Errors in the administration of intravenous medication in Brazilian hospitals
- 18 September 2007
- journal article
- research article
- Published by Wiley in Journal of Clinical Nursing
- Vol. 16 (10) , 1839-1847
- https://doi.org/10.1111/j.1365-2702.2007.01834.x
Abstract
To verify the frequency of errors in the preparation and administration of intravenous medication in three Brazilian hospitals in the State of Bahia. The administration of intravenous medications constitutes a central activity in Brazilian nursing. Errors in performing this activity may result in irreparable damage to patients and may compromise the quality of care. Cross-sectional study, conducted in three hospitals in the State of Bahia, Brazil. Direct observation of the nursing staff (nurse technicians, auxiliary nurses and nurse attendants), preparing and administering intravenous medication. When preparing medication, wrong patient error did not occur in any of the three hospitals, whereas omission dose was the most frequent error in all study sites. When administering medication, the most frequent errors in the three hospitals were wrong dose and omission dose. The rates of error found are considered low compared with similar studies. The most frequent types of errors were wrong dose and omission dose. The hospitals studied showed different results with the smallest rates of errors occurring in hospital 1 that presented the best working conditions. Relevance to clinical practice. Studies such as this one have the potential to improve the quality of care.Keywords
This publication has 20 references indexed in Scilit:
- Drug errors, qualitative research and some reflections on ethicsJournal of Clinical Nursing, 2005
- Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and FranceQuality and Safety in Health Care, 2005
- Factors predictive of intravenous fluid administration errors in Australian surgical care wardsQuality and Safety in Health Care, 2005
- How to bridge the gap in human resources for healthThe Lancet, 2004
- The Impact of Dedicated Medication Nurses on the Medication Administration Error RateArchives of internal medicine (1960), 2003
- Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilitiesAmerican Journal of Health-System Pharmacy, 2002
- Validity and reliability of observational methods for studying medication administration errorsAmerican Journal of Health-System Pharmacy, 2001
- Erros mais comuns e fatores de risco na administração de medicamentos em unidades básicas de saúdeRevista Latino-Americana de Enfermagem, 1999
- Errors in medication administration.Intensive Care Medicine, 1999
- Can a zero defects philosophy be applied to drug errors?Journal of Advanced Nursing, 1995