Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era(1717 Wang H, Jin J, Feng X, Huang X, Zhu L, Zhao X, et al. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Ther Clin Risk Manag. [Internet]. 2015 [acesso em 30 nov 2020]; 5(11): 393-406. Disponível em: https://doi.org/10.2147/TCRM.S79238.
https://doi.org/10.2147/TCRM.S79238...
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Programa de intervenção de três anos e meio com foco em erros de medicação visando o credenciamento da instituição na Joint Commission International (JCI) |
Causes of Medication Errors in Intensive Care Units from the Perspective of Healthcare Professionals(2222 Farzi S, Irajpour A, Saghaei M, Ravaghi H. Causes of Medication Errors in Intensive Care Units from the Perspective of Healthcare Professionals. J Res Pharm Pract [Internet]. 2017 [acesso em 26 nov 2020]; 6(3): 158-65. Disponível em: https://doi.org/10.4103/jrpp.JRPP_17_47.
https://doi.org/10.4103/jrpp.JRPP_17_47...
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Entrada computadorizada do pedido de prescrição; formato idêntico para a redação da prescrição; educação permanente a equipe de saúde; recurso humano eficaz no atendimento; colaboração do farmacêutico; envolvimento de familiares/cuidadores no processo de reconciliação de medicamentos na internação. |
Medication errors among nurses in teaching hospitals in the west of Iran: what we need to know about prevalence, types, and barriers to reporting(2323 Fathi A, Hajizadeh M, Moradi K, Zandian H, Dezhkameh M, Kazemzadeh S, et al. Medication errors among nurses in teaching hospitals in the west of Iran: what we need to know about prevalence, types, and barriers to reporting. Epidemiol Health [Internet]. 2017 [acesso em 26 nov 2020]; 17(39). Disponível em: https://doi.org/10.4178/epih.e2017022.
https://doi.org/10.4178/epih.e2017022...
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Redução da carga horária da equipe de enfermagem e implantação de programas de educação permanente para a equipe de saúde. |
An Observational Study of the Impact of a Computerized Physician Order Entry System on the Rate of Medication Errors in an Orthopaedic Surgery Unit(1818 Hernandez F, Majoul E, Montes-Palacios C, Antignac M, Cherrier B, Doursounian L, et al. An Observational Study of the Impact of a Computerized Physician Order Entry System on the Rate of Medication Errors in an Orthopaedic Surgery Unit. PLoS ONE [Internet]. 2015 [acesso em 26 nov 2020]; 10(7). Disponível em: https://doi.org/10.1371/journal.pone.0134101.
https://doi.org/10.1371/journal.pone.013...
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Um sistema CPOE (Computerized Physician Order Entry) associado à verificação do farmacêutico clínico. |
Improving medication safety: Development and impact of a multivariate model-based strategy to target high-risk patients(2424 Nguyen Tri-Long, Leguelinel-Blache G, Kinowski Jean-Marie, Roux-Marson C, Rougier M, Spence J, et al. Improving medication safety: Development and impact of a multivariate model-based strategy to target high-risk patients. PLoS ONE [Internet]. 2017 [acesso em 27 nov 2020]; 12(2). Disponível em: https://doi.org/10.1371/journal.pone.0171995.
https://doi.org/10.1371/journal.pone.017...
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Um modelo multivariado para prever possíveis eventos adversos potenciais a medicamentos como estratégia para melhorar a alocação do farmacêutico clínico e subsequente segurança do paciente. |
The Role of Computerized Clinical Decision Support in Reducing Inappropriate Medication Administration During Epidural Therapy(2626 Pouliot JD, Neal EB, Lobo BL, Hargrove F, Gupta RK. The Role of Computerized Clinical Decision Support in Reducing Inappropriate Medication Administration During Epidural Therapy. Hospital Pharmacy [Internet]. 2018 [acesso em 27 nov 2020]; 53(3):170-6. Disponível em: https://doi.org/10.1177/0018578717741392.
https://doi.org/10.1177/0018578717741392...
