A Prospective Observational Study of Medication Errors in a Tertiary Care Emergency Department

Patanwala, Asad E.; Warholak, Terri; Sanders, Arthur B.; Erstad, Brian L.

doi:10.1016/j.annemergmed.2009.12.017

Cited by 92 publications

(64 citation statements)

References 7 publications

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“…Este fato é ainda mais preocupante em Unidades de Terapia Intensiva (UTIs), onde os pacientes internados, devido ao seu estado crítico e complexo, necessitam de uma ampla prescrição medicamentosa, ficando ainda mais susceptíveis a erros de prescrição e administração 10 . Contudo, um crescente número de evidências científicas tem demonstrado que os cuidados farmacêuticos melhoram desfechos clínicos além de econômicos, visto que os gastos com medicamentos em UTIs podem chegar a 38% das despesas de uma unidade hospitalar 7,11 .…”

Section: Introductionunclassified

Intervenções Farmacêuticas Em Uma Unidade De Terapia Intensiva De Um Hospital Universitário

Araujo¹,

Viapiana²,

Domingues³

et al. 2017

Rev. Bras. Farm. Hosp. Serv. Saúde

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Section: Introductionunclassified

Intervenções Farmacêuticas Em Uma Unidade De Terapia Intensiva De Um Hospital Universitário

Araujo¹,

Viapiana²,

Domingues³

et al. 2017

Rev. Bras. Farm. Hosp. Serv. Saúde

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“…Transcribing information, such as prescriptions, is another well‐known risk (Patanwala et al . 2010; Ben‐Yehuda et al . 2011) and should, therefore be avoided.…”

Section: Discussionmentioning

confidence: 99%

From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure types

Fyhr

Ternov²,

2015

Eur J Cancer Care

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A better understanding of why medication errors (MEs) occur will mean that we can work proactively to minimise them. This study developed a proactive tool to identify general failure types (GFTs) in the process of managing cytotoxic drugs in healthcare. The tool is based on Reason's Tripod Delta tool. The GFTs and active failures were identified in 60 cases of MEs reported to the Swedish national authorities. The most frequently encountered GFTs were defences, procedures, organisation and design. Working conditions were often the common denominator underlying the MEs. Among the active failures identified, a majority were classified as slips, one‐third as mistakes, and for a few no active failure or error could be determined. It was found that the tool facilitated the qualitative understanding of how the organisational weaknesses and local characteristics influence the risks. It is recommended that the tool be used regularly. We propose further development of the GFT tool. We also propose a tool to be further developed into a proactive self‐evaluation tool that would work as a complement to already incident reporting and event and risk analyses.

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“…It is also possible to verify the promotion of patient safety, since the majority of medication errors occur during the prescription phase and in the process of administration of the medication; thus, the pharmacist has a greater influence for appropriate prescription and use of the medication (12) . The ED offers a wide range of services, activities, and opportunities for the clinical pharmacist's participation.…”

Section: Discussionmentioning

confidence: 99%

Interventions performed by the clinical pharmacist in the emergency department

Miranda

Petriccione

Ferracini

et al. 2012

Einstein (São Paulo)

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13%); compatibility: 50 (4%); dilution: 121 (9.77%); legibility: 39 (3.15%); pharmacovigilance: 7 (0.56%); adverse reaction to medications: 7 (0.56%); allergy: 35 (2.82%); infusion time: 76 (6.13%); indication: 52 (4.20%); medication reconciliation: 2 (0.16%); enteral medication administration: 38 (3%); scheduling: 7 (0.56%); specific anticoagulant protocol: 44 (3.55%); specific hypoglycemic agent protocol: 42 (3.99%). Conclusion: The study allowed the demonstration of the importance of the clinical pharmacist active in the Emergency Department. By the classification and by the number of interventions carried out, it was possible to observe that the Clinical Pharmacy Service had a great impact on the increased safety for the patient and prevention of adverse events.

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A Prospective Observational Study of Medication Errors in a Tertiary Care Emergency Department

Cited by 92 publications

References 7 publications

Intervenções Farmacêuticas Em Uma Unidade De Terapia Intensiva De Um Hospital Universitário

Intervenções Farmacêuticas Em Uma Unidade De Terapia Intensiva De Um Hospital Universitário

From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure types

Interventions performed by the clinical pharmacist in the emergency department

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