Factors that predispose to the distraction of the team of nursing during the preparation and the administration of medicines

Detalhes bibliográficos
Autor(a) principal: Lemos, Natália Romana Ferreira
Data de Publicação: 2012
Outros Autores: Silva, Vagnára Ribeiro da, Martinez, Maria Regina
Tipo de documento: Artigo
Idioma: por
Título da fonte: Reme (Online)
Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/50312
Resumo: This research intended to exam the theory that distraction, during the preparation and administration of medication, can lead to errors. Direct and non-participant observations of the medication process (performed by nursing team in all nursing shifts) were carried out in the Intensive Care Unit of a philanthropic hospital. During observation stage 136 drugs were administered totaling 43 mistakes, namely: dose omission, infusion speed, duct, dose, dilution and schedule. During data collection 100 factors causing the nurses' distraction and that could lead to errors were identified: telephone or mobile phone ringing; interruption by other professionals; non-standardized changes of medical prescriptions; overlapping job tasks in standardized medication times; and lack of formal care planning. Although 21% of the errors related to the wrong preparation and administration times of medication were caused by the distracting event "non-standardized changes of medical prescriptions", there was not a significant correlation between the identified errors and the factors that could lead to distraction. Therefore it can be inferred that there is no direct link between the possible distracting factors and the errors related to the preparation and to the administration of medication.
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spelling Factors that predispose to the distraction of the team of nursing during the preparation and the administration of medicinesFactores que predisponen a la distracción de los enfermeros durante la preparación y administración de fármacosFatores que predispõem à distração da equipe de enfermagem durante o preparo e a administração de medicamentosEquipe de EnfermagemErros de MedicaçãoGerênciaEquipo de EnfermeríaErrores de MedicaciónGerenciaNursing TeamMedication ErrorsManagementThis research intended to exam the theory that distraction, during the preparation and administration of medication, can lead to errors. Direct and non-participant observations of the medication process (performed by nursing team in all nursing shifts) were carried out in the Intensive Care Unit of a philanthropic hospital. During observation stage 136 drugs were administered totaling 43 mistakes, namely: dose omission, infusion speed, duct, dose, dilution and schedule. During data collection 100 factors causing the nurses' distraction and that could lead to errors were identified: telephone or mobile phone ringing; interruption by other professionals; non-standardized changes of medical prescriptions; overlapping job tasks in standardized medication times; and lack of formal care planning. Although 21% of the errors related to the wrong preparation and administration times of medication were caused by the distracting event "non-standardized changes of medical prescriptions", there was not a significant correlation between the identified errors and the factors that could lead to distraction. Therefore it can be inferred that there is no direct link between the possible distracting factors and the errors related to the preparation and to the administration of medication.En esta investigación se propuso analizar la hipótesis que afirma que la distracción durante la preparación y administración de fármacos puede conducir a errores. Se realizaron observaciones directas no participantes del proceso llevado a cabo por los enfermeros de todas las guardias de la Unidad de Cuidados Intensivos de un hospital filantrópico. Durante el período de observación se administraron 136 fármacos y se comprobaron 43 errores, entre ellos: omisión, velocidad de infusión, vía, dosis, dilución y horario. Durante la recogida de datos se identificaron 100 factores que podrían causar distracción de los enfermeros y predisposición a la equivocación: el teléfono fijo o celular que suena, interrupción de otros profesionales, cambios no estandarizados de recetas médicas, superposición de distintas tareas del mismo profesional en los horarios estandarizados para la medicación y ausencia de planificación formal de la asistencia. El 21% de los errores de la medicación relacionado a la preparación y a la administración de fármacos en el horario equivocado se debió a "cambios no estandarizados de recetas médicas"; sin embargo, no hubo ninguna correlación significante entre los errores identificados y los factores que podrían llevar a la distracción. Por consiguiente puede deducirse que, en la condición estudiada, no hay relación directa entre los posibles factores de distracción y los errores relacionados a la preparación y administración de fármacos.Nesta pesquisa, propôs-se testar a hipótese de que a distração, durante o preparo e a administração de medicamentos, pode conduzir ao erro. No Centro de Terapia Intensiva (CTI) de um hospital filantrópico foram realizadas observações não participantes e diretas das atividades do processo medicamentoso desempenhadas pela equipe de enfermagem em todos os plantões. No período de observação, foram administrados 136 fármacos, totalizando 43 erros, dentre os quais omissão, velocidade de infusão, via, dose, diluição e horário. Durante a coleta de dados, foram identificados 100 fatores que poderiam causar distrações da enfermagem predispondo seu erro: telefone fixo da instituição ou celular tocando, interrupção por outros profissionais, mudanças não padronizadas de prescrições médicas, sobreposição de diferentes tarefas pelo mesmo profissional nos horários padronizados para medicação e ausência