PROFILE OF MEDICATION ERRORS BY ENTERAL TUBE IN INTENSIVE CARE: : AN OBSERVATIONAL STUDY

• Autor(a) principal: Lisboa, Caroline de Deus
• Data de Publicação: 2023
• Outros Autores: Silva de Andrade, Karla Biancha, Camerini, Flávia Giron, Henrique, Danielle de Mendonça, Fassarella, Cintia Silva, Nepomuceno, Raquel de Mendonça, Ferreira de Almeida, Luana, Galdino de Paula, Vanessa
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Enfermagem Atual In Derme
• Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/1764
• topic: Segurança do Paciente; Unidade de Terapia Intensiva; Erros de medicação; Nutrição enteral; Patient Safety; Intensive Care Units; Medication errors; Enteral Nutrition; Seguridaddel Paciente; Unidades de Cuidados Intensivos; Errores de medicación; Nutrición Enteral

Objective: to analyze the errors that occur in the preparation of medications by enteral tubes in intensive care. Method: observational study, with cross-sectional design, guided by the recommendations of the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE), carried out in four intensive care units of a private hospital in the city of Rio de Janeiro. To evaluate the preparation of drugs in solid pharmaceutical form, the variables were: crushing and dilution. For liquid drugs only the dilution variable. The unit of measurement used for the sample calculation was the prepared dose of the drug, and 720 doses of drugs prescribed by probes were analyzed. We observed 80 nursing technicians at the time of preparation of the medications, ensuring that the professional was observed in the management of at least nine doses of medications.  Results: It was identified error in the preparation of 480 doses (66.66%). The coated tablets and hard gelatin capsules were improperly crushed in 100% of the doses analyzed and 54% of the simple tablets had insufficient grinding. Insufficient dilution occurred in 100% of the syrup doses. Insufficient grinding for single tablets occurred in 310 doses (54%). Insufficient dilution occurred in 100% of the syrup doses. The prevalent error was that of grinding for solid drugs. Conclusions: the preparation of drugs presented a high frequency of errors, which can lead to losses in the bioavailability of the drug and compromise the good practices of enteral tube drug therapy.