A segurança de pacientes na terapêutica medicamentosa e a influência da prescrição médica. Análise da administração de medicamentos em unidades de clínica médica / The patients safety in the medication therapeutics: analysis of the writing of the medical order in the medication administration error at the internal medicine wards

AUTOR(ES)

Fernanda Raphael Escobar Gimenes de Sousa

DATA DE PUBLICAÇÃO

2007

RESUMO

Adverse events related to medicines and medication errors are very common in the health care assistance and can occur at any stage of the medication process, contributing with the occurrence of iatrogenys in the patients due to the incorrect use of medicines or its omission. In this context, we find medical orders which has uneven role in the prevention of medication error, once ambiguous, unreadable or incomplete medication order may contribute with the occurrence of these events. This study had the intention to analyze the writing of medical orders at internal medicine units of five Brazilian hospitals, to compare data between these hospitals and to consider recommendations for the prevention of future medication errors. This descriptive study used secondary data from a multicentric research occurred in 2005. The population was composed of 1.425 medications given in discordance with the medical order. From this total, the medication administration at different schedule administration time was the most frequent error found at the five hospitals investigated, corresponding to 76.0%. The analysis of the writing of the medical order disclosed that 93.6% contained acronyms and/or abbreviations, 10.7% did not present any information about the patient, 4.3% had omitted information about the medicine and 4.2% presented alterations and/or suspension of the medicine. With the implantation of the computerized prescription order entry system, associate to the practice of continued and permanent education of the involved professionals in the system of medication it will be possible to minimize the damage caused to the patients in the hospital deriving from the administration of medicine and, therefore, improve the quality of the care given.

ASSUNTO(S)

enfermagem patient safety erros de medicação nursing segurança do paciente medication order medication error prescrição médica

Documentos Relacionados

• Segurança do paciente na terapêutica medicamentosa e a influência da prescrição médica nos erros de dose
• Ações para segurança na prescrição, uso e administração de medicamentos em unidades de pronto atendimento
• Medication administration – nursing workload and patient safety in clinical wards
• Influência da redação da prescrição médica na administração de medicamentos em horários diferentes do prescrito
• Knowledge about medication error concepts among nursing auxiliaries as a patient safety factor in medication therapy.