Examinando por Materia "Medication Errors"

Mostrando 1 - 8 de 8

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Effective interventions to reduce the incidence of errors in the administration of medicines in intensive care units.
(Universidad Privada Norbert Wiener, 2018-12-16) Castillo Luna, Heber Edgardo; Lunasco Chávez, Mario; Glenni Garay, Zarely Zabeli
Objective: Systematically review the effectiveness of nursing interventions for reducing medication errors. Materials and Methods: Retrospective Systematic Review, which synthesizes the results of several selected studies, all of which underwent critical reading, using the GRADE system to assign the strength of recommendations. Results: Ten articles were selected. 50% of these (n=5/10) indicated effective interventions, including computerized entry registration and the education mode for nurses in intensive care units; 20% (n=2/10) indicated educational programs, and 30% (n=3/10) highlighted interventions such as the participation of pharmacists, group meetings, among others. Conclusions: The reviewed articles concluded that effective interventions to reduce medication errors include computerized entry registration, nurse education methods, educational programs, pharmacist participation, group meetings, protocols and guidelines, medication reconciliation, and safety promotion.
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Effective strategies to prevent medication administration errors in critical areas
(Universidad Privada Norbert Wiener, 2018-11-25) Diaz Salcedo, Fiorella America; Villanueva Ojeda, Socorro del Pilar; Avila Vargas Machuca, Jeannette Giselle
Material and methods: The systematic review of the 10 scientific articles found effective strategies in preventing errors in the administration of medications in critical areas, were found in the following databases SciencieDirect, Pubmed, Medline, EpistemoniKos and Elsevier; All of them were analyzed according to the Grade scale to determine their strength and quality of evidence. Results: Of the 10 articles reviewed, 60% (6/10) correspond to the methodological design of systematic reviews, meta-analysis and randomized controlled trial and 40% (4/10) quasi-experimental studies. Of the articles systematically reviewed, 100% (10/10) show different effective strategies to prevent errors in the administration of medications in critical areas. Conclusions: Of the articles reviewed, on effective strategies to prevent errors in the administration of medications in critical areas. criticisms we find: the use of a vest (29%), educational interventions: e-lerning and power point (21%), double verification (14%) and marking of the safe zone (14%) and use of yellow band (7 %) and technological interventions: medication by barcode (7%) and use of mobile device (7%).
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Factors Associated with Medication Errors in Emergency and Urgent Care Services.
(Universidad Privada Norbert Wiener, 2019-08-04) Belleza Alarcon, Antonio Guillermo; Arevalo Marcos, Rodolfo Amado
Medication errors in emergency and urgent care services lead to increased mortality rates and higher economic costs. Objective: To systematize the evidence on factors associated with medication errors in emergency and urgent care services. Material and Methods: A systematic, observational, and retrospective quantitative review, with selection evaluated through the Grade assessment. Ten studies were reviewed, with 40% from Spain, 10% from Argentina, 10% from Mexico, 10% from Brazil, 10% from Taiwan, 10% from the United States, and 10% from Costa Rica. The studies were found in the following databases: Cochrane, Bireme, Scielo, Pubmed, Medline, Elsevier. They are quantitative and of systematic review, meta-analysis, and retrospective design types. Results: Medication errors identified include incorrect medication selection (10%), incomplete prescription (30%), non-compliance with therapy (20%), administration errors (60%), transcription errors (10%), dispensing errors (10%), and work overload (30%), with improvements observed through computerized records (30%) and the presence of a pharmacist (10%). Conclusion: Medication errors are common in emergency and urgent care services, and computerized records and a culture of safety and quality are essential elements for prevention.
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Factors involved in medication administration errors by nurses in the emergency department
(Universidad Privada Norbert Wiener, 2017) Ilave Aguirre, Dora Ada; Santillan Barra, Johan David; Gómez Gonzales, Walter Edgar
Objective: To determine the factors involved in medication administration errors by nurses in the Emergency Department. Materials and Methods: Systematic Reviews are an observational and retrospective research design that synthesizes the results of multiple primary studies. These are crucial in evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific clinical practice questions. Results: A total of 10 articles were selected, with 20% from Iran, Mexico, and Colombia; 10% from Egypt, Brazil, Spain, and Jordan. The articles were predominantly cross-sectional studies, with 90% (n=9/10) from Iran, Mexico, Colombia, Brazil, Egypt, and Jordan, and 10% (n=1/10) systematic reviews from Spain. Of the articles reviewed, 60% (n=6/10) found that pharmacological ignorance was the main factor contributing to medication errors, 30% (n=3/10) pointed to work overload, and 10% (n=1/10) highlighted nurse-physician communication issues. Conclusions: The factors contributing to medication administration errors by nurses are pharmacological ignorance, work overload, and nurse-physician communication. These findings provide valuable information that can be used to improve medication administration practices and contribute to quality care by addressing the most prevalent factors.
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Factors involved in the occurrence of adverse events in medication administration in emergency units
(Universidad Privada Norbert Wiener, 2017-07-22) Pineda Espinoza, María Del Pilar; Troya Gonzales, Ever Luis; Gómez Gonzales, Walter Edgar
Objectives: To systematize the evidence on the factors influencing the presentation of adverse effects in the administration of medications in emergency units. Materials and Methods: This is a systematic review that included 10 scientific articles aimed at establishing the factors that influence the presentation of adverse effects in medication administration in emergency units. These articles were found in the following databases: Lilacs, Scielo, Medline, and Pubmed. All of them were of the following types and study designs: 01 systematic review, 01 cohort, and 08 cross-sectional studies. Results: 80% of the studies attribute the adverse effects to workload, 70% to inadequate pharmacological knowledge, 50% to illegible prescriptions, medication packaging, and working conditions, and 30% to distractions and interruptions. These are the most important factors influencing adverse effects and errors in medication administration in emergency units, with an emphasis on nursing professionals. Conclusions: The critically reviewed scientific articles highlight that the most important factors influencing the presentation of adverse effects in medication administration in emergency units are workload, illegible prescriptions, medication packaging, and working conditions.
Acceso abierto
Factors involved in the occurrence of adverse events in medication administration in emergency units
(Universidad Privada Norbert Wiener, 2017-07-22) Pineda Espinoza, María Del Pilar; Troya Gonzales, Ever Luis; Gómez Gonzales, Walter Edgar
Objectives: To systematize the evidence on the factors influencing the presentation of adverse effects in the administration of medications in emergency units. Materials and Methods: This is a systematic review that included 10 scientific articles aimed at establishing the factors that influence the presentation of adverse effects in medication administration in emergency units. These articles were found in the following databases: Lilacs, Scielo, Medline, and Pubmed. All of them were of the following types and study designs: 01 systematic review, 01 cohort, and 08 cross-sectional studies. Results: 80% of the studies attribute the adverse effects to workload, 70% to inadequate pharmacological knowledge, 50% to illegible prescriptions, medication packaging, and working conditions, and 30% to distractions and interruptions. These are the most important factors influencing adverse effects and errors in medication administration in emergency units, with an emphasis on nursing professionals. Conclusions: The critically reviewed scientific articles highlight that the most important factors influencing the presentation of adverse effects in medication administration in emergency units are workload, illegible prescriptions, medication packaging, and working conditions.
Acceso abierto
Polypharmacy and medication risks in older adults
(Universidad Privada Norbert Wiener, 2018-11-04) Sanchez Chipana, Maria Carolina; Torres Avalos, Edith; Calsin Pacompia, Wilmer
Objective: Analyze and systematize the evidence on polypharmacy being the greatest risk of medication in the elderly. Material and Methods: Systematic reviews are a form of research that compiles and provides a summary on a specific topic (aimed at answering a research question); They must be carried out according to a pre-established design. It is a systematic review of 10 selected articles, using the Pubmed, Open Access, Researchgate, Wiley Online Library, Online Library, Scielo, Epistemonikos and EBSCO databases. The 10 articles selected are quantitative research, 40% (4) are systematic review, 30% (3) are cohort, 20% (2) case control and 10% (1) are cross-sectional. Results: In this systematic review, according to the evidence found, it is concluded that the greatest risk of medication in the elderly is polypharmacy, which represents 100% (16 - 25), followed by age, 80% (17 -24). , gender 50% (19 - 23), then there are psychiatric disorders, comorbidities, functional situation, cognition and the use of non-pharmacological measures. Conclusion: Polypharmacy is the greatest risk of medication in the elderly, followed by age, gender, psychiatric disorders, comorbidities, functional status, cognition and the use of non-pharmacological measures.
Acceso abierto
Work overload as a risk for non-compliance with the 10 rights in medication administration by nurses in the emergency department
(Universidad Privada Norbert Wiener, 2019-04-07) Romero Sánchez, Francisco Jens; Aparicio Mayhua, Luz Angelica; Bonilla Asalde, César Antonio
Objective: To analyze the evidence about the risk that work overload causes failure to comply with the 10 correct rules in the administration of drugs by emergency service nurses. Materials and methods: Systematic observational and retrospective review, which synthesizes the results of multiple primary investigations. The search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using the GRADE system to assign the strength of recommendation. Results: In the final selection, 10 articles were chosen. We found that 20% (2) correspond to Brazil, 20% (2) to Mexico, 10% (1) to Colombia, 10% (1) to Chile, 20% (2) Spain, and another 20% (2) to Iran. 40% of the systematic reviews have been studied mainly in Brazil and Spain. We also have quantitative cross-sectional studies with 60% in the countries of Colombia, Chile, Mexico, and Iran. Of the total articles analyzed, 100% state that work overload increases the risk of failures in the administration of drugs to critical patients. Among the 10 least used corrects are administering the medication to the correct patient, administering the correct dose, and administering the correct medication. Conclusions: The different systematic reviews were analyzed, concluding that work overload does increase the risk of failure to comply with the 10 correct things in the administration of drugs by emergency service nurses.