de planejamento formal da assistência. Embora 21% dos erros de medicação relacionados ao preparo e à administração de medicamentos em horário errado tenham sido induzidos pelo evento que causa distração "mudanças não padronizadas de prescrições médicas", não houve correlação significativa entre os erros identificados e os fatores que poderiam conduzir à distração. Portanto pode-se inferir que, na condição estudada, não existe relação direta entre os possíveis fatores que causam distração e os erros relacionados ao preparo e à administração de medicamentos.Universidade Federal de Minas Gerais2012-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/50312REME-Revista Mineira de Enfermagem; Vol. 16 No. 2 (2012)REME-Revista Mineira de Enfermagem; Vol. 16 Núm. 2 (2012)REME-Revista Mineira de Enfermagem; v. 16 n. 2 (2012)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporhttps://periodicos.ufmg.br/index.php/reme/article/view/50312/41801https://periodicos.ufmg.br/index.php/reme/article/view/50312/41802Copyright (c) 2012 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessLemos, Natália Romana FerreiraSilva, Vagnára Ribeiro daMartinez, Maria Regina2024-01-24T14:29:18Zoai:periodicos.ufmg.br:article/50312Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-24T14:29:18Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv Factors that predispose to the distraction of the team of nursing during the preparation and the administration of medicines
Factores que predisponen a la distracción de los enfermeros durante la preparación y administración de fármacos
Fatores que predispõem à distração da equipe de enfermagem durante o preparo e a administração de medicamentos
title Factors that predispose to the distraction of the team of nursing during the preparation and the administration of medicines
spellingShingle Factors that predispose to the distraction of the team of nursing during the preparation and the administration of medicines
Lemos, Natália Romana Ferreira
Equipe de Enfermagem
Erros de Medicação
Gerência
Equipo de Enfermería
Errores de Medicación
Gerencia
Nursing Team
Medication Errors
Management
title_short Factors that predispose to the distraction of the team of nursing during the preparation and the administration of medicines
title_full Factors that predispose to the distraction of the team of nursing during the preparation and the administration of medicines
title_fullStr Factors that predispose to the distraction of the team of nursing during the preparation and the administration of medicines
title_full_unstemmed Factors that predispose to the distraction of the team of nursing during the preparation and the administration of medicines
title_sort Factors that predispose to the distraction of the team of nursing during the preparation and the administration of medicines
author Lemos, Natália Romana Ferreira
author_facet Lemos, Natália Romana Ferreira
Silva, Vagnára Ribeiro da
Martinez, Maria Regina
author_role author
author2 Silva, Vagnára Ribeiro da
Martinez, Maria Regina
author2_role author
author
dc.contributor.author.fl_str_mv Lemos, Natália Romana Ferreira
Silva, Vagnára Ribeiro da
Martinez, Maria Regina
dc.subject.por.fl_str_mv Equipe de Enfermagem
Erros de Medicação
Gerência
Equipo de Enfermería
Errores de Medicación
Gerencia
Nursing Team
Medication Errors
Management
topic Equipe de Enfermagem
Erros de Medicação
Gerência
Equipo de Enfermería
Errores de Medicación
Gerencia
Nursing Team
Medication Errors
Management
description This research intended to exam the theory that distraction, during the preparation and administration of medication, can lead to errors. Direct and non-participant observations of the medication process (performed by nursing team in all nursing shifts) were carried out in the Intensive Care Unit of a philanthropic hospital. During observation stage 136 drugs were administered totaling 43 mistakes, namely: dose omission, infusion speed, duct, dose, dilution and schedule. During data collection 100 factors causing the nurses' distraction and that could lead to errors were identified: telephone or mobile phone ringing; interruption by other professionals; non-standardized changes of medical prescriptions; overlapping job tasks in standardized medication times; and lack of formal care planning. Although 21% of the errors related to the wrong preparation and administration times of medication were caused by the distracting event "non-standardized changes of medical prescriptions", there was not a significant correlation between the identified errors and the factors that could lead to distraction. Therefore it can be inferred that there is no direct link between the possible distracting factors and the errors related to the preparation and to the administration of medication.
publishDate 2012
dc.date.none.fl_str_mv 2012-06-01
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://periodicos.ufmg.br/index.php/reme/article/view/50312
url https://periodicos.ufmg.br/index.php/reme/article/view/50312
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50312/41801
https://periodicos.ufmg.br/index.php/reme/article/view/50312/41802
dc.rights.driver.fl_str_mv Copyright (c) 2012 Reme: Revista Mineira de Enfermagem
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2012 Reme: Revista Mineira de Enfermagem
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/plain
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv REME-Revista Mineira de Enfermagem; Vol. 16 No. 2 (2012)
REME-Revista Mineira de Enfermagem; Vol. 16 Núm. 2 (2012)
REME-Revista Mineira de Enfermagem; v. 16 n. 2 (2012)
2316-9389
1415-2762
reponame:Reme (Online)
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Reme (Online)
collection Reme (Online)
repository.name.fl_str_mv Reme (Online) - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv remeufmg@gmail.com
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