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Uma ferramenta de apoio à decisão clínica incorporada no sistema CPOE (Computerized Physician Order Entry). |
An automated medication system reduces errors in the medication administration process: results from a Danish hospital study(2121 Risor BW, Lisby M, Sorensen J. An automated medication system reduces errors in the medication administration process: results from a Danish hospital study. Eur J Hosp Pharm. [Internet]. 2016 [acesso em 27 nov 2020]; 23 (4): 189-96. Disponível em: https://doi.org/10.1136/ejhpharm-2015-000749.
https://doi.org/10.1136/ejhpharm-2015-00...
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Um Sistema Automatizado de Medicação - AMS integra registros eletrônicos de administração (eMARs), dispensação automática assistida por código de barras (BCMA). |
Impact of pharmacy-led medication reconciliation on medication errors during transition in the hospital setting(1919 Smith L, Mosley J, Lott S, Cyr Jr. E, Amin R, Everton E, et al. Impact of pharmacy-led medication reconciliation on medication errors during transition in the hospital setting. Pharmacy Pract. [Internet]. 2015 [acesso em 30 nov 2020]; 13(4). Disponível em: http://dx.doi.org/10.18549/PharmPract.2015.04.634.
https://doi.org/10.18549/PharmPract.2015...
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Envolvimento do farmacêutico clínico no processo de reconciliação de medicamentos na internação hospitalar |
Pharmacist-assisted electronic prescribing at the time of admission to an inpatient orthopaedic unit and its impact on medication errors: a pre- and post intervention study(2727 Tran T, Taylor SE, Hardidge A, Mitri E, Aminian P, George J, et al. Pharmacist-assisted electronic prescribing at the time of admission to an inpatient orthopaedic unit and its impact on medication errors: a pre- and post intervention study. The Adv Drug Saf. [Internet]. 2019 [acesso em 28 nov 2020]; 10. Disponível em: https://doi.org/10.1177/2042098619863985.
https://doi.org/10.1177/2042098619863985...
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Envolvimento do farmacêutico clínico no processo de reconciliação de medicamentos na internação e durante a prescrição eletrônica com uso do eMMS (sistema eletrônico de gerenciamento de medicamentos) em pacientes ortopédicos hospitalizados. |
Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm(2525 Plas AV de, Slikkerveer M, Hoen S, Schrijnemakers R, Driessen J, Vries F de, et al. Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. BMJ Qual Improv Rep. [Internet]. 2017 [acesso em 28 nov 2020]; 6(1). Disponível em: https://doi.org/10.1136/bmjquality.u215011.w5936.
https://doi.org/10.1136/bmjquality.u2150...
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Programa de melhoria hospitalar, Lean Six Sigma. Intervenção personalizada para os problemas: ciclo de cinco etapas, DMAIC (Definir, Medir, Analisar, Melhorar, Controlar), com treinamentos da equipe, alterações de rotinas no processo de administração de medicamentos, cartazes e folders. |
Implementing technologies to prevent medication errors at a high-complexity hospital: analysis of cost and results(2828 Vilela RPB, Jericó M de C. Implementing technologies to prevent medication errors at a high-complexity hospital: analysis of cost and results. Einstein (São Paulo) [Internet]. 2019 [acesso em 29 nov 2020]; 17(4). Disponível em: https://doi.org/10.31744/einstein_journal/2019gs4621.
https://doi.org/10.31744/einstein_journa...
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Integração de várias tecnologias na cadeia medicamentosa na prevenção dos erros de medicação. |
Risk factors for medication errors in the electronic and manual prescription(2020 Volpe CRG, Melo EMM de, Aguiar LB de, Pinho DLM, Stival MM. Risk factors for medication errors in the electronic and manual prescription. Rev. Latino-Am. Enfermagem [Internet]. 2016 [acesso em 29 nov 2020]; 24. Disponível em: http://dx.doi.org/10.1590/1518-8345.0642.2742.
https://doi.org/10.1590/1518-8345.0642.2...
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Prescrição eletrônica (PE) com suporte à decisão clínica X prescrição manual (PM), identificando os fatores de risco para ocorrência de erros de medicação. |
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Fonte: Autores (2020).