Related Experiment Video
Updated: Jul 20, 2026
06:59
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
[The medication preparation and administration process: problem identification in order to propose improvements and
Adriana Inocenti Miasso1, Ana Elisa Bauer de Camargo Silva, Silvia Helena de Bortoli Cassiani
1Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. amiasso@eerp.usp.br
Revista Latino-Americana De Enfermagem
|August 24, 2006
Summary
This study observed medication processes in Brazilian hospitals, finding environmental, technical, and communication issues contributing to medication errors. Improvements include multidisciplinary reviews, training, and enhanced nursing presence for patient safety.
Area of Science:
- Nursing Practice
- Patient Safety
- Healthcare Quality Improvement
Context:
- Analysis of medication preparation and administration in four Brazilian hospitals across different regions.
- Exploratory study using direct, non-participant observation of nursing professionals' activities over one week.
Purpose:
- To identify problems within the medication preparation and administration process.
- To propose actionable measures for enhancing medication safety and quality of care.
Summary:
- Identified key issues including environmental factors (Hospital B), technical and preparation errors (Hospitals C & D), and technical, communication, and patient identification errors (Hospital A).
- Highlighted specific challenges in medication handling and administration across diverse hospital settings.
Impact:
- Recommendations for improving patient safety include establishing multidisciplinary commissions, fostering nursing discussion groups, enhancing the hospital environment, and implementing continuous training.
- Emphasizes the critical role of a nurse's presence throughout the medication process for error reduction.
Related Concept Videos
01:26Pharmaceutical Poisoning: Potential Scenarios
Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
01:19Dosage Interval and Administration Route: Determination Methods
A medication’s effectiveness largely depends on its appropriate dosage and the route of administration. Dosage ensures that a sufficient drug concentration is maintained in the bloodstream to elicit the desired therapeutic effect without causing toxicity. The route of administration affects the drug's bioavailability, rate of absorption, and onset of action, which are crucial for achieving optimal therapeutic outcomes. Drug dosage calculations are critical to tailoring therapy to individual...
01:28Dosage Regimens: Designs and Approaches
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
01:15Drug Dosing: Geriatric Patients
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
01:26Drug Administration and Therapy Phases: Overview
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
01:15Drug Dosage Regimen: Overview
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...