Villegas F, Figueroa-Montero D, Barbero-Becerra V, Juárez-Hernández E, Uribe M, Chávez-Tapia N, González-Chon O

Language: Spanish
References: 18
Page: 172-179
PDF size: 161.06 Kb.

ABSTRACT

Introduction: Hospitalized patients are susceptible to medication errors, which represent between the fourth and the sixth cause of death. The department of intra-hospital pharmacovigilance intervenes in the entire process of medication with the purpose to prevent, repair and assess damages. Objective: To analyze medication errors reported by Mexican Fundación Clínica Médica Sur pharmacovigilance system and their impact on patients. Method: Prospective study carried out from 2012 to 2015, where medication prescriptions given to patients were recorded. Owing to heterogeneity, data were described as absolute numbers in a logarithmic scale. Results: 292 932 prescriptions of 56 368 patients were analyzed, and 8.9% of medication errors were identified. The treating physician was responsible of 83.32% of medication errors, residents of 6.71% and interns of 0.09%. No error caused permanent damage or death. Conclusion: This is the pharmacovigilance study with the largest sample size reported.

REFERENCES

1. Secretaría de Salud. NOM-220-SSA1-2012, instalación y operación de la farmacovigilancia. Diario Oficial de la Federación 2014 Nov 7.

2. Bentsi-Enchill A, Couper MR, Duclos P, Edwards IR, Fushimi T, Hartigan- Go K, et al. The importance of pharmacovigilance. United Kingdom: World health organization; 2002.

3. Villegas F. Manual de farmacovigilancia clínica. México: Editorial Panamericana; 2015.

4. Pérez-Peña J. La prescripción médica es un acto científico, ético y legal. Rev Cubana Med Gen Integr. 2002;18(2):114-116.

5. Núñez-Sánchez A, Cornejo-Bravo JM, Pérez-Morales ME. Evaluación de estudios prospectivos sobre errores de medicación en la prescripción: revisión sistemática. Rev Mex Cienc Farm. 2014;45(1):7-14.

6. Quirós-Vega D. Error de medicación: consultas al centro nacional de control de intoxicaciones. Fármacos. 2006;19(1-2):23-30.

7. Lisby M, Nielsen LP, Brock B, Mainz J. How are medication errors defined? A systematic literature review of definitions and characteristics. Int J Qual Health Care. 2010;22(6):507-518.

8. Saucedo-Becerra A, Serrano-Flores FE, Flores-Arcos V, Morales- Olarte E, Santos-García A. Errores frecuentes en la administración de medicamentos intravenosos en pediatría. Rev Enferm Inst Mex Seguro Soc. 2008;16(1):19-26.

9. Pérez-Menéndez-Conde C, Bermejo-Vicedo T, Delgado-Silveira E, Carretero- Accame E. Resultados negativos asociados al uso de medicamentos que motivan ingreso hospitalario. Farm Hosp. 2011;35(5):236-243.

10. De-Bortoli-Cassiani SH, Monzani S, Aparecida A, Trevisani-Fakih F, Perufo- Optiz S, Cardoso T, et al. Identificación y análisis de los errores de medicación en seis hospitales brasileños. Cienc Enferm. 2010;16(1):85-95.

11. Jennane N, Madani N, Oulderrkhis R, Abidi K, Khoudri I, Belayachi J, et al. Incidence of medication errors in a Moroccan medical intensive care unit. Int Arch Med. 2011;4:32.

12. Rodríguez R, Raymundo E, Sánchez JL, Bañales R. Evaluación del sistema de dispensación de medicamentos en el Hospital General de Tijuana. Salud Publica Mex. 2007;49(4):245-246.

13. Nerich V, Limat S, Demarchi M, Borg C, Rohrlich PS, Deconinck E, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. Int J Med Inform. 2010;79(10):699-706.

14. Khalili H, Karimzadeh I, Mirzabeigi P, Dashti-Khavidaki S. Evaluation of clinical pharmacist´s interventions in an infectious diseases ward and impact on patient’s direct medication cost. Eur J Intern Med. 2013;24(3):227-233.

15. Otero M, Martín R, Robles M, Codina C. Errores de medicación. En: Gamundi MC, eitor. Farmacia hospitalaria. España: FEFG; 2002.

16. Berg GM, Harshbarger JL, Ahlers-Schmidt CR, Lippoldt D. Exposing compassion fatigue and burnout syndrome in a trauma team: a qualitative study. J Trauma Nurs. 2016;23(1):3-10.

17. Carrillo-Esper R, Gómez-Hernández K, De la Torre-León T. Prevalencia de síndrome de Burnout en una unidad de terapia intensiva. Med Sur. 2012;19(4):208-211.

18. Fajardo-Dolci GE, Rodríguez-Suárez J, Gallegos-Alvarado M, Córdoba- Ávila MA, Flores-Bravo MC. Percepción de la frecuencia y causas de los eventos adversos por medicación en enfermería. Rev CONAMED. 2009;14(1):22-27.