Prescribing errors in a Brazilian neonatal intensive care unit

Detalhes bibliográficos
Autor(a) principal: Machado,Ana Paula Cezar
Data de Publicação: 2015
Outros Autores: Tomich,Catharina Somerlate Franco, Osme,Simone Franco, Ferreira,Daniela Marques de Lima Mota, Mendonça,Maria Angélica Oliveira, Pinto,Rogério Melo Costa, Penha-Silva,Nilson, Abdallah,Vânia Olivetti Steffen
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015001202610
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.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015001202610Cadernos de Saúde Pública v.31 n.12 2015reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311X00194714info:eu-repo/semantics/openAccessMachado,Ana Paula CezarTomich,Catharina Somerlate FrancoOsme,Simone FrancoFerreira,Daniela Marques de Lima MotaMendonça,Maria Angélica OliveiraPinto,Rogério Melo CostaPenha-Silva,NilsonAbdallah,Vânia Olivetti Steffeneng2016-01-29T00:00:00Zoai:scielo:S0102-311X2015001202610Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2016-01-29T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false
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
Machado,Ana Paula Cezar
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 Machado,Ana Paula Cezar
author_facet Machado,Ana Paula Cezar
Tomich,Catharina Somerlate Franco
Osme,Simone Franco
Ferreira,Daniela Marques de Lima Mota
Mendonça,Maria Angélica Oliveira
Pinto,Rogério Melo Costa
Penha-Silva,Nilson
Abdallah,Vânia Olivetti Steffen
author_role author
author2 Tomich,Catharina Somerlate Franco
Osme,Simone Franco
Ferreira,Daniela Marques de Lima Mota
Mendonça,Maria Angélica Oliveira
Pinto,Rogério Melo Costa
Penha-Silva,Nilson
Abdallah,Vânia Olivetti Steffen
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Machado,Ana Paula Cezar
Tomich,Catharina Somerlate Franco
Osme,Simone Franco
Ferreira,Daniela Marques de Lima Mota
Mendonça,Maria Angélica Oliveira
Pinto,Rogério Melo Costa
Penha-Silva,Nilson
Abdallah,Vânia Olivetti Steffen
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
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015001202610
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015001202610
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0102-311X00194714
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Cadernos de Saúde Pública v.31 n.12 2015
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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)
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