Reconciliação de medicamentos e potencial de dano dos erros de medicação na admissão hospitalar de pacientes pediátricos
Objective: To analyze the potential clinical impact of unintended medication discrepancies to which pediatric patients are exposed on hospital admission. Methods: Descriptive observational study, conducted at the pediatric emergency unit of a university hospital, from April to August 2019. The inclu...
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | Brasil |
| Institución: | Universidade Federal de Minas Gerais (UFMG) |
| Repositorio: | Repositório Institucional da UFMG |
| Idioma: | portugués |
| OAI Identifier: | oai:repositorio.ufmg.br:1843/79901 |
| Acceso en línea: | https://doi.org/10.21527/2176-7114.2023.47.13327 http://hdl.handle.net/1843/79901 https://orcid.org/0000-0002-4135-3131 https://orcid.org/0000-0003-2281-2950 https://orcid.org/0000-0002-1334-5791 https://orcid.org/0000-0001-8704-4126 https://orcid.org/0000-0001-8576-6096 https://orcid.org/0000-0002-0413-8790 https://orcid.org/0000-0002-1234-1561 |
| Access Level: | acceso abierto |
| Palabra clave: | Reconciliação de medicamentos Erros de medicação Segurança do paciente Evento adverso Pediatria Reconciliação de Medicamentos Erros de Medicação Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos |
| Sumario: | Objective: To analyze the potential clinical impact of unintended medication discrepancies to which pediatric patients are exposed on hospital admission. Methods: Descriptive observational study, conducted at the pediatric emergency unit of a university hospital, from April to August 2019. The included patients werw aged 28 days to 12 years and werw approached within 48 hours of admission. An interview was carried out with the children and their companions and their prescriptions (home and hospital) were reconciled. The discrepancies found were classified as intentional, intentional undocumented and unintentional. Descriptive analysis was performed to characterize the profile of the sample, unintentional discrepancies and the potential to harm the errors involved. The harmful potential of medication errors was assessed by a panel of eleven specialist pharmacists. Results: 69 patients were included, with a median age of 3 years, 55% male. A total of 252 medications were reconciled, with 53 (21%) involved in medication error. Almost half of the patients 28 (41%) had at least one medication error on hospital admission, with omission being the most prevalent 24 (45%). If these errors had not been detected, 31 (58%) of them could have caused harmful harm to patients (Level 3) and 181 (34%) required further monitoring or intervention to prevent harm (Level 2).Conclusion: The study demonstrates a high frequency of unintended discrepancies that were classified as potential damage in pediatric patients. |
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