Determining medication errors in an adult intensive care unit
Main Author: | |
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Publication Date: | 2023 |
Other Authors: | , , , , , , , |
Format: | Article |
Language: | eng |
Source: | Repositório Institucional da UnB |
Download full: | http://repositorio2.unb.br/jspui/handle/10482/47933 https://doi.org/10.3390/ijerph20186788 https://orcid.org/0000-0001-5957-586X https://orcid.org/0000-0002-1170-8974 https://orcid.org/0000-0002-9064-0735 https://orcid.org/0000-0002-6836-3583 https://orcid.org/0000-0001-6830-4914 https://orcid.org/0000-0001-8747-4185 https://orcid.org/0000-0003-1300-9576 https://orcid.org/0000-0002-9332-9029 |
Summary: | Introduction: Research addressing the costs of Medication errors (MEs) is still scarce despite issues related to patient safety having significant economic and health impacts, making it imperative to analyze the costs and adverse events related to MEs for a better patient, professional, and institutional safety. Aim: To identify the number of medication errors and verify whether this number was associated with increased hospitalization costs for patients in an Intensive Care Unit (ICU). Method: This retrospective cross-sectional cohort study evaluated secondary data from patients’ electronic medical records to compile variables, create a model, and survey hospitalization costs. The statistical analysis included calculating medication error rates, descriptive analysis, and simple and multivariate regression. Results: The omission error rate showed the highest number of errors per drug dose (59.8%) and total errors observed in the sample (55.31%), followed by the time error rate (26.97%; 24.95%). The omission error had the highest average when analyzing the entire hospitalization (170.40) and day of hospitalization (13.79). Hospitalization costs were significantly and positively correlated with scheduling errors, with an increase of BRL 121.92 (about USD $25.00) (95% CI 43.09; 200.74), and to prescription errors, with an increase of BRL 63.51 (about USD $3.00) (95% CI 29.93; 97.09). Conclusion: We observed an association between two types of medication errors and increased hospitalization costs in an adult ICU (scheduling and prescription errors). |
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Castro, Renata da Nóbrega Souza deAguiar, Lucas Barbosa deVolpe, Cris Renata GrouSilva, Calliandra Maria de SouzaSilva, Izabel Cristina Rodrigues daStival, Marina MoratoSilva, Everton Nunes daMeiners, Micheline Marie Milward de AzevedoFunghetto, Silvana SchwerzUniversity of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and TechnologiesUniversity of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and TechnologiesUniversity of Brasília, Department of Nursing, Faculty of CeilandiaUniversity of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and TechnologiesUniversity of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and TechnologiesUniversity of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and TechnologiesUniversity of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and TechnologiesUniversity of Brasília, Faculty of Ceilandia, Department of PharmacyUniversity of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and Technologies2024-02-28T14:04:36Z2024-02-28T14:04:36Z2023-09-20CASTRO, Renata da Nóbrega Souza de et al. International Journal Environmental Research Public Health, v. 20, n. 18, 6788, 2023. Determining medication errors in an adult intensive care unit. DOI: https://www.mdpi.com/1660-4601/20/18/6788. Disponível em: https://www.mdpi.com/1660-4601/20/18/6788.http://repositorio2.unb.br/jspui/handle/10482/47933https://doi.org/10.3390/ijerph20186788https://orcid.org/0000-0001-5957-586Xhttps://orcid.org/0000-0002-1170-8974https://orcid.org/0000-0002-9064-0735https://orcid.org/0000-0002-6836-3583https://orcid.org/0000-0001-6830-4914https://orcid.org/0000-0001-8747-4185https://orcid.org/0000-0003-1300-9576https://orcid.org/0000-0002-9332-9029Introduction: Research addressing the costs of Medication errors (MEs) is still scarce despite issues related to patient safety having significant economic and health impacts, making it imperative to analyze the costs and adverse events related to MEs for a better patient, professional, and institutional safety. Aim: To identify the number of medication