Determining Medication Errors in an Adult Intensive Care Unit.

Autor:	Castro RDNS; Graduate Program in Health Sciences and Technologies, Faculty of Ceilandia, University of Brasília, Federal District, Brasília 72220-275, Brazil., Aguiar LB; Graduate Program in Health Sciences and Technologies, Faculty of Ceilandia, University of Brasília, Federal District, Brasília 72220-275, Brazil., Volpe CRG; Department of Nursing, Faculty of Ceilandia, University of Brasília, Federal District, Brasília 72220-275, Brazil., Silva CMS; Graduate Program in Health Sciences and Technologies, Faculty of Ceilandia, University of Brasília, Federal District, Brasília 72220-275, Brazil., Silva ICRD; Graduate Program in Health Sciences and Technologies, Faculty of Ceilandia, University of Brasília, Federal District, Brasília 72220-275, Brazil., Stival MM; Graduate Program in Health Sciences and Technologies, Faculty of Ceilandia, University of Brasília, Federal District, Brasília 72220-275, Brazil., Silva END; Graduate Program in Health Sciences and Technologies, Faculty of Ceilandia, University of Brasília, Federal District, Brasília 72220-275, Brazil., Meiners MMMA; Department of Pharmacy, Faculty of Ceilandia, University of Brasília, Federal District, Brasília 72220-275, Brazil., Schwerz Funghetto S; Graduate Program in Health Sciences and Technologies, Faculty of Ceilandia, University of Brasília, Federal District, Brasília 72220-275, Brazil.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2023 Sep 20; Vol. 20 (18). Date of Electronic Publication: 2023 Sep 20.
DOI:	10.3390/ijerph20186788
Abstrakt:	Introduction: Research addressing the costs of Medication errors (MEs) is still scarce despite issues related to patient safety having significant economic and health impacts, making it imperative to analyze the costs and adverse events related to MEs for a better patient, professional, and institutional safety. Aim: To identify the number of medication errors and verify whether this number was associated with increased hospitalization costs for patients in an Intensive Care Unit (ICU). Method: This retrospective cross-sectional cohort study evaluated secondary data from patients' electronic medical records to compile variables, create a model, and survey hospitalization costs. The statistical analysis included calculating medication error rates, descriptive analysis, and simple and multivariate regression. Results: The omission error rate showed the highest number of errors per drug dose (59.8%) and total errors observed in the sample (55.31%), followed by the time error rate (26.97%; 24.95%). The omission error had the highest average when analyzing the entire hospitalization (170.40) and day of hospitalization (13.79). Hospitalization costs were significantly and positively correlated with scheduling errors, with an increase of BRL 121.92 (about USD $25.00) (95% CI 43.09; 200.74), and to prescription errors, with an increase of BRL 63.51 (about USD $3.00) (95% CI 29.93; 97.09). Conclusion: We observed an association between two types of medication errors and increased hospitalization costs in an adult ICU (scheduling and prescription errors).
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu