Desarrollo de un método observacional prospectivo de estudio de Errores de Medicación para su aplicación en hospitales

BLASCO SEGURA, P; MARIÑO, E L; AZNAR SALIENTE, Mª T; POL YANGUAS, E; ALMIÑANA, M ALÓS; CASTELLS MOLINA, M; VELASCO ÁLVAREZ, Mª L

Farmacia Hospitalaria

ISSN: 1130-6343

Farmacia Hospitalaria (Farm Hosp) is the official publication of the Spanish Society of Hospital Pharmacists (SEFH), a professional and scientific organization that currently has about 4.351 members.

The Mission of Farm Hosp is to be the support for health professionals for expanding the influence of projects, publications, and training programs, and to promote the exchange of experiences.

Vision Farm Hosp is:
- to increase the state of knowledge about the hospital pharmacy and whose actions should increase the adequate and safe use of medicines and health products.
- to be an instrument of exchange and dissemination of scientific knowledge of pharmacy practice through the best use and safe medication and health outcomes.

It is a peer-reviewed double-blind scientific journal aimed at publishing in the broad field of Hospital Pharmacy advances in Pharmacy Services. This journal included the following topics: Drug evaluation. Quality of life. Patient Reported Outcome Measures (PROMs), and Patient Reported Experience Measures (PREMs) in the use of drugs. Monitoring medication. Pharmaceutical compounding. Medication administration. Management of Pharmacy Services (logistics, quality control). Technologies and information systems in the process of using medication. Medical devices. Patient Education. Pharmacist´s role in the society and /or in the Health System in Spain, and other topics related to clinical, scientific, and institutional role of hospital pharmacists.

Farmacia Hospitalaria publishes bimonthly (6 issues yearly) originals, short originals, reviews, clinical cases, special articles, protocols, consensus documents, clinical guidelines, letters to the editor, editorials.

All the articles are published in Spanish and English language regardless of the language in which they are received.

Farmacia Hospitalaria is an Open Access journal, whose content is available free of charge to users or their institutions. Users are authorised to read, download, copy, distribute, print, search, or link to entire texts of the articles in this journal without prior permission from the editor or author, according to the BOAI definition of Open Access. The papers may be re-used under the terms of the Creative Commons 4.0 license. (CC BY-NC-ND). Such use shall be subject to authorisation from SEFH, the journal owner.

Farmacia Hospitalaria journal charges no fees for submission of papers or publication of articles.

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Manuscripts must follow the most recent recommendations of the International Committee of Medical Journal Editors (available at http://www.icmje.org).

The articles published in Farmacia Hospitalaria are indexed in PubMed and other 17 date bases:
- Evaluation databases: MEDLINE, DOAJ, Scopus, Latindex y Scimago Journal and Country Rank (SJR). Índice H: 18, quartile 3 (Medicine, miscellaneous / Pharmacology)
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Indexed in:

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Objetivo: Los errores de medicación son incidentes prevenibles mediante sistemas de estudio y control del proceso de utilización de medicamentos. Metodología: Durante los años 96-98, se realizó, en tres hospitales, un estudio observacional prospectivo utilizando el método Barker-McConell modificado. A diferencia de este método, no se disfrazó el propósito del trabajo y las oportunidades de error observadas se analizaron mediante un programa estadístico. Resultados: Se observaron 8.222 oportunidades de error. Los errores más frecuentes fueron las discrepancias (35,4%), E. Tiempo (33,2%) y E. Registro Administración (33,0%). El Índice Global de Errores de Medicación que llegan al paciente excluyendo discrepancias y E. Tiempo fue 12,8%. Se cometieron una media de 0,9 errores por paciente y día. Conclusiones: El método observacional diseñado es válido para su utilización en hospitales españoles. Los datos obtenidos pueden utilizarse para establecer medidas de prevención de Errores de Medicación.

Palabras clave:

Error

Error de medicación

Calidad

Método observacional

Introduction: Medication errors are incidents that may be prevented using study and control systems during the drug administration process. Methodology: During the years 96-98 a prospective observational study was performed in three hospitals using the modified Barker-McConell method. In contrast with this method, the purpose of the study was not disguised, and observed error opportunities were analysed using a statistics software programme. Results: A total 8,222 error opportunities were seen. Most common errors were Discrepancies (35.4%), Time E. (33.2%), and Administration Record E. (33.0%). Excluding Discrepancies and Time E., the general medication error index reaching the patient was 12.8%. A mean of 0.9 errors per patient and day were made. Conclusions: The observational method, as designed, is valid for use in Spanish hospitals. Data obtained may be used to establish strategies for medication error prevention.

Keywords:

Error

Error de medicación

Calidad

Método observacional

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