errors and verify whether this number was associated with increased hospitalization costs for patients in an Intensive Care Unit (ICU). Method: This retrospective cross-sectional cohort study evaluated secondary data from patients’ electronic medical records to compile variables, create a model, and survey hospitalization costs. The statistical analysis included calculating medication error rates, descriptive analysis, and simple and multivariate regression. Results: The omission error rate showed the highest number of errors per drug dose (59.8%) and total errors observed in the sample (55.31%), followed by the time error rate (26.97%; 24.95%). The omission error had the highest average when analyzing the entire hospitalization (170.40) and day of hospitalization (13.79). Hospitalization costs were significantly and positively correlated with scheduling errors, with an increase of BRL 121.92 (about USD $25.00) (95% CI 43.09; 200.74), and to prescription errors, with an increase of BRL 63.51 (about USD $3.00) (95% CI 29.93; 97.09). Conclusion: We observed an association between two types of medication errors and increased hospitalization costs in an adult ICU (scheduling and prescription errors).Faculdade UnB Ceilândia (FCE)Curso de Enfermagem (FCE-ENF)Curso de Farmácia (FCE-FAR)Programa de Pós-Graduação em Ciências e Tecnologias em SaúdeengMDPICopyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).info:eu-repo/semantics/openAccessDetermining medication errors in an adult intensive care unitinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleErro de medicaçãoSegurança do pacienteUnidade de terapia intensivaCustos hospitalaresAnálise de custosreponame:Repositório Institucional da UnBinstname:Universidade de Brasília (UnB)instacron:UNBORIGINALARTIGO_DeterminingMedicationErrors.pdfARTIGO_DeterminingMedicationErrors.pdfapplication/pdf381846http://repositorio2.unb.br/jspui/bitstream/10482/47933/1/ARTIGO_DeterminingMedicationErrors.pdff0437b02b9713a76c8b9ab3e55342e6fMD51open accessLICENSElicense.txtlicense.txttext/plain102http://repositorio2.unb.br/jspui/bitstream/10482/47933/2/license.txtaed4704d04bb260d4decd80db311aaa5MD52open access10482/479332024-02-28 11:04:36.237open accessoai:repositorio2.unb.br:10482/47933U3VibWlzc8OjbyBlZmV0aXZhZGEgZGUgYWNvcmRvIGNvbSBsaWNlbsOnYSBjb25jZWRpZGEgcGVsbyBhdXRvciBlL291IGRldGVudG9yIGRvcyBkaXJlaXRvcyBhdXRvcmFpcy4KBiblioteca Digital de Teses e DissertaçõesPUBhttps://repositorio.unb.br/oai/requestopendoar:2024-02-28T14:04:36Repositório Institucional da UnB - Universidade de Brasília (UnB)false |
dc.title.pt_BR.fl_str_mv |
Determining medication errors in an adult intensive care unit |
title |
Determining medication errors in an adult intensive care unit |
spellingShingle |
Determining medication errors in an adult intensive care unit Castro, Renata da Nóbrega Souza de Erro de medicação Segurança do paciente Unidade de terapia intensiva Custos hospitalares Análise de custos |
title_short |
Determining medication errors in an adult intensive care unit |
title_full |
Determining medication errors in an adult intensive care unit |
title_fullStr |
Determining medication errors in an adult intensive care unit |
title_full_unstemmed |
Determining medication errors in an adult intensive care unit |
title_sort |
Determining medication errors in an adult intensive care unit |
author |
Castro, Renata da Nóbrega Souza de |
author_facet |
Castro, Renata da Nóbrega Souza de Aguiar, Lucas Barbosa de Volpe, Cris Renata Grou Silva, Calliandra Maria de Souza Silva, Izabel Cristina Rodrigues da Stival, Marina Morato Silva, Everton Nunes da Meiners, Micheline Marie Milward de Azevedo Funghetto, Silvana Schwerz |
author_role |
author |
author2 |
Aguiar, Lucas Barbosa de Volpe, Cris Renata Grou Silva, Calliandra Maria de Souza Silva, Izabel Cristina Rodrigues da Stival, Marina Morato Silva, Everton Nunes da Meiners, Micheline Marie Milward de Azevedo Funghetto, Silvana Schwerz |
author2_role |
author author author author author author author author |
dc.contributor.affiliation.pt_BR.fl_str_mv |
