Prescription errors in Brazilian hospitals: a multi-centre exploratory survey

Detalhes bibliográficos
Autor(a) principal: Miasso, Adriana Inocenti
Data de Publicação: 2009
Outros Autores: Oliveira, Regina Célia de, Silva, Ana Elisa Bauer de Camargo, Lyra Junior, Divaldo Pereira de, Gimenes, Fernanda Raphael Escobar, Fakih, Flávio Trevisan, Cassiani, Sílvia Helena De Bortoli
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/3941
Resumo: In Brazil, millions of prescriptions do not follow the legal requirements necessary to guarantee the correct dispensing and administration of medication. This multi-centre exploratory study aimed to analyze the appropriateness of prescriptions at four Brazilian hospitals and to identify possible errors caused by inadequacies. The sample consisted of 864 prescriptions obtained at hospital medical clinics in January 2003. Data was collected by three nurse researchers during one week using a standard data sheet that included items about: the type of prescription; legibility; completeness; use of abbreviations; existence of changes and erasures. There were statistically significant differences between incomplete electronic prescriptions at hospital A, and handwritten ones from hospitals C (Ç2 = 12.703 and p < 0.001) and D (Ç2 = 14.074 and p < 0.001). Abbreviations were used in more than 80% of prescriptions at hospitals B, C and D. Changes were found in prescriptions at all hospitals, with higher levels at hospitals B (35.2%) and A (25.3%). This study identified a range of vulnerable points in the prescription phase of the medication system at the hospitals. Physicians, pharmacists and nurses should therefore jointly propose strategies to avoid these prescription errors.
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spelling Prescription errors in Brazilian hospitals: a multi-centre exploratory surveyMedication ErrorsMedication SystemsDrug PrescriptionsIn Brazil, millions of prescriptions do not follow the legal requirements necessary to guarantee the correct dispensing and administration of medication. This multi-centre exploratory study aimed to analyze the appropriateness of prescriptions at four Brazilian hospitals and to identify possible errors caused by inadequacies. The sample consisted of 864 prescriptions obtained at hospital medical clinics in January 2003. Data was collected by three nurse researchers during one week using a standard data sheet that included items about: the type of prescription; legibility; completeness; use of abbreviations; existence of changes and erasures. There were statistically significant differences between incomplete electronic prescriptions at hospital A, and handwritten ones from hospitals C (Ç2 = 12.703 and p < 0.001) and D (Ç2 = 14.074 and p < 0.001). Abbreviations were used in more than 80% of prescriptions at hospitals B, C and D. Changes were found in prescriptions at all hospitals, with higher levels at hospitals B (35.2%) and A (25.3%). This study identified a range of vulnerable points in the prescription phase of the medication system at the hospitals. Physicians, pharmacists and nurses should therefore jointly propose strategies to avoid these prescription errors.No Brasil, milhões de prescrições não apresentam os requisitos legais necessários para garantir a correta dispensação e administração dos medicamentos. Este estudo multicêntrico exploratório objetivou analisar a adequação das prescrições em quatro hospitais brasileiros e identificar eventuais erros causados pelas inadequações. A amostra consistiu de 864 prescrições obtidas nas clínicas médicas dos hospitais em janeiro de 2003. Os dados foram coletados por três enfermeiras durante uma semana através de instrumento estruturado com variáveis sobre: tipo de prescrição; legibilidade; completude; presença de abreviações, alterações e rasuras. Houve diferenças estatisticamente significativas entre prescrição eletrônica no hospital A e manuscritas nos C (Ç2 = 12,703 e p < 0,001) e D (Ç2 = 14,074 e p < 0,001). Abreviações foram usadas em mais de 80% das receitas nos hospitais B, C e D. Alterações foram encontradas em prescrições de todos os hospitais, com níveis mais elevados no B (35,2%) e A (25,3%). Este estudo identificou uma série de pontos vulneráveis na fase prescrição dos sistemas de medicação dos hospitais. Portanto, médicos, farmacêuticos