- Lecture presentation
- Open Access
Prevention of adverse events in the administration of drugs
© Diano and Vrenna; licensee BioMed Central Ltd. 2010
- Published: 19 May 2010
- Drug Reaction
- Adverse Drug Reaction
- Medication Error
- Computerize System
- Care Process
Adverse event (Adverse events) refers to an event related to the care process and which involves an injury to the patient, unintended and undesirable.
Errors in drug therapy (also called error of therapy) are predictable events that may cause or lead to the inappropriate use of the drug or a threat to hospitalized patients, which may occur during the process of managing the drug for prevention and therefore should be considered by the whole management system of healthcare.
These events, predictable and avoidable must be differentiated from the adverse drug reactions (ADR-Adverse Drug Reaction), linked to the drug itself and that are detected and evaluated by pharmacovigilance.
The causes of errors in therapy are multifactorial and involve different health professionals.
• Error limitation
• Clerical error / interpretation,
• Error processing;
• Error distribution
• Administration error
The error of prescribing may relate to the decision to prescribe a drug, and the process of writing the prescription (quality and completeness of essential information).
Errors occur when the prescription, while still written by hand, is not properly recorded on the therapy.
After the prescription, preparation is the most critical phase in the process of administration of the drug in the hospital.
The distribution of medication errors occur both when it is distributed by hospital pharmacy departments and clinics and as when it is distributed directly to patients.
The error of administration can be considered as a deviation between medication that your doctor has prescribed according to proper standards of clinical practice and the drug received by the patient.
Computerized systems for registration of therapy,
Distribution of drugs in unit doses (with different levels of self-medication),
Active participation of clinical pharmacist management of therapy.
This article is published under license to BioMed Central Ltd.