Prescribing errors in a Brazilian neonatal intensive care unit

Detalhes bibliográficos
Autor(a) principal: Ana Paula Cezar Machado
Data de Publicação: 2015
Outros Autores: Catharina Somerlate Franco Tomich, Simone Franco Osme, Daniela Marques de Lima Mota Ferreira, Maria Angélica Oliveira Mendonça, Rogério Melo Costa Pinto, Nilson Penha-Silva, Vânia Olivetti Steffen Abdallah
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5753
Resumo: Abstract Pediatric patients, especially those admitted to the neonatal intensive care unit (ICU), are highly vulnerable to medication errors. This study aimed to measure the prescription error rate in a university hospital neonatal ICU and to identify susceptible patients, types of errors, and the medicines involved. The variables related to medicines prescribed were compared to the Neofax prescription protocol. The study enrolled 150 newborns and analyzed 489 prescription order forms, with 1,491 medication items, corresponding to 46 drugs. Prescription error rate was 43.5%. Errors were found in dosage, intervals, diluents, and infusion time, distributed across 7 therapeutic classes. Errors were more frequent in preterm newborns. Diluent and dosing were the most frequent sources of errors. The therapeutic classes most involved in errors were antimicrobial agents and drugs that act on the nervous and cardiovascular systems.
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spelling Prescribing errors in a Brazilian neonatal intensive care unitInappropriate PrescribingPremature InfantNewborn InfantNeonatal Intensive Care UnitsAbstract Pediatric patients, especially those admitted to the neonatal intensive care unit (ICU), are highly vulnerable to medication errors. This study aimed to measure the prescription error rate in a university hospital neonatal ICU and to identify susceptible patients, types of errors, and the medicines involved. The variables related to medicines prescribed were compared to the Neofax prescription protocol. The study enrolled 150 newborns and analyzed 489 prescription order forms, with 1,491 medication items, corresponding to 46 drugs. Prescription error rate was 43.5%. Errors were found in dosage, intervals, diluents, and infusion time, distributed across 7 therapeutic classes. Errors were more frequent in preterm newborns. Diluent and dosing were the most frequent sources of errors. The therapeutic classes most involved in errors were antimicrobial agents and drugs that act on the nervous and cardiovascular systems.Resumen Pacientes pediátricos, principalmente internados en unidades de terapia intensiva (UTI) neonatal, son altamente vulnerables a los errores de medicación. El objetivo de este estudio fue conocer la frecuencia de los errores de prescripción en una UTI neonatal de un hospital universitario así como, los pacientes susceptibles, los tipos de errores y los medicamentos involucrados. Las variables prescritas relacionadas a los medicamentos fueron comparadas con la base utilizada como referencia para la prescripción en la unidad (Neofax). Participaron en el estudio 150 recién nacidos. Se analizaron 489 prescripciones, 1.491 ítems de medicamentos, correspondiendo a 46 fármacos. La tasa de errores de prescripción fue de un 43,5%. Fueron encontrados errores de dosis, intervalo, diluyente y tiempo de infusión, distribuidos en 7 clases terapéuticas. La ocurrencia de errores fue mayor en recién nacidos prematuros. Los errores de diluyente y de dosis fueron los más frecuentes. Las clases de medicamentos más involucrados en los errores fueron los anti-infecciosos y aquellos que actúan en el sistema nervioso y cardiovascular.Resumo Pacientes pediátricos, principalmente internados em unidades de terapia intensiva (UTI) neonatal, são altamente vulneráveis aos erros de medicação. O objetivo deste trabalho foi conhecer a frequência dos erros de prescrição em uma UTI neonatal de um hospital universitário, bem como os pacientes susceptíveis, os tipos de erros e os medicamentos envolvidos. As variáveis prescritas relacionadas aos medicamentos foram comparadas com a base utilizada como referência para a prescrição na unidade (Neofax). Participaram do estudo 150 recém-nascidos. Foram analisadas 489 prescrições, 1.491 itens de medicamentos, correspondendo a 46 fármacos. A taxa