Prescrption errors in a neonatal intensive care unit from Buenos Aires

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Background: Although error could be present in almost every medical practice, they are more frequent and potentially more dangerous in neonatal intensive care units (NICU). Objective: To determine prescription error rate of intravenous drugs in a Neonatal Intensive Care Unit (NICU), and to describe...

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Autores principales: Serra, Vera Vanina, Pena, Fabiana, Ossorio, María Fabiana, Pedicone, Carlos, Armadans, Marcelo
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2012
Materias:
errores médicos
prescripción de medicamentos
recién nacido
neonatología
medication errors
drug prescriptions
infant
mewborn
intensive care
neonatal
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/21354
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10article-21354
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic errores médicos
prescripción de medicamentos
recién nacido
neonatología
medication errors
drug prescriptions
infant
mewborn
intensive care
neonatal
spellingShingle errores médicos
prescripción de medicamentos
recién nacido
neonatología
medication errors
drug prescriptions
infant
mewborn
intensive care
neonatal
Serra, Vera Vanina
Pena, Fabiana
Ossorio, María Fabiana
Pedicone, Carlos
Armadans, Marcelo
Prescrption errors in a neonatal intensive care unit from Buenos Aires
topic_facet errores médicos
prescripción de medicamentos
recién nacido
neonatología
medication errors
drug prescriptions
infant
mewborn
intensive care
neonatal
author Serra, Vera Vanina
Pena, Fabiana
Ossorio, María Fabiana
Pedicone, Carlos
Armadans, Marcelo
author_facet Serra, Vera Vanina
Pena, Fabiana
Ossorio, María Fabiana
Pedicone, Carlos
Armadans, Marcelo
author_sort Serra, Vera Vanina
title Prescrption errors in a neonatal intensive care unit from Buenos Aires
title_short Prescrption errors in a neonatal intensive care unit from Buenos Aires
title_full Prescrption errors in a neonatal intensive care unit from Buenos Aires
title_fullStr Prescrption errors in a neonatal intensive care unit from Buenos Aires
title_full_unstemmed Prescrption errors in a neonatal intensive care unit from Buenos Aires
title_sort prescrption errors in a neonatal intensive care unit from buenos aires
description Background: Although error could be present in almost every medical practice, they are more frequent and potentially more dangerous in neonatal intensive care units (NICU). Objective: To determine prescription error rate of intravenous drugs in a Neonatal Intensive Care Unit (NICU), and to describe type of error (dose, dilution, and interval) and medication (antibiotics, inotropics, or analgesics).Methods: Observational study including medical records of patients hospitalized in a NICU, receiving any of the above mentioned drugs. Each prescription was compared with one provided by a specific software. Prescription error was defined as >10% of difference between both values.Results: 362 prescriptions from 82 patients were analyzed. An error was observed in 42.5% (95%CI 37.4 – 47.8) of all prescriptions, including 148 (96.1%; 95%CI: 91.3-98.4) antibiotics prescriptions, 5 (3.2%; 95%CI: 1.2-7.7) inotropics prescriptions and 1 (0.7%; 95%CI: 0.01-4.2) analgesics prescriptions. Prescription errors were due to frequency error in 53.8% 95%CI: 45.6-61.8 of cases and to volume error in 46.1% (95%CI: 38.1-54.3). Conclusion: Almost half of the intravenous drugs prescriptions included an error, being more frequently related to interval, followed by dosing; no errors in dilution were detected. Using prescription software could improve patient’s safety.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2012
url https://revistas.unc.edu.ar/index.php/med/article/view/21354
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