Errors in the administration of antibiotics in the intensive care unit of the teaching hospital

doi: 10.5216/ree.v12i3.11935Medication errors can cause undesirable outcomes for patients, increase hospital costs and impacts on staff. In order to verify the occurrence and characterize errors in the administration of antibiotics, a descriptive study was conducted in an Intensive Care Unit (ICU) o...

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Detalhes bibliográficos
Autores: Rodrigues, Maria Cristina Soares, Oliveira, Ludmilla de Castro
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2010
País:Brasil
Recursos:Universidade Federal de Goiás (UFG)
Repositório:Revista Eletrônica de Enfermagem
Idioma:português
OAI Identifier:oai:ojs.revistas.ufg.br:article/11935
Acesso em linha:https://revistas.ufg.br/fen/article/view/11935
Access Level:Acceso aberto
Palavra-chave:Intensive care unit
Antibiotic prophylaxis
Medication errors
Safety.
Unidad de cuidados intensivos
Profilaxis antibiótica
Errores de medicación
Seguridad.
Unidades de terapia intensiva
Antibioticoprofilaxia
Erros de medicação
Segurança.
Descrição
Resumo:doi: 10.5216/ree.v12i3.11935Medication errors can cause undesirable outcomes for patients, increase hospital costs and impacts on staff. In order to verify the occurrence and characterize errors in the administration of antibiotics, a descriptive study was conducted in an Intensive Care Unit (ICU) of a teaching hospital in Brasilia - Federal District, between September 2006 and February 2007. For data collection patients' medical records were analyzed and observed the nurses who administered antibiotics. We observed 35 patients' prescriptions predominantly female (54.3%), aged 51-70 years (60.0%), in postsurgical treatment (54.3 %), with average hospital stay of two to seven days (40.0%). Ten varieties of antibiotics were found, prevailing vancomycin (28.9%), cefepime (13.3%), meropenem (11.1%) and amikacin sulfate (11.1%). The average antibiotic prescription was 1.2, often at a dose of 1000mg (42.2%) and administered intravenously (100.0%). In respect to medication errors were found such as: prepare medicine error (87.6%), schedule error (6.2%) and others (6.2%). The systemic approach of prevention and analysis of the occurrences of medication errors should be implemented, aiming to establish culture of patient safety that allows continuous ability to manage risks with medications in hospital. Descriptors: Intensive care unit; Antibiotic prophylaxis; Medication errors; Safety.