MEDICATION ERRORS AND DEGREE OF PATIENT DAMAGE AT A TEACHING HOSPITAL

The objectives in this study were to verify the incidence of medication errors and near misses and the degree of damage to the patient, as well as the association between the degree of damage and sociodemographic and hospitalization characteristics. Descriptive and retrospective study with a quantit...

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Main Authors: Miriam Cristina Borges, Josimerci Ittavo Lamana Faria, Maria Regina Lourenço Jabur, Kleber Aparecido de Oliveira, Ilza dos Passos Zborowski, Lúcia Marinilza Beccaria
Format: Article
Language:English
Published: Universidade Federal do Paraná 2016-12-01
Series:Cogitare Enfermagem
Subjects:
Online Access:http://dx.doi.org/10.5380/ce.v21i4.45397
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author Miriam Cristina Borges
Josimerci Ittavo Lamana Faria
Maria Regina Lourenço Jabur
Kleber Aparecido de Oliveira
Ilza dos Passos Zborowski
Lúcia Marinilza Beccaria
author_facet Miriam Cristina Borges
Josimerci Ittavo Lamana Faria
Maria Regina Lourenço Jabur
Kleber Aparecido de Oliveira
Ilza dos Passos Zborowski
Lúcia Marinilza Beccaria
author_sort Miriam Cristina Borges
collection DOAJ
description The objectives in this study were to verify the incidence of medication errors and near misses and the degree of damage to the patient, as well as the association between the degree of damage and sociodemographic and hospitalization characteristics. Descriptive and retrospective study with a quantitative approach, undertaken at a hospital in the interior of the State of São Paulo.The data were collected through the adverse event reporting system and the electronic history between September/2014 and August/2015. In total, 113 error reports were found, mostly related to preparation and administration; a small percentage of near misses was found; the damage was classified: 60 (53.1%) none, 29 (25.7%) mild, 16 (14.1%) moderate and eight (7.1%) severe. More errors were reported at clinical-surgical units, and a relation was found between the severity of the event and intensive care patients. Reporting, measuring and analyzing the event, the degree of damage and relating them with the patient characteristics help the nurse to improve the work process in the prevention and control of medication errors.
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spelling doaj.art-cb2e6b6ff0a64f5b82086832f4ad11982022-12-21T22:57:17ZengUniversidade Federal do ParanáCogitare Enfermagem1414-85362176-91332016-12-012140109http://dx.doi.org/10.5380/ce.v21i4.45397MEDICATION ERRORS AND DEGREE OF PATIENT DAMAGE AT A TEACHING HOSPITALMiriam Cristina Borges Josimerci Ittavo Lamana FariaMaria Regina Lourenço JaburKleber Aparecido de OliveiraIlza dos Passos ZborowskiLúcia Marinilza BeccariaThe objectives in this study were to verify the incidence of medication errors and near misses and the degree of damage to the patient, as well as the association between the degree of damage and sociodemographic and hospitalization characteristics. Descriptive and retrospective study with a quantitative approach, undertaken at a hospital in the interior of the State of São Paulo.The data were collected through the adverse event reporting system and the electronic history between September/2014 and August/2015. In total, 113 error reports were found, mostly related to preparation and administration; a small percentage of near misses was found; the damage was classified: 60 (53.1%) none, 29 (25.7%) mild, 16 (14.1%) moderate and eight (7.1%) severe. More errors were reported at clinical-surgical units, and a relation was found between the severity of the event and intensive care patients. Reporting, measuring and analyzing the event, the degree of damage and relating them with the patient characteristics help the nurse to improve the work process in the prevention and control of medication errors.http://dx.doi.org/10.5380/ce.v21i4.45397Patient safetyMedication errorsQuality indicatorsNotificationHospitals; teaching
spellingShingle Miriam Cristina Borges
Josimerci Ittavo Lamana Faria
Maria Regina Lourenço Jabur
Kleber Aparecido de Oliveira
Ilza dos Passos Zborowski
Lúcia Marinilza Beccaria
MEDICATION ERRORS AND DEGREE OF PATIENT DAMAGE AT A TEACHING HOSPITAL
Cogitare Enfermagem
Patient safety
Medication errors
Quality indicators
Notification
Hospitals; teaching
title MEDICATION ERRORS AND DEGREE OF PATIENT DAMAGE AT A TEACHING HOSPITAL
title_full MEDICATION ERRORS AND DEGREE OF PATIENT DAMAGE AT A TEACHING HOSPITAL
title_fullStr MEDICATION ERRORS AND DEGREE OF PATIENT DAMAGE AT A TEACHING HOSPITAL
title_full_unstemmed MEDICATION ERRORS AND DEGREE OF PATIENT DAMAGE AT A TEACHING HOSPITAL
title_short MEDICATION ERRORS AND DEGREE OF PATIENT DAMAGE AT A TEACHING HOSPITAL
title_sort medication errors and degree of patient damage at a teaching hospital
topic Patient safety
Medication errors
Quality indicators
Notification
Hospitals; teaching
url http://dx.doi.org/10.5380/ce.v21i4.45397
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