Prescribing errors in a Brazilian neonatal intensive care unit

被引：18
|
作者：
Cezar Machado, Ana Paula [1 ]
Franco Tomich, Catharina Somerlate [1 ]
Osme, Simone Franco [1 ]
de Lima Mota Ferreira, Daniela Marques [1 ]
Oliveira Mendonca, Maria Angelica [1 ]
Costa Pinto, Rogerio Melo [1 ]
Penha-Silva, Nilson [1 ]
Steffen Abdallah, Vania Olivetti [1 ]
机构：
[1] Univ Fed Uberlandia, Rua Acre 855, BR-38405319 Uberlandia, MG, Brazil
来源：
CADERNOS DE SAUDE PUBLICA | 2015年 / 31卷 / 12期
关键词：
Inappropriate Prescribing; Premature Infant; Newborn Infant; Neonatal Intensive Care Units; ADVERSE DRUG EVENTS; OF-THE-LITERATURE; MEDICATION ERRORS; PEDIATRIC INPATIENTS; CHILDREN; PREVENTION; STRATEGIES; EXPERIENCE; SEVERITY; QUALITY;
D O I：
10.1590/0102-311X00194714
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
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.
引用
收藏
页码：2610 / 2620
页数：11
相关论文
共 50 条
  • [1] The impact of personal intervention on the reduction of medication prescribing errors in a Neonatal Intensive Care Unit
    McCune, SK
    Gumpper, KF
    [J]. PEDIATRIC RESEARCH, 2003, 53 (04) : 93A - 93A
  • [2] Medication errors in the neonatal intensive care unit
    Lavon, Ophir
    Wasserman, Amit
    Musai, Yamit
    [J]. CLINICAL TOXICOLOGY, 2023, 61 : 9 - 10
  • [3] Medication errors in a neonatal intensive care unit
    Melo Escovedo Lerner, Renata Bandeira de
    de Carvalho, Manoel
    Vieira, Alan Araujo
    de Andrade Lopes, Jose Maria
    Lopes Moreira, Maria Elisabeth
    [J]. JORNAL DE PEDIATRIA, 2008, 84 (02) : 166 - 170
  • [4] Intralipid Medication Errors in the Neonatal Intensive Care Unit
    Chuo, John
    Lambert, George
    Hicks, Rodney W.
    [J]. JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY, 2007, 33 (02): : 104 - 111
  • [5] Reducing medication errors in the neonatal intensive care unit
    Simpson, JH
    Lynch, R
    Grant, J
    Alroomi, L
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2004, 89 (06): : F480 - F482
  • [6] Resident documentation errors in a neonatal intensive care unit
    Carroll, AE
    O'Reilly, E
    Tarczy-Hornoch, P
    Christakis, DA
    [J]. PEDIATRIC RESEARCH, 2002, 51 (04) : 194A - 194A
  • [7] Incidence and Severity of Prescribing Errors in Parenteral Nutrition for Pediatric Inpatients at a Neonatal and Pediatric Intensive Care Unit
    Hermanspann, Theresa
    Schoberer, Mark
    Robel-Tillig, Eva
    Hartel, Christoph
    Goelz, Rangmar
    Orlikowsky, Thorsten
    Eisert, Albrecht
    [J]. FRONTIERS IN PEDIATRICS, 2017, 5
  • [8] Impact of pharmaceutical validation on prescribing errors in a neonatal intensive care unit. Randomised and controlled study
    Canales-Siguero, M. D.
    Garcia-Munoz, C.
    Caro-Teller, J. M.
    Piris-Borregas, S.
    Martin-Aragon, S.
    Ferrari-Piquero, J. M.
    Moral-Pumarega, M. T.
    Pallas-Alonso, C. R.
    [J]. FRONTIERS IN PEDIATRICS, 2024, 12
  • [9] REDUCTION OF FLUID AND ELECTROLYTE PRESCRIBING ERRORS IN NEONATAL INTENSIVE CARE UNITS
    Rychalsky, Michelle
    Lurie, Marvin
    Sicoli, Philip
    Kelly, Sarah
    Chy, Catherine
    Bhatt, Arvind
    Hausser, Christopher
    Svirskiy, Viktoriya
    Liptrot, Melanie
    Duffy, James
    Papstein, Teresa
    Huang, Eric
    Anderson, Myla
    Rogers, Mark
    Labrie, Kimberley
    Lagasse, Paul
    Bizzarro, Matthew
    Grossman, Matthew
    [J]. CRITICAL CARE MEDICINE, 2018, 46 (01) : 629 - 629
  • [10] Introduction of a prescribing ward round to reduce prescribing errors on a paediatric intensive care unit
    Walsh, Aisling
    Booth, Rachelle
    Rajani, Kalindi
    Cochrane, Lynne
    Peters, Mark
    du Pre, Pascale
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD-EDUCATION AND PRACTICE EDITION, 2021, 106 (04): : 251 - 254
12345