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Incident analysis occurrence related to potentially dangerous medicines distributed in teaching hospital
Lucília Canesin Basile1, Adriano Dos Santos1, Lucilena Bardella Stelzer1
1Hospital das Clínicas da Faculdade de Medicina de Botucatu (HCFMB). Botucatu, São Paulo, Brasil.
Objective:
To analyze the reports of incidents related to potentially hazardous medications distributed at a teaching hospital in the interior of São Paulo.
Methods:
A descriptive, retrospective study with a quantitative approach of data from the analysis of pharmacovigilance notifications that occurred between January 2009 and December 2014, from tables and graphs, showing the absolute/relative frequencies.
Results:
From 786 reports of pharmacovigilance, 188 were related to potentially hazardous medicines, 36.7% of which were ineffective, 32.44% were technical complaints, 15.95% were adverse reactions, 7.44% were phlebitis, 5.13% were extravasation , 1.06% dispensing error, 0.53% administration error and 0.53% medication error. The professionals who most notified were nurses. The most commonly reported pharmacological groups were drugs with action on the nervous system (35.63%).
Conclusion:
The analysis showed that there were a significant number of reports and the need to adopt strategies to ensure greater patient safety.
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