Terminologia de incidentes com medicamentos no contexto hospitalar

Rissato, Maria de Almeida Rocha; Romano-Lieber, Nicolina Silvana; Lieber, Renato Rocha

doi:10.1590/s0102-311x2008000900002

Cited by 7 publications

(7 citation statements)

References 54 publications

(38 reference statements)

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“…Rissato et al 35 discuss the need for standardized terminology in their review of terms and concepts used to characterize the harm caused to patients by medicines. Obviously, although the definitions vary widely, they have in common their central focus on drug-related harm.…”

Section: Concepts and Definitionsmentioning

confidence: 99%

See 1 more Smart Citation

Adverse drug events in hospitals: a systematic review

Cano

Rozenfeld

2009

Cad. Saúde Pública

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Section: Concepts and Definitionsmentioning

confidence: 99%

“…According to Rissato et al 35 , the lack of standardization in the concepts and terms allows confusing the notion of adverse drug reaction with other types of events that occur under distinct circumstances from those in which use of the drug occurs at the normally recommended doses.…”

Section: Concepts and Definitionsmentioning

confidence: 99%

Adverse drug events in hospitals: a systematic review

Cano

Rozenfeld

2009

Cad. Saúde Pública

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“…However, the studies that have been published have issues that need to be addressed; these issues involve conceptual clarity, geographical distribution, professional perspective, and the focus of ethical aspects involved. In relation to conceptual clarity, first, there were studies that reported adverse events, adverse drug reactions, and medication errors indistinctly (Rissato et al, 2008). In relation to geographical distribution, there is a predominance of studies carried out in southeastern Brazil, especially São Paulo (Optiz, 2006).…”

Section: Introductionmentioning

confidence: 99%

Medication errors: classification of seriousness, type, and of medications involved in the reports from a university teaching hospital

Dalmolin

Rotta

Goldim

2013

Braz. J. Pharm. Sci.

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Medication errors can be frequent in hospitals; these errors are multidisciplinary and occur at various stages of the drug therapy. The present study evaluated the seriousness, the type and the drugs involved in medication errors reported at the Hospital de Clínicas de Porto Alegre. We analyzed written error reports for 2010-2011. The sample consisted of 165 reports. The errors identified were classified according to seriousness, type and pharmacological class. 114 reports were categorized as actual errors (medication errors) and 51 reports were categorized as potential errors. There were more medication error reports in 2011 compared to 2010, but there was no significant change in the seriousness of the reports. The most common type of error was prescribing error (48.25%). Errors that occurred during the process of drug therapy sometimes generated additional medication errors. In 114 reports of medication errors identified, 122 drugs were cited. The reflection on medication errors, the possibility of harm resulting from these errors, and the methods for error identification and evaluation should include a broad perspective of the aspects involved in the occurrence of errors. Patient safety depends on the process of communication involving errors, on the proper recording of information, and on the monitoring itself.Uniterms: Medication/errors. Drug therapy. Patients/safety. Erros envolvendo medicamentos ocorrem frequentemente em hospitais, possuem natureza multidisciplinar e podem ocorrer nas várias etapas da terapia medicamentosa. O estudo avaliou a seriedade, o tipo e os medicamentos envolvidos nos erros de medicação notificados no Hospital de Clínicas de Porto Alegre. Foram analisadas notificações de erros realizadas por escrito em 2010-2011. A amostra foi composta por 165 notificações. Cento e catorze notificações foram classificadas como erros de fato (erros de medicação) e 51 notificações, como erros potenciais. Apesar de se ter realizado maior número de notificações de erros de medicação em 2011, comparativamente a 2010, não houve alteração significativa no perfil de seriedade destes eventos. O tipo de erro mais frequente foi o de prescrição (48,25%). Os erros ocorridos ao longo do processo geraram, em algumas situações, novos erros de medicação associados. Nas 114 notificações de erros de medicação identificadas citaram-se 122 medicamentos. A reflexão sobre os erros de medicação e a possibilidade de danos decorrentes dos mesmos, assim como dos métodos para a sua identificação e avaliação, deve incluir uma ampla perspectiva dos aspectos envolvidos na sua ocorrência. A segurança dos pacientes depende deste processo de comunicação, do registro adequado das informações e do monitoramento propriamente dito.

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“…Thus, throughout our series, we identified poor ME results for the critical care unit (prevalence of 0.98 MEs per medical order analyzed). 24 The complexity involved in the process of medication administration has been one of the main difficulties in sharing information between institutions because the design of this process depends on, among other factors, the profile of patients treated at each institution, stages of drug administration performed by each institution, and possibility of using electronic resources. The patient is in critical health condition, which can change several times, often requiring prescription adjustments.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8]24 They provide little knowledge about ME definition as well as fear of reporting mistakes among the health care professionals. There are few studies in Brazil regarding MEs.…”

Section: Discussionmentioning

confidence: 99%

A Survey of Medication Error Prevalence in a Brazilian Health Center

Nunes

Andreoli

Ferracini

et al. 2013

Journal of Nursing Care Quality

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Medication error is a frequent adverse event in health care. In this study, we checked each medication dose in 744 medical orders and identified a prevalence rate of 0.53 medication errors per medical order. The highest prevalence was in the critical care unit (0.98), and the most frequent type was dose omission (53%). The results were published bimonthly for health care professionals, with an improvement recommendation list to minimize medication errors and increase patient safety.

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Terminologia de incidentes com medicamentos no contexto hospitalar

Cited by 7 publications

References 54 publications

Adverse drug events in hospitals: a systematic review

Adverse drug events in hospitals: a systematic review

Medication errors: classification of seriousness, type, and of medications involved in the reports from a university teaching hospital

A Survey of Medication Error Prevalence in a Brazilian Health Center

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