Errors in preparation and medication management in nursing professionals
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The preparation and administration of medications is
one of the most common and relevant functions of nurses, demanding
great responsibility. Incorrect administration of medication,
currently constitutes a serious problem in health services, and is
considered one of the main adverse effects suffered by hospitalized
patients.
Objectives: Identify the major errors in the preparation and administration
of medication by nurses in hospitals and know what factors
lead to the error occurred in the preparation and administration of
medication.
Methods: A systematic review of the literature. Deined as inclusion
criteria: original scientiic papers, complete, published in the period
2011 to May 2016, the SciELO and LILACS databases, performed
in a hospital environment, addressing errors in preparation and administration
of medication by nurses and in Portuguese language.
After application of the inclusion criteria obtained a sample of 7
articles.
Results: The main errors identiied in the pr eparation and administration
of medication were wrong dose 71.4%, wrong time
71.4%, 57.2% dilution inadequate, incorrect selection of the patient
42.8% and 42.8% via inadequate. The factors that were
most commonly reported by the nursing staff, as the cause of the
error was the lack of human appeal 57.2%, inappropriate locations
for the preparation of medication 57.2%, the presence of
noise and low brightness in preparation location 57, 2%, professionals
untrained 42.8%, fatigue and stress 42.8% and inattention
42.8%.
Conclusions: The literature shows a high error rate in the preparation
and administration of medication for various reasons, making
it important that preventive measures of this occurrence are
implemented.
The preparation and administration of medications is one of the most common and relevant functions of nurses, demanding great responsibility. Incorrect administration of medication, currently constitutes a serious problem in health services, and is considered one of the main adverse effects suffered by hospitalized patients. Objectives: Identify the major errors in the preparation and administration of medication by nurses in hospitals and know what factors lead to the error occurred in the preparation and administration of medication. Methods: A systematic review of the literature. Deined as inclusion criteria: original scientiic papers, complete, published in the period 2011 to May 2016, the SciELO and LILACS databases, performed in a hospital environment, addressing errors in preparation and administration of medication by nurses and in Portuguese language. After application of the inclusion criteria obtained a sample of 7 articles. Results: The main errors identiied in the pr eparation and administration of medication were wrong dose 71.4%, wrong time 71.4%, 57.2% dilution inadequate, incorrect selection of the patient 42.8% and 42.8% via inadequate. The factors that were most commonly reported by the nursing staff, as the cause of the error was the lack of human appeal 57.2%, inappropriate locations for the preparation of medication 57.2%, the presence of noise and low brightness in preparation location 57, 2%, professionals untrained 42.8%, fatigue and stress 42.8% and inattention 42.8%. Conclusions: The literature shows a high error rate in the preparation and administration of medication for various reasons, making it important that preventive measures of this occurrence are implemented.