Prescribing errors in a Brazilian neonatal intensive care unit
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , |
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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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 |
format |
article |
status_str |
publishedVersion |
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) instacron:FIOCRUZ |
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) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115736276566016 |