Abstract:This study analyzed the writing failure of the computerized physician order entry system and its advantages and disadvantages according to users. At a university hospital 1,351 physician orders were analyzed and 84 nursing and medical professionals were interviewed. The results showed that 17.7% of the orders presented measures, medication had been suspended in 16.8%, in 28.2% there was dubious or misleading information and in 25% medication had been prescribed manually. The professionals indicated advantages … Show more
“…The interruption of prescriptions was the most common change found in this study and it occurred at all hospitals, including hospital A. This data was confirmed by the literature that demonstrated that interruptions of the drug regimen were not reduced by electronic prescriptions 35,39 . So, Lesar 28 highlighted the need to confirm prescription changes or interruptions, from the discussion between the pharmacist and physician.…”
Section: Changes and Types Hospitalssupporting
confidence: 87%
“…It may cause confusion, which goes against the Brazilian medical ethics code which establishes that the doctor is responsible for prescribing clearly and legibly and, therefore, without erasures 40 . Despite this, previous studies showed that erasures are common in Brazilian prescriptions 13,20,35 . Sometimes a 'free text' feature can be used to substitute erasures in prescriptions.…”
Section: Changes and Types Hospitalsmentioning
confidence: 94%
“…Although it saves time and space, using abbreviations may sometimes turn out to be very expensive, as they may be misinterpreted, have double meanings, be confusing and give rise to errors 32,33,34 . Some studies mentioned difficulties in making the following distinctions on handwritten prescriptions: comp (tablets) vs. amp (flask); caps (capsules) vs. comp (tablets); sup (suppositories) vs. susp (suspension), which can lead to incorrect routes of administration and/or techniques 19,31,35 . In 2007, ANVISA discussed the establishment of standards for abbreviations in prescriptions 36 .…”
“…The interruption of prescriptions was the most common change found in this study and it occurred at all hospitals, including hospital A. This data was confirmed by the literature that demonstrated that interruptions of the drug regimen were not reduced by electronic prescriptions 35,39 . So, Lesar 28 highlighted the need to confirm prescription changes or interruptions, from the discussion between the pharmacist and physician.…”
Section: Changes and Types Hospitalssupporting
confidence: 87%
“…It may cause confusion, which goes against the Brazilian medical ethics code which establishes that the doctor is responsible for prescribing clearly and legibly and, therefore, without erasures 40 . Despite this, previous studies showed that erasures are common in Brazilian prescriptions 13,20,35 . Sometimes a 'free text' feature can be used to substitute erasures in prescriptions.…”
Section: Changes and Types Hospitalsmentioning
confidence: 94%
“…Although it saves time and space, using abbreviations may sometimes turn out to be very expensive, as they may be misinterpreted, have double meanings, be confusing and give rise to errors 32,33,34 . Some studies mentioned difficulties in making the following distinctions on handwritten prescriptions: comp (tablets) vs. amp (flask); caps (capsules) vs. comp (tablets); sup (suppositories) vs. susp (suspension), which can lead to incorrect routes of administration and/or techniques 19,31,35 . In 2007, ANVISA discussed the establishment of standards for abbreviations in prescriptions 36 .…”
“…Erasures have also been identified to affect patient safety because they may cause misreading of information included in the prescription (3,9) .…”
Section: Influence Of the Writing Of The Medical Orders On The Adminimentioning
confidence: 99%
“…An appropriate medication prescription is key for preventing these events because ambiguous, illegible or incomplete prescriptions as well as non-harmonized nomenclature of drug prescribed (brand vs. generic name), use of abbreviations and erasures are all well-known factors that can be associated with adverse events (2)(3) . Studies have showed that the administration of medication at different times than what was prescribed is the most common adverse event during the administration step (4)(5) .…”
Original Article
ABSTRACTObjective: To evaluate the influence of the writing of medical orders on the administration of medications in medical units from five brazilian hospitals. Methods: This descriptive study used a secondary analysis of data from a multicenter study conducted in 2005. the sample consisted of 1,084 medication orders that had been administered at the wrong schedule time. Results: The great majority of medical orders (96.2%) had acronyms and/or abbreviations, 7.8% of them had incomplete schedules for administration of the medication, and 4.8% had been marked out. in addition, there was no schedule for the administration of the medication in 1.9% of the medical orders. Conclusion: Implementation of electronic prescribing and continuing education of health care providers can minimize the administration of medication at the wrong schedule time. Descriptors: Medication errors; Drug prescriptions; Nursing records; Medical records RESUMO Objetivo: Analisar a influência da redação da prescrição médica na administração de medicamentos em horários diferentes do prescrito ocorridas em unidades de clínica médica de cinco hospitais brasileiros. Métodos: Trata-se de estudo descritivo que utilizou dados secundários obtidos de uma pesquisa multicêntrica realizada em 2005. A amostra foi composta por 1084 doses de medicamentos administradas em horários diferentes do prescrito. Resultados: Do total analisado, 96,2% apresentavam siglas e/ou abreviaturas; 7,8% apresentavam o registro do horário de administração incompleto e 4,8% destes registros estavam rasurados. Ainda, faltou o horário e/ou a freqüência de administração em 1,9% das prescrições. Conclusão: Com a implantação do sistema computadorizado de prescrições, associada à prática da educação permanente será possível minimizar a administração de medicamentos em horários diferentes do prescrito. Descritores: Erros de medicação; Prescrição de medicamentos; Registros de enfermagem; Registros médicos RESUMEN Objetivo: Analizar la influencia de la redacción de la prescripción médica en la administración de medicamentos en horarios diferentes al prescripto ocurridas en unidades de clínica médica de cinco hospitales brasileños. Métodos: Se trata de un estudio descriptivo que utilizó datos secundarios obtenidos de una investigación multicéntrica realizada en el 2005. La muestra estuvo compuesta por 1084 dosis de medicamentos administradas en horarios diferentes al prescripto. Resultados: Del total analizado, el 96,2% presentaba siglas y/o abreviaturas; el 7,8% presentaba el registro del horario de administración incompleto y el 4,8% de estos registros estaban borrados. Aun más, faltó el horario y/o la frecuencia de administración en el 1,9% de las prescripciones. Conclusión: Con la implantación del sistema computarizado de prescripciones, asociada a la práctica de la educación permanente será posible minimizar la administración de medicamentos en horarios diferentes al prescripto. Descriptores: Errores de medicación; Prescripción de medicamentos; Registros de enferm...
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