de erros de prescrição foi de 43,5%. Foram encontrados erros de dose, intervalo, diluente e tempo de infusão, distribuídos em sete classes terapêuticas. A ocorrência de erros foi maior em recém-nascidos pré-termos. Os erros de diluente e de dose foram os mais frequentes. As classes de medicamentos mais envolvidas nos erros foram os anti-infecciosos e aqueles que atuam nos sistemas nervoso e cardiovascular.Reports in Public HealthCadernos de Saúde Pública2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5753Reports in Public Health; Vol. 31 No. 12 (2015): DecemberCadernos de Saúde Pública; v. 31 n. 12 (2015): Dezembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5753/11991https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5753/11992Ana Paula Cezar MachadoCatharina Somerlate Franco TomichSimone Franco OsmeDaniela Marques de Lima Mota FerreiraMaria Angélica Oliveira MendonçaRogério Melo Costa PintoNilson Penha-SilvaVânia Olivetti Steffen Abdallahinfo:eu-repo/semantics/openAccess2024-03-06T15:28:54Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5753Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:34.801980Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Prescribing errors in a Brazilian neonatal intensive care unit
title Prescribing errors in a Brazilian neonatal intensive care unit
spellingShingle Prescribing errors in a Brazilian neonatal intensive care unit
Ana Paula Cezar Machado
Inappropriate Prescribing
Premature Infant
Newborn Infant
Neonatal Intensive Care Units
title_short Prescribing errors in a Brazilian neonatal intensive care unit
title_full Prescribing errors in a Brazilian neonatal intensive care unit
title_fullStr Prescribing errors in a Brazilian neonatal intensive care unit
title_full_unstemmed Prescribing errors in a Brazilian neonatal intensive care unit
title_sort Prescribing errors in a Brazilian neonatal intensive care unit
author Ana Paula Cezar Machado
author_facet Ana Paula Cezar Machado
Catharina Somerlate Franco Tomich
Simone Franco Osme
Daniela Marques de Lima Mota Ferreira
Maria Angélica Oliveira Mendonça
Rogério Melo Costa Pinto
Nilson Penha-Silva
Vânia Olivetti Steffen Abdallah
author_role author
author2 Catharina Somerlate Franco Tomich
Simone Franco Osme
Daniela Marques de Lima Mota Ferreira
Maria Angélica Oliveira Mendonça
Rogério Melo Costa Pinto
Nilson Penha-Silva
Vânia Olivetti Steffen Abdallah
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Ana Paula Cezar Machado
Catharina Somerlate Franco Tomich
Simone Franco Osme
Daniela Marques de Lima Mota Ferreira
Maria Angélica Oliveira Mendonça
Rogério Melo Costa Pinto
Nilson Penha-Silva
Vânia Olivetti Steffen Abdallah
dc.subject.por.fl_str_mv Inappropriate Prescribing
Premature Infant
Newborn Infant
Neonatal Intensive Care Units
topic Inappropriate Prescribing
Premature Infant
Newborn Infant
Neonatal Intensive Care Units
description Abstract Pediatric patients, especially those admitted to the neonatal intensive care unit (ICU), are highly vulnerable to medication errors. This study aimed to measure the prescription error rate in a university hospital neonatal ICU and to identify susceptible patients, types of errors, and the medicines involved. The variables related to medicines prescribed were compared to the Neofax prescription protocol. The study enrolled 150 newborns and analyzed 489 prescription order forms, with 1,491 medication items, corresponding to 46 drugs. Prescription error rate was 43.5%. Errors were found in dosage, intervals, diluents, and infusion time, distributed across 7 therapeutic classes. Errors were more frequent in preterm newborns. Diluent and dosing were the most frequent sources of errors. The therapeutic classes most involved in errors were antimicrobial agents and drugs that act on the nervous and cardiovascular systems.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5753
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5753
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5753/11991
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5753/11992
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 31 No. 12 (2015): December
Cadernos de Saúde Pública; v. 31 n. 12 (2015): Dezembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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