University of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and Technologies University of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and Technologies University of Brasília, Department of Nursing, Faculty of Ceilandia University of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and Technologies University of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and Technologies University of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and Technologies University of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and Technologies University of Brasília, Faculty of Ceilandia, Department of Pharmacy University of Brasília, Faculty of Ceilandia, Graduate Program in Health Sciences and Technologies |
dc.contributor.author.fl_str_mv |
Castro, Renata da Nóbrega Souza de Aguiar, Lucas Barbosa de Volpe, Cris Renata Grou Silva, Calliandra Maria de Souza Silva, Izabel Cristina Rodrigues da Stival, Marina Morato Silva, Everton Nunes da Meiners, Micheline Marie Milward de Azevedo Funghetto, Silvana Schwerz |
dc.subject.keyword.pt_BR.fl_str_mv |
Erro de medicação Segurança do paciente Unidade de terapia intensiva Custos hospitalares Análise de custos |
topic |
Erro de medicação Segurança do paciente Unidade de terapia intensiva Custos hospitalares Análise de custos |
description |
Introduction: Research addressing the costs of Medication errors (MEs) is still scarce despite issues related to patient safety having significant economic and health impacts, making it imperative to analyze the costs and adverse events related to MEs for a better patient, professional, and institutional safety. Aim: To identify the number of medication errors and verify whether this number was associated with increased hospitalization costs for patients in an Intensive Care Unit (ICU). Method: This retrospective cross-sectional cohort study evaluated secondary data from patients’ electronic medical records to compile variables, create a model, and survey hospitalization costs. The statistical analysis included calculating medication error rates, descriptive analysis, and simple and multivariate regression. Results: The omission error rate showed the highest number of errors per drug dose (59.8%) and total errors observed in the sample (55.31%), followed by the time error rate (26.97%; 24.95%). The omission error had the highest average when analyzing the entire hospitalization (170.40) and day of hospitalization (13.79). Hospitalization costs were significantly and positively correlated with scheduling errors, with an increase of BRL 121.92 (about USD $25.00) (95% CI 43.09; 200.74), and to prescription errors, with an increase of BRL 63.51 (about USD $3.00) (95% CI 29.93; 97.09). Conclusion: We observed an association between two types of medication errors and increased hospitalization costs in an adult ICU (scheduling and prescription errors). |
publishDate |
2023 |
dc.date.issued.fl_str_mv |
2023-09-20 |
dc.date.accessioned.fl_str_mv |
2024-02-28T14:04:36Z |
dc.date.available.fl_str_mv |
2024-02-28T14:04:36Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
CASTRO, Renata da Nóbrega Souza de et al. International Journal Environmental Research Public Health, v. 20, n. 18, 6788, 2023. Determining medication errors in an adult intensive care unit. DOI: https://www.mdpi.com/1660-4601/20/18/6788. Disponível em: https://www.mdpi.com/1660-4601/20/18/6788. |
dc.identifier.uri.fl_str_mv |
http://repositorio2.unb.br/jspui/handle/10482/47933 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.3390/ijerph20186788 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0001-5957-586X https://orcid.org/0000-0002-1170-8974 https://orcid.org/0000-0002-9064-0735 https://orcid.org/0000-0002-6836-3583 https://orcid.org/0000-0001-6830-4914 https://orcid.org/0000-0001-8747-4185 https://orcid.org/0000-0003-1300-9576 https://orcid.org/0000-0002-9332-9029 |
identifier_str_mv |
CASTRO, Renata da Nóbrega Souza de et al. International Journal Environmental Research Public Health, v. 20, n. 18, 6788, 2023. Determining medication errors in an adult intensive care unit. DOI: https://www.mdpi.com/1660-4601/20/18/6788. Disponível em: https://www.mdpi.com/1660-4601/20/18/6788. |
url |
http://repositorio2.unb.br/jspui/handle/10482/47933 https://doi.org/10.3390/ijerph20186788 https://orcid.org/0000-0001-5957-586X https://orcid.org/0000-0002-1170-8974 https://orcid.org/0000-0002-9064-0735 https://orcid.org/0000-0002-6836-3583 https://orcid.org/0000-0001-6830-4914 https://orcid.org/0000-0001-8747-4185 https://orcid.org/0000-0003-1300-9576 https://orcid.org/0000-0002-9332-9029 |
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