Risk factors for medication errors in the electronic and manual prescription

被引:12
作者
Grou Volpe, Cris Renata [1 ]
Magalhaes de Melo, Eveline Maria [2 ]
de Aguiar, Lucas Barbosa [2 ]
Moura Pinho, Diana Lucia [1 ]
Stival, Marina Morato [1 ]
机构
[1] Univ Brasilia, Fac Ceilandia, BR-72220900 Brasilia, DF, Brazil
[2] Univ Brasilia, Fac Ceilandia, Nursing, BR-72220900 Brasilia, DF, Brazil
来源
REVISTA LATINO-AMERICANA DE ENFERMAGEM | 2016年 / 24卷
关键词
Medication Errors; Medication Systems; Electronic Prescribing; Patient Safety; PHYSICIAN-ORDER ENTRY; PREVENTION; REDUCTION; HOSPITALS; SYSTEMS; IMPACT;
D O I
10.1590/1518-8345.0642.2742
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: to compare electronic and manual prescriptions of a public hospital of Brasilia, identifying risk factors for the occurrence of medication errors. Method: descriptive-exploratory, comparative and retrospective study. Data collection occurred from July 2012 to January 2013, using an instrument for the review of the information contained in medical records related to the medication process. A total of 190 manual and 199 electronic records composed the sample, with 2027 prescriptions each. Results: compared to the manual prescription, a significant reduction was observed in the risk factors after implantation of the electronic prescription, in items such as "lack of the form of dilution" (71.1% to 22.3%) and "prescription with brand name" (99.5% to 31.5%). Conversely, the risk factors "no check" and "lack of CRM of the prescriber" increased. The lack of the allergy registration and the occurrences related to medication were the same for both groups. Conclusion: generally, the use of the electronic prescription system was associated with a significant reduction in risk factors for medication errors, concerning the following aspects: illegibility, prescription with brand name and presence of essential items that provide a safe and effective prescription.
引用
收藏
页数:9
相关论文
共 25 条
[1]   Computerized Provider Order Entry and Patient Safety [J].
Abramson, Erika L. ;
Kaushal, Rainu .
PEDIATRIC CLINICS OF NORTH AMERICA, 2012, 59 (06) :1247-+
[2]  
Al-Rowibah Fatimah Ali, 2013, J Health Care Finance, V40, P93
[3]   Medication errors: Causes, prevention and reduction [J].
Allard, J ;
Carthey, J ;
Cope, J ;
Pitt, M ;
Woodward, S .
BRITISH JOURNAL OF HAEMATOLOGY, 2002, 116 (02) :255-265
[4]   INCIDENCE OF ADVERSE DRUG EVENTS AND POTENTIAL ADVERSE DRUG EVENTS - IMPLICATIONS FOR PREVENTION [J].
BATES, DW ;
CULLEN, DJ ;
LAIRD, N ;
PETERSEN, LA ;
SMALL, SD ;
SERVI, D ;
LAFFEL, G ;
SWEITZER, BJ ;
SHEA, BF ;
HALLISEY, R ;
VANDERVLIET, M ;
NEMESKAL, R ;
LEAPE, LL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 274 (01) :29-34
[5]   Effect of Clinical Decision-Support Systems A Systematic Review [J].
Bright, Tiffani J. ;
Wong, Anthony ;
Dhurjati, Ravi ;
Bristow, Erin ;
Bastian, Lori ;
Coeytaux, Remy R. ;
Samsa, Gregory ;
Hasselblad, Vic ;
Williams, John W. ;
Musty, Michael D. ;
Wing, Liz ;
Kendrick, Amy S. ;
Sanders, Gillian D. ;
Lobach, David .
ANNALS OF INTERNAL MEDICINE, 2012, 157 (01) :29-U77
[6]  
de Bortoli Cassiani Silvia Helena, 2010, Cienc. enferm., V16, P85
[7]   The impact of computerized provider order entry on medication errors in a multispecialty group practice [J].
Devine, Emily Beth ;
Hansen, Ryan N. ;
Wilson-Norton, Jennifer L. ;
Lawless, N. M. ;
Fisk, Albert W. ;
Blough, David K. ;
Martin, Diane P. ;
Sullivan, Sean D. .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2010, 17 (01) :78-84
[8]   Medication Wrong-Route Administrations in Relation to Medical Prescriptions [J].
Escobar Gimenes, Fernanda Raphael ;
Marques, Tatiane Cristina ;
Alux Teixeira, Thalyta Cardoso ;
Saboia Mota, Maria Lurdemiler ;
Bauer de Camargo Silva, Ana Elisa ;
De Bortoli Cassiani, Silvia Helena .
REVISTA LATINO-AMERICANA DE ENFERMAGEM, 2011, 19 (01) :11-17
[9]   Influence of the writing of the medical orders on the administration of medications at the wrong schedule time [J].
Escobar Gimenes, Fernanda Raphael ;
Alux Teixeira, Thalyta Cardoso ;
de Camargo Silva, Ana Elisa Bauer ;
Optiz, Simone Perfuro ;
Saboia Mota, Maria Ludermiller ;
De Bertoli Cassiani, Silvia Helena .
ACTA PAULISTA DE ENFERMAGEM, 2009, 22 (04) :380-384
[10]   Computerized physician-order entry: are we there yet? [J].
Foster, RA ;
Antonelli, PJ .
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA, 2002, 35 (06) :1237-+