Prescription errors in a primary care university unit: urgency of pharmaceutical care in Mexico

Zavaleta-Bustos, Miriam; Castro‐Pastrana, Lucila I.; Reyes-Hernández, Ivette; López-Luna, María Argelia; Hernández, Ivette Reyes

doi:10.1590/s1516-93322008000100013

Cited by 20 publications

(13 citation statements)

References 13 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Alguns estudos demonstram que no Brasil as prescrições geralmente não se apresentam de acordo com os critérios estabelecidos, Guzatto Porém, essa situação não é exclusiva do Brasil, Khoja et al 12 verificaram que 18% das prescrições aviadas na atenção primária em Riyadh na Arábia Saudita continham erros. Zavaleta-Bustos et al 13 verificaram em um Centro de Saúde de uma Universidade no México a alta incidência de prescrições inapropriadas sendo que 58% apresentavam erros relacionados às doses recomendadas e à seleção do medicamento relacionado com a necessidade do paciente. Em Chicago nos Estados Unidos da América Bob et al…”

Section: Introductionunclassified

Análise Das Prescrições Dispensadas Em Uma Unidade Básica De Saúde Do Município De Ijuí – Rs

et al. 2015

View full text Add to dashboard Cite

Analysis of prescriptions dispensed in a basic health unit in the city of Ijuí/RS ABSTRACTThe aim of this study was to evaluate medical prescriptions regarding the prescribing indicators recommended by the World Health Organization and the Brazilian current legislation. This cross sectional study analyzed the prescriptions dispensed in a Basic Health Unit in the city of Ijuí/ RS through a questionnaire for data collection. It was evaluated 4.108 prescriptions, with a mean of 2.43 drugs by prescription. The patient's name was written in 94.9% of prescriptions. Regarding information related to the prescriber, the signature was present in 99.3% and the stamp and registration at the Regional Council of Medicine in 88.9%. The information relating to drug showed the lack of: a) route of administration (12.1%), b) pharmaceutical form (10.2%), c) dose (16.8%), d) dosage (16.7%) and e) length of treatment (16,1%). The results show that the health services are well organized and most prescriptions comply with the criteria established by WHO and Brazilian legislation.

show abstract

Section: Introductionunclassified

Análise Das Prescrições Dispensadas Em Uma Unidade Básica De Saúde Do Município De Ijuí – Rs

et al. 2015

View full text Add to dashboard Cite

show abstract

“…In a study conducted at a Mexican university (Zavaleta-Bustos, et al, 2008), a sample of 370 prescriptions were randomly selected for analysis. The results indicated that 214 prescriptions (58%) of the sample had at least one error.…”

Section: Introductionmentioning

confidence: 99%

EEMI - An Electronic Health Record for Pediatricians

Lavariega

Garza

Gómez

et al. 2016

International Journal of Healthcare Information Systems and Informatics

View full text Add to dashboard Cite

The use of paper health records and handwritten prescriptions are prone to preset errors of misunderstanding instructions or interpretations that derive in affecting patients' health. Electronic Health Records (EHR) systems are useful tools that among other functions can assists physicians' tasks such as finding recommended medicines, their contraindications, and dosage for a given diagnosis, filling prescriptions and support data sharing with other systems. This paper presents EEMI, a Children EHR focused on assisting pediatricians in their daily office practice. EEMI functionality keeps the relationships among diagnosis, treatment, and medications. EEMI also calculates dosages and automatically creates prescriptions which can be personalized by the physician. The system also validates patient allergies. This paper also presents the current use of EHRs in Mexico, the Mexican Norm (NOM-024-SSA3-2010), standards for the development of electronic medical records and its relationships with other standards for data exchange and data representation in the health area.

show abstract

“…Medication errors and ADEs are common in the ambulatory setting and are estimated to cost the US health care system $ 177 billion annually [5]. Nonetheless, little is known about the type or frequency of medication errors in primary care, where the majority of patients are in contact with health care providers [1,4,6].…”

Section: Introductionmentioning

confidence: 99%

Medication prescribing errors pertaining to cardiovascular/antidiabetic medications: a prescription audit in primary care

Khaja

Sequeira

Damanhori

2011

Fundamemntal Clinical Pharma

View full text Add to dashboard Cite

This study was carried out to identify the medication prescribing errors (MPEs) pertaining to cardiovascular/antidiabetic medications in prescriptions issued to hypertensive and diabetic hypertensive patients. A retrospective, nationwide audit of prescriptions (n = 2773) issued by primary care physicians (n = 194) of 20 health centres in Bahrain was carried out. Approximately one-quarter of prescriptions ordered by two-thirds of primary care physicians had errors. No significant differences with respect to overall errors were evident in prescriptions ordered by the family physicians and general practitioners. The most common error (in 8.0% of prescriptions) was prescribing β-blockers or diuretics (thiazide) or their combinations to patients on lipid-lowering drugs. Prescribing multiple antihypertensives, often with a similar mechanism, accounted for 2.2% errors: approximately half of these (1.45%) were two angiotensin-converting enzyme inhibitors (ACEIs) co-prescribed and/or ACEIs plus angiotensin-II receptor blockers. In 0.7% of prescriptions, β-blockers were ordered to patients on salbutamol treatment. High-dose metformin (3 g/day) was prescribed to approximately 4% diabetic hypertensives; of these, many were elderly patients. Prescribing high-dose glibenclamide (median dose 15 mg) to the elderly accounted for 3.6% of the overall errors. Polypharmacy, such as aspirin along with an immediate-release dipyridamole, was prescribed occasionally (0.25%), particularly by the general practitioners (P = 0.0139). MPEs are common in primary care, in Bahrain. Some of these prescribing errors have the potential to harm patients. Effective measures to detect and prevent such errors are needed to improve the quality of health care. Standard treatment guidelines and educational interventions are important strategies to achieve these goals.

show abstract

Prescription errors in a primary care university unit: urgency of pharmaceutical care in Mexico

Cited by 20 publications

References 13 publications

Análise Das Prescrições Dispensadas Em Uma Unidade Básica De Saúde Do Município De Ijuí – Rs

Análise Das Prescrições Dispensadas Em Uma Unidade Básica De Saúde Do Município De Ijuí – Rs

EEMI - An Electronic Health Record for Pediatricians

Medication prescribing errors pertaining to cardiovascular/antidiabetic medications: a prescription audit in primary care

Contact Info

Product

Resources

About