Ocorrência de erros na administração de medicação - Revisão Integrativa

Abstract

The increasing complexity of care associated with a greater use of new technologies, drugs and other treatments, proves to be a challenge for health organizations, and is often the basis for the existence of adverse events. The administration of medication is considered a crucial activity with regard to patient safety. The occurrence of errors during the medication management process entails important costs for patients, professionals and the health service. In regard to Europe, the data indicate that 8 to 12% of patients admitted to a hospital experienced adverse events, such as medication errors, among others. The World Health Organization has defined harmless medication as the third Global Patient Safety Challenge. Objective: To examine scientific evidence in medication administration errors. Methods: Integrative literature review, based on database searches (CINAHL, Cochrane, Mediclatina, MEDLINE, CUIDEN) and bibliographic references of the articles included Limiters: articles published from 2015 to 2020; full text and Europe. Results: Eleven included articles that report a relationship between the occurrence of errors and organizational factors (interruptions, lack of human resources, accelerated work rhythms, workloads, and punitive culture); medication system factors (security systems) and individual factors (tiredness, lack of skills and negligence). Conclusion: Improve the nursing practice environment and ensure the existence of safety routines systems in the administration of medication, non-punitive organizational culture and sufficient human resources (trained and educated in the safe use of the medicine) have an impact on reducing the occurrence of medication errors and consequently, promoters of patient safety.