Medication errors in critical patients during medication reconciliation: analyses and clinical management



Document title: Medication errors in critical patients during medication reconciliation: analyses and clinical management
Journal: Brazilian Journal of Pharmaceutical Sciences
Database: PERIÓDICA
System number: 000452151
ISSN: 1984-8250
Authors: 1
2
1
3
1
1
Institutions: 1Universidade Federal do Ceara, Fortaleza, Ceara. Brasil
2Faculdade Ateneu, Fortaleza, Ceara. Brasil
3Maternidade Escola Assis Chateaubriand, Fortaleza, Ceara. Brasil
Year:
Volumen: 58
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Analítico, descriptivo
English abstract Medication errors (ME) are frequent in the admission of patients to the ICU and can be identified and prevented through medication reconciliation (MR). Our aim was to evaluate the incidence, type and severity of MEs and associated factors, identified during MR in the ICU. This is a prospective, analytical approach, performed in the ICU of a private hospital, where the MRs were evaluated from April to June 2016. The SPSS and Stata programs were used to analyse the data. Logistic regression was performed to determine the factors associated with MEs. MR was performed with 136 patients, of whom 126 (92.6%) used drugs regularly. The incidence of MEs was 16.3% (95% CI 11.5-21.2). The main classes of drugs involved were those acting on the nervous and cardiovascular systems. There were 128 pharmaceutical interventions (acceptance: 71.1%). Regarding severity, 65.5% (n=80) of the errors reached the patient, but there was no harm. The risk factors for MEs identified were: age ≥60 years, number of comorbidities >1 and previous use of drugs ≥9. The incidence of MEs found and the significant association with age, comorbidities and polymedication alert to the need for specific attention to prevent admission errors in the most susceptible patient groups
Disciplines: Medicina
Keyword: Terapéutica y rehabilitación,
Farmacología,
Unidad de cuidados intensivos,
Errores de medicación,
Seguridad del paciente
Keyword: Therapeutics and rehabilitation,
Pharmacology,
Intensive care unit (ICU),
Patient safety,
Medication errors
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