Análisis de severidad de los errores de medicación en pacientes hospitalizados en el servicio de medicina de un hospital de alta complejidad : Hospital Regional Del Libertador General Bernardo O’higgins
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Archivos
Fecha
2024
Profesor/a Guía
Facultad/escuela
Idioma
es
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Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Los errores de medicación (EM) son una de las principales causas de daño
prevenible hacia los pacientes, siendo su etiología multifactorial, determinando su
aparición en las diferentes etapas del sistema de utilización de medicamentos.
El presente trabajo de seminario de título tiene como objetivo analizar la severidad
de los errores de medicación ocurridos en el sistema de utilización de
medicamentos, en los pacientes hospitalizados en el servicio de medicina “bloque
médico A” del Hospital Regional Libertador Bernardo O'Higgins.
Para esto se desarrolló un estudio de tipo descriptivo, observacional y longitudinal.
La detección de cada EM se realizó mediante observación directa y secuencial de
las etapas del sistema de utilización de medicamentos. Los EM se categorizaron
según su origen (prescripción, validación, dispensación, transcripción y
administración), subtipo de error, así como la severidad de estos, según lo dispuesto
por el National Coordinating Council for Medication Error Reporting and Prevention
(NCCMERP).
Se identificaron un total de 537 errores de medicación. La etapa del sistema de
utilización de medicamentos con mayor cantidad de errores fue la prescripción
(37,6%). Por otra parte, el paracetamol fue aquel medicamento que más frecuente
estuvo involucrado en errores de medicación (12,1%), mientras que el 66,7 % de
los errores detectados alcanzaron al paciente y 4,3% de estos causó algún daño
durante la hospitalización.
Estos hallazgos podrían ser de utilidad en el análisis de posibles intervenciones y
políticas dirigidas a mejorar la seguridad del paciente y reducir los riesgos asociados
con la administración de medicamentos en este hospital en particular. Además,
proporcionaría evidencia localizada y detallada que podría servir como referencia
para futuras investigaciones y programas de mejora de la calidad de la atención en
salud.
Medication errors are one of the main causes of preventable harm to patients, its etiology being multifactorial, determining its appearance in the different stages of the drug utilization system. The objective of this title seminar work is to analyze the severity of medication errors that occurred in the medication utilization system, in patients hospitalized in the medical service medical block A of the Libertador Bernardo O'Higgins Regional Hospital. For this developed a study descriptive, observational and longitudinal. The detection of each ME was carried out by direct and sequential observation of the stages of the drug utilization system. MEs were categorized according to their origin (prescription, validation, dispensing, transcription, and administration), error subtype, as well as their severity, as provided by the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP). A total of 537 medication errors were identified. The stage of the drug utilization system with the highest number of errors was prescription (37.6%). On the other hand, paracetamol was the drug that was most frequently involved in medication errors (12.1%), while 66.7% of the detected errors reached the patient and 4.3% of these caused some harm during hospitalization. These findings could be useful in the analysis of possible interventions and policies aimed at improving patient safety and reducing the risks associated with medication administration in this particular hospital. In addition, it would provide localized and detailed evidence that could serve as a reference for future research and programs to improve the quality of medical care.
Medication errors are one of the main causes of preventable harm to patients, its etiology being multifactorial, determining its appearance in the different stages of the drug utilization system. The objective of this title seminar work is to analyze the severity of medication errors that occurred in the medication utilization system, in patients hospitalized in the medical service medical block A of the Libertador Bernardo O'Higgins Regional Hospital. For this developed a study descriptive, observational and longitudinal. The detection of each ME was carried out by direct and sequential observation of the stages of the drug utilization system. MEs were categorized according to their origin (prescription, validation, dispensing, transcription, and administration), error subtype, as well as their severity, as provided by the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP). A total of 537 medication errors were identified. The stage of the drug utilization system with the highest number of errors was prescription (37.6%). On the other hand, paracetamol was the drug that was most frequently involved in medication errors (12.1%), while 66.7% of the detected errors reached the patient and 4.3% of these caused some harm during hospitalization. These findings could be useful in the analysis of possible interventions and policies aimed at improving patient safety and reducing the risks associated with medication administration in this particular hospital. In addition, it would provide localized and detailed evidence that could serve as a reference for future research and programs to improve the quality of medical care.
Notas
Seminario (Química Farmacéutica)
Palabras clave
Errores de Medicación, Investigaciones, Pacientes Hospitalizados, Chile, Rancagua