e enfermeiros deverão juntos propor estratégias para evitar erros de prescrição.Reports in Public HealthCadernos de Saúde Pública2009-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3941Reports in Public Health; Vol. 25 No. 2 (2009): FebruaryCadernos de Saúde Pública; v. 25 n. 2 (2009): Fevereiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3941/8003https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3941/8004Miasso, Adriana InocentiOliveira, Regina Célia deSilva, Ana Elisa Bauer de CamargoLyra Junior, Divaldo Pereira deGimenes, Fernanda Raphael EscobarFakih, Flávio TrevisanCassiani, Sílvia Helena De Bortoliinfo:eu-repo/semantics/openAccess2024-03-06T15:27:54Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/3941Revistahttps://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:2024-03-06T13:04:31.579187Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Prescription errors in Brazilian hospitals: a multi-centre exploratory survey
title Prescription errors in Brazilian hospitals: a multi-centre exploratory survey
spellingShingle Prescription errors in Brazilian hospitals: a multi-centre exploratory survey
Miasso, Adriana Inocenti
Medication Errors
Medication Systems
Drug Prescriptions
title_short Prescription errors in Brazilian hospitals: a multi-centre exploratory survey
title_full Prescription errors in Brazilian hospitals: a multi-centre exploratory survey
title_fullStr Prescription errors in Brazilian hospitals: a multi-centre exploratory survey
title_full_unstemmed Prescription errors in Brazilian hospitals: a multi-centre exploratory survey
title_sort Prescription errors in Brazilian hospitals: a multi-centre exploratory survey
author Miasso, Adriana Inocenti
author_facet Miasso, Adriana Inocenti
Oliveira, Regina Célia de
Silva, Ana Elisa Bauer de Camargo
Lyra Junior, Divaldo Pereira de
Gimenes, Fernanda Raphael Escobar
Fakih, Flávio Trevisan
Cassiani, Sílvia Helena De Bortoli
author_role author
author2 Oliveira, Regina Célia de
Silva, Ana Elisa Bauer de Camargo
Lyra Junior, Divaldo Pereira de
Gimenes, Fernanda Raphael Escobar
Fakih, Flávio Trevisan
Cassiani, Sílvia Helena De Bortoli
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Miasso, Adriana Inocenti
Oliveira, Regina Célia de
Silva, Ana Elisa Bauer de Camargo
Lyra Junior, Divaldo Pereira de
Gimenes, Fernanda Raphael Escobar
Fakih, Flávio Trevisan
Cassiani, Sílvia Helena De Bortoli
dc.subject.por.fl_str_mv Medication Errors
Medication Systems
Drug Prescriptions
topic Medication Errors
Medication Systems
Drug Prescriptions
description In Brazil, millions of prescriptions do not follow the legal requirements necessary to guarantee the correct dispensing and administration of medication. This multi-centre exploratory study aimed to analyze the appropriateness of prescriptions at four Brazilian hospitals and to identify possible errors caused by inadequacies. The sample consisted of 864 prescriptions obtained at hospital medical clinics in January 2003. Data was collected by three nurse researchers during one week using a standard data sheet that included items about: the type of prescription; legibility; completeness; use of abbreviations; existence of changes and erasures. There were statistically significant differences between incomplete electronic prescriptions at hospital A, and handwritten ones from hospitals C (Ç2 = 12.703 and p < 0.001) and D (Ç2 = 14.074 and p < 0.001). Abbreviations were used in more than 80% of prescriptions at hospitals B, C and D. Changes were found in prescriptions at all hospitals, with higher levels at hospitals B (35.2%) and A (25.3%). This study identified a range of vulnerable points in the prescription phase of the medication system at the hospitals. Physicians, pharmacists and nurses should therefore jointly propose strategies to avoid these prescription errors.
publishDate 2009
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dc.language.iso.fl_str_mv eng
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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. 25 No. 2 (2009): February
Cadernos de Saúde Pública; v. 25 n. 2 (2009): Fevereiro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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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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