeutic goals. Strategies to improve the quality and safe use of medications can be implemented using this information.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.1 20142014-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000100007es10.4067/S0034-98872014000100007
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Medication errors
Pharmaceutical preparations
Quality control
Safety
spellingShingle Medication errors
Pharmaceutical preparations
Quality control
Safety
Smith M,Ann-Loren
Ruiz A,Inés
Jirón A,Marcela
Errores de medicación en el Servicio de Medicina de un hospital de alta complejidad
description Background: Patients admitted to internal medicine services receive multiple drugs and thus are at risk of medication errors. Aim: To determine the frequency of medication errors (ME) among patients admitted to an internal medicine service of a high complexity hospital. Material and Methods: A prospective observational study conducted in 225 patients admitted to an internal medicine service. Each stage of drug utilization system (prescription, transcription, dispensing, preparation and administration) was directly observed by trained pharmacists not related to hospital staff during three months. ME were described and categorized according to the National Coordinating Council for Medication Error Reporting and Prevention. In each stage of medication use, the frequency of ME and their characteristics were determined. Results: A total of 454 drugs were prescribed to the studied patients. In 138 (30,4%) indications, at least one ME occurred, involving 67 (29,8%) patients. Twenty four percent of detected ME occurred during administration, mainly due to wrong time schedules. Anticoagulants were the therapeutic group with the highest occurrence of ME. Conclusions: At least one ME occurred in approximately one third of patients studied, especially during the administration stage. These errors could affect the medication safety and avoid achieving therapeutic goals. Strategies to improve the quality and safe use of medications can be implemented using this information.
author Smith M,Ann-Loren
Ruiz A,Inés
Jirón A,Marcela
author_facet Smith M,Ann-Loren
Ruiz A,Inés
Jirón A,Marcela
author_sort Smith M,Ann-Loren
title Errores de medicación en el Servicio de Medicina de un hospital de alta complejidad
title_short Errores de medicación en el Servicio de Medicina de un hospital de alta complejidad
title_full Errores de medicación en el Servicio de Medicina de un hospital de alta complejidad
title_fullStr Errores de medicación en el Servicio de Medicina de un hospital de alta complejidad
title_full_unstemmed Errores de medicación en el Servicio de Medicina de un hospital de alta complejidad
title_sort errores de medicación en el servicio de medicina de un hospital de alta complejidad
publisher Sociedad Médica de Santiago
publishDate 2014
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000100007
work_keys_str_mv AT smithmannloren erroresdemedicacionenelserviciodemedicinadeunhospitaldealtacomplejidad
AT ruizaines erroresdemedicacionenelserviciodemedicinadeunhospitaldealtacomplejidad
AT jironamarcela erroresdemedicacionenelserviciodemedicinadeunhospitaldealtacomplejidad
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