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Errores en la prescripción de medicamentos en un hospital universitario
T S Lesar1, L L Briceland, K Delcoure
1Department of Pharmacy, Albany Medical Center Hospital, NY 12208.
JAMA
|May 2, 1990
Resumen
Los errores de prescripción por parte del médico representan un riesgo significativo para la seguridad del paciente. Este estudio encontró 3,13 errores por cada 1000 pedidos de medicamentos, con tasas más altas durante tiempos específicos y entre residentes menores.
Área de la Ciencia:
- Seguridad médica Seguridad médica.
- Farmacología Farmacología.
- Servicios de salud Servicios de salud Investigación Investigación.
Sus antecedentes:
- Los errores de prescripción de medicamentos son un problema crítico en los entornos de atención médica.
- Identificar y mitigar estos errores es esencial para la seguridad del paciente.
Objetivo del estudio:
- Cuantificar la incidencia y las características de los errores de prescripción del médico.
- Para identificar horarios específicos, grupos de prescriptores y servicios hospitalarios asociados con mayores tasas de error.
Principales métodos:
- Análisis retrospectivo de las órdenes de medicamentos en un hospital docente de atención terciaria durante un año.
- Detección y clasificación de errores de prescripción basados en el potencial de consecuencias adversas.
Principales resultados:
- Se detectaron un total de 905 errores de prescripción de 289.411 pedidos de medicamentos.
- La tasa general de errores detectados fue de 3,13 por cada 1000 pedidos, con 1,81 errores significativos por cada 1000 pedidos.
- Se observaron tasas de error más altas durante las horas de la tarde (12 pm - 3:59 pm), entre los residentes de primer año y en los servicios de obstetricia / ginecología y cirugía / anestesia.
Conclusiones:
- Los errores de prescripción de medicamentos representan un riesgo sustancial para los pacientes.
- Se necesitan intervenciones educativas, operativas y de gestión de riesgos específicas para reducir estos errores.
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