Interrupções e distrações durante a preparação e administração de medicamentos de alto risco: Estudo transversal

Olga Lucia Gaitan-Gomez; Luz Stella Bueno-Robles; Fabio Alberto Camargo-Figuera; Silvia Regina-Secoli

Olga Lucia Gaitan-Gomez Universidad Antonio Nariño, Faculdade de Enfermagem, Popayán, Cauca, Colombia https://orcid.org/0000-0002-9252-1457
Luz Stella Bueno-Robles Universidad Nacional da Colombia, Faculdade de Enfermagem, Bogota, Cundinamarca https://orcid.org/0000-0002-9842-536X
Fabio Alberto Camargo-Figuera Universidad Industrial de Santander, Facultade de Saúde, Escola de Enfermagem, Santander, Bucaramanga http://orcid.org/0000-0001-6070-9327
Silvia Regina-Secoli Universidade de São Paulo, Escola de Enfermagem, São Paulo, Brasil http://orcid.org/0000-0003-4135-6241

Palabras clave: Hospitalización, Unidades de cuidados intensivos, Errores de medicación, Enfermería, Seguridad del paciente

Key-words: Hospitalization, Intensive care units, Medication errors, Nursing, Patient safety

Palavras chave: Hospitalização, Unidades de terapia intensiva, Erros de medicação, Enfermagem, Segurança do paciente

Resumen

Marco contextual: Se ha reportado la participación de distracciones en errores clínicos y fallos de procedimiento. Objetivo: Analizar las distracciones del personal de enfermería durante la preparación y administración de fármacos de alto riesgo. Metodología: Estudio transversal desarrollado en una unidad de cuidados intensivos y una unidad de hospitalización. Se observaron distracciones del personal de enfermería durante el proceso de medicación através de dos listas de control. La muestra fue seleccionada por conveniencia (abril-mayo 2019). Los datos cuantitativos se analizaron mediante estadística descriptiva (IBM SPSS Statistics, versión 24.0). Los datos cualitativos se analizaron mediante análisis de contenido. Resultados: Hubo 137 distracciones en 193 procesos de medicación. La mayoría de las distracciones fueron iniciadas por otros miembros del equipo sanitario a través de conversaciones. La mayoría se produjeron en la fase de preparación y fueron negativas y se gestionaron mediante la estrategia multitarea. Conclusión: Las distracciones durante el proceso de medicación se referían principalmente a las comunicaciones profesionales y sociales. La importancia de esas distracciones variaba en función de la fase del proceso

Abstract

Background: Interruptions have been reported to contribute to clinical errors and procedural failures. Objective: To analyze the interruptions experienced by nurses during the preparation and administration of high-risk medications. Methodology: A cross-sectional study was conducted in an intensive care and inpatient unit. The interruptions experienced by nurses during the medication process were observed through two checklists. The sample was selected by convenience in April-May 2019. Descriptive statistics was used to analyze quantitative data in IBM SPSS Statistics software, version 24.0, while content analysis was used to analyze qualitative data. Results: In 193 medication processes, there were 137 interruptions. Other members of the healthcare team initiated most interruptions through conversations. These interruptions were mostly negative and occurred during the preparation phase. The multitasking strategy was used to manage them. Conclusion: Interruptions during the medication process were primarily associated with professional and social communications. The impact of these interruptions varied depending on the phase of the process

Resumo

Enquadramento: Estudos indicam que as interrupções contribuem para erros clínicos e falhas em procedimentos. Objetivo: Analisar as interrupções vivenciadas pelos enfermeiros durante a preparação e administração de medicamentos de alto risco. Metodologia: Foi realizado um estudo transversal numa unidade de cuidados intensivos e numa unidade de internamento. As interrupções vivenciadas pelos enfermeiros durante o processo de medicação foram observadas com a ajuda de duas checklists. A amostra foi selecionada por conveniência em abril e maio de 2019. Os dados quantitativos foram analisados através de estatística descritiva no programa IBM SPSS Statistics, versão 24.0, enquanto os dados qualitativos foram tratados por meio da análise de conteúdo. Resultados: Observaram-se 137 interrupções em 193 processos de medicação. A maioria das interrupções foi iniciada por outros membros da equipa de cuidados de saúde por meio de conversas. Estas interrupções foram maioritariamente prejudiciais e ocorreram durante a fase de preparação. A estratégia multitarefa foi utilizada para as gerir. Conclusão: As interrupções ocorridas durante o processo de medicação eram maioritariamente associadas com comunicações profissionais e sociais. A sua relevância diferiu consoante a fase do processo

Bibliografía

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Interrupções e distrações durante a preparação e administração de medicamentos de alto risco: Estudo transversal

Interruptions and distractions during the preparation and administration of high-risk medications: A cross-sectional study

Distracciones e interrupciones durante la preparación y administración de medicamentos de alto riesgo: Estudio transversal

Resumen

Abstract

Resumo

Bibliografía