Identificación de errores de medicación asociados al sistema integral de dispensación de dosis unitarias en pediatría

• Autores: Asunción Albert Marí, Joaquín Borrás Blasco
• Localización: Atención Farmacéutica, ISSN 1139-7357, Vol. 5, Nº. 5, 2003, págs. 277-286
• Idioma: español
• Títulos paralelos:
  • Identification of medication errors associated to the integral unit-dose dispensation system in pediatrics
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• Resumen

  • It is described a program for identifying Medication Errors (ME) associated with the unit-dose integral dispensation system in the pediatric unit from Dr. Peset University Hospital at Valencia. The period of study encompasses 2 months (from June to July, 2001) that allowed for the identification of 87 patients with 109 ME (incidence: 151 ME per 1,000 patients day). Medication errors had their origin, from highest to lowest, in the processes of transcription, dispensation and pharmaceutical validation, preparation and prescription, with 56.9, 47.2, 9.4 and 27.8 ME/1,000 patients-day, respectively. The most frequent ME categories have been: absence of a prescribed medication (38.5%), incorrect dosage (22.9%), non-prescribed medication (12.8%) and incorrect posologic interval (10.0%). Antibiotics, NSAI, antiasthmatics, antiulcerous and systemic corticoids were the main drugs implicated in ME. Identification and quantification of potential sources of medication errors in processes associated with dispensation in the unit-dose area allow for the introduction of methods that improve the quality of the system's weakest areas. The established validation method decreases the probability of ME/patient in at least 12.1% of pediatric patients