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PS-043 Medicines errors in critically ill patients
  1. E Domingo-Chiva1,
  2. P Cuesta-Montero2,
  3. EM García-Martínez1,
  4. MD Pardo-Ibañez2,
  5. JM Jiménez-Vizuete2,
  6. RS Peyró-García2,
  7. M Díaz-Rangel1,
  8. S Plata Paniagua1,
  9. J Marco-del Río1,
  10. A Valladolid Walsh1
  1. 1Gerencia de Atención Integrada de Albacete, Department of Pharmacy, Albacete, Spain
  2. 2Gerencia de Atención Integrada de Albacete, Department of Anaesthesia and Resuscitation, Albacete, Spain

Abstract

Background Medication errors in critical care are frequent, serious and predictable. Critically ill patients are prescribed twice as many medications as patients outside the intensive care unit and nearly all will suffer a potential error at some point during their stay.

Purpose To quantify and characterise medication errors in a surgical intensive care unit (SICU).

Material and methods We conducted a one-month prospective observational study to detect, quantify and score medication errors in a SICU.

Results A total of 634 observations made over weekdays and weekends were performed including morning, noon and night shifts. 36.27% observations (230) included some type of error, a total of 245 medication errors were detected. According to the type of error found: 52 were prescription errors (21.22%), 2 omissions (0.82%), 44 related to administration technique (wrong speed) (17.96%), 10 omissions of the administration record (4.08%), 97 erroneous preparations (39.59%), 1 wrongly prescribed dose by default (0.41%) and 3 by excess (1.22%), 5 errors related to erroneous administration route (2.04%), 2 erroneous drug monitorization (0.82%) and 29 transcription errors (11.84%). According to severity within categories established by the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP), 26.12% errors were Category A, 10.20% were Category B, 61.63% were Category C, 1.63% Category D and 0.41% Category F.

Conclusion Determining the incidence of medication errors in our system and adopting measures to prevent them is a priority in order to improve the drug treatment process in critically ill patients. The integration of a pharmacist in the intensive care unit is one of the measures that our institution has adopted to reduce medication-related errors and improve quality of care.

References and/or acknowledgements No conflict of interest.

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