Determining medication errors in an adult intensive care unit
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| Publication Date: | 2023 |
| Andre forfattere: | , , , , , , , |
| Format: | Article |
| Sprog: | eng |
| Source: | Repositório Institucional da UnB |
| Download full: | http://repositorio.unb.br/handle/10482/47933 https://doi.org/10.3390/ijerph20186788 https://orcid.org/0000-0001-5957-586X https://orcid.org/0000-0002-1170-8974 https://orcid.org/0000-0002-9064-0735 https://orcid.org/0000-0002-6836-3583 https://orcid.org/0000-0001-6830-4914 https://orcid.org/0000-0001-8747-4185 https://orcid.org/0000-0003-1300-9576 https://orcid.org/0000-0002-9332-9029 |
Summary: | Introduction: Research addressing the costs of Medication errors (MEs) is still scarce despite issues related to patient safety having significant economic and health impacts, making it imperative to analyze the costs and adverse events related to MEs for a better patient, professional, and institutional safety. Aim: To identify the number of medication errors and verify whether this number was associated with increased hospitalization costs for patients in an Intensive Care Unit (ICU). Method: This retrospective cross-sectional cohort study evaluated secondary data from patients’ electronic medical records to compile variables, create a model, and survey hospitalization costs. The statistical analysis included calculating medication error rates, descriptive analysis, and simple and multivariate regression. Results: The omission error rate showed the highest number of errors per drug dose (59.8%) and total errors observed in the sample (55.31%), followed by the time error rate (26.97%; 24.95%). The omission error had the highest average when analyzing the entire hospitalization (170.40) and day of hospitalization (13.79). Hospitalization costs were significantly and positively correlated with scheduling errors, with an increase of BRL 121.92 (about USD $25.00) (95% CI 43.09; 200.74), and to prescription errors, with an increase of BRL 63.51 (about USD $3.00) (95% CI 29.93; 97.09). Conclusion: We observed an association between two types of medication errors and increased hospitalization costs in an adult ICU (scheduling and prescription errors). |
Internet
http://repositorio.unb.br/handle/10482/47933https://doi.org/10.3390/ijerph20186788
https://orcid.org/0000-0001-5957-586X
https://orcid.org/0000-0002-1170-8974
https://orcid.org/0000-0002-9064-0735
https://orcid.org/0000-0002-6836-3583
https://orcid.org/0000-0001-6830-4914
https://orcid.org/0000-0001-8747-4185
https://orcid.org/0000-0003-1300-9576
https://orcid.org/0000-0002-9332-9029