Adverse drug events in a sentinel hospital in the State of Goiás, Brazil;Eventos adversos a medicamentos em um hospital sentinela do Estado de Goiás, Brasil

Revista Latino-Americana de Enfermagem

Volumn 19, Issue 2, 2011, Pages 378-386

  Silva, Ana Elisa Bauer de Camargo ^a   Moreira Reis, Adriano Max ^b,c   Miasso, Adriana Inocenti ^b   Santos, Jânia Oliveira ^d   Cassiani, Silvia Helena de Bortoli ^b  

^a FEDERAL UNIVERSITY OF GOIÁS   (Brazil)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

^c FEDERAL UNIVERSITY OF MINAS GERAIS   (Brazil)

^d Estacio de Sa University   (Brazil)

Author keywords

Medication Errors; Quality of Health Care; Safety Management

Indexed keywords

ARTICLE; BRAZIL; DRUG TOXICITY; HOSPITAL; HUMAN; MEDICATION ERROR; RETROSPECTIVE STUDY; STATISTICS;

BRAZIL; DRUG TOXICITY; HOSPITALS; HUMANS; MEDICATION ERRORS; RETROSPECTIVE STUDIES;

EID: 79958116150     PISSN: 01041169     EISSN: None     Source Type: Journal    
DOI: 10.1590/S0104-11692011000200021     Document Type: Article

References (20)

1. Rommers MK, Teeepe-Twiss I, Guchelaar HJ. Preventing adverse drug events in hospital practice: an overview. Pharmacoepidemiol Drug Saf. 2007; 16: 1129-35.
2. Tang FI, Sheu SJ, Wei IL, Chen CH. Nurses relate the contributing factors involved in medication errors. J. Clin Nurs. 2007; 16: 447-57.
3. Thomas AN, Panchagnula U. Medication- related patient safety incidents in critical care: a review of reports to the UK national patient safety agency. Anaesthesia. 2008; 63: 726-33.
4. Mendes W, Martins M, Rozenfeld S, Travassos C. The assessment of adverse events in hospitals in Brazil. Int. Qual in Health Care. 2009; 21(4): 279-84.
5. Hogan H, Olsen S, Scobie S, Chapman E, Sachs R, McKee M, et al. What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? Qual Saf Health Care. 2008; 17: 209-15.
6. Nascimento CCP, Toffoletto MC, Gonçalves LA, Freitas WG, Padilha KG. Indicadores de resultados da assistência: análise dos eventos adversos durante a internação hospitalar. Rev Latino-Am Enfermagem. 2008; 16(4): 746-51.
7. Song L, Chui WC, Lau CP, Cheung BMY. A 3 - year study of medication incidents in an acute general hospital. J Clin Pharm Therap. 2008; 33: 109-44.
8. World Health Organization Collaborating Centre for Drug Statistics Methodology. Anatomical Therapeutic Chemical (ATC) index with Defined Daily Doses (DDDs). [access: 2009 July 20]. Available from: http://www.whocc.no/atcddd
9. Klasco RK, (editor): Drugdex® System. Thomson MICROMEDEX, Greenwood Village, Colorado, USA. [access: 2009 July 20]. Available from: http://www.periodicos.capes.gov.br.
10. Institute for Safe Medication Practices. ISMP's list of high alert medic ations. [access 2009 July 20]. Available from: http://www.ismp.org/tools/highalertmedications.pdf
11. American Association of Hospital Pharmacists - ASHP. Guideline on preventing medication errors in hospitals. Am J Hosp Pharm. 1993; 50: 305-14.
12. Ulfvarson, J, Mejyr, S, Bergman, U. Nurses are increasingly involved in pharmacovigilance in Sweden. Pharmacoepidemiol Drug Saf. 2007; 16: 532-7.
13. Reason J. Human error: models and management. BMJ; 2000; 320: 768-70.
14. Landis ELS. Provisional observations on drug product shortages: effects, causes, and potential solutions. Am J Health Syst Pharm. 2002; 59: 2173-82.
15. Miasso AI, Silva AEBC, Cassiani SHB, Grou CR, Oliveira RC, Fakih FT. O processo de preparo e administração de medicamentos: identificação de problemas para propor melhorias e prevenir erros de medicação. Rev. Latino- Am. Enfermagem. 2006; 14(3): 354-63.
16. Vanderveen T, Harris J, L SR. Reducing complexity: a strategic approach to optimizing the medication use process for all medications. [access 2009 July 20]. Available from http://www.cardinal.com/clinicalcenter/education/Complexity%20Dec%202006.pdf
17. Wirtz V, Katja T, Barber ND. An observational study of intravenous medication errors in the United Kingdom and in Germany. Pharm Word Sci. 2003; 25(3): 104-11.
18. Bates DW. Preventing medication errors: a summary. Am J Health-Syst Pharm. 2007; 64(S9): S3-S9.
19. Bissett, L. Reducing the risk of acquiring antimicrobial- resistant bacteria. Br J Nurs. 2006; 15(2): 68-71.
20. Otero López MJ, Alonso-Hernandez P, Maderuelo-Fernandez JA, Garrido-Corro B, Dominguez-Gil A, Sanchez-Rodriguez A. Acontecimientos adversos prevenibles causados por medicamentos em pacientes hospitalizados. Med Clin. 2006; 16(3): 81-7.