EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

ANALYSIS OF ENVIRONMENTAL AND ORGANIZATIONAL ASPECTS AND STRATEGIES FOR PREVENTING RISKS OF MEDICATION ERRORS IN A TEACHING HOSPITAL

Ariadne Spadoti MS., Silvana Andréa Molina Lima PhD., *César Tadeu Spadella MD, PhD.

ABSTRACT

The present study was conducted to identify the causes of medication errors (ME) in a public teaching hospital and seeking strategies to reduce them. A prospective, cross-sectional, descriptive, exploratory, and observational study of the physical and organizational structure of 7 different units of the hospital and the level of organization of the processes involved in the medication cycle (from prescription to administration) was performed. The study examined the medication process of 155 patients, including 465 medical prescriptions and 7,080 prescription drugs. Risk factors for ME were more associated with deficiencies of the health system than with individual failures. Deficiency of facilities, inadequate use of space, disorganized drug storage cabinets, poor lighting, excessive noise and failure and/or unavailability of equipment were observed in most of the units. Quantity, distribution and insufficient training of nursing professionals, as well as work overload, double routine activities and frequent interruptions of tasks, were also observed. Errors in the medication process were observed at all stages of the cycle, ranging from failures of communication between team members to operational deviations that endangered patient safety. Efforts by directors and health professionals should be concentrated on creating a work environment that values comfort and adequacy of facilities, hiring an adequate number of employees with high quality and sufficient training, improving the availability and correct operation of the equipment, and adopting operating protocols that guide healthcare professionals at all stages of the medication cycle.

Keywords: Healthcare, Medication administration, Medication errors, Nursing errors, Patient safety.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia