2015, Number 1
Medication-related errors occurred in critical care units and improvement proposal by the mobile application of educational games
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ABSTRACTIntroduction: In the critical care units (CCU) there is a greater likelihood of errors due to multiple factors. Related to drugs and associated nursing care are the most frequent. Mobile communications and the Internet have enabled new ways of education and games have the potential to facilitate and enhance learning. Objective: To describe medication-related errors in UCC and propose a nursing intervention as proposed improvements for staff to patient safety. Material and methods: Quantitative and descriptive study, conducted in July-December 2014 in a highly specialized institution, which addresses medication errors (EM) occurred in UCC. Descriptive statistics data were analyzed. Based on the results is proposed as an intervention to staff an application for mobile interactive game about drugs. Results: Of the total of events (N = 107) EM occupied 61.2% (n = 30). They had more men (66%), 50% on standby, average age 37, hospital stay 9.5 days. Most occurred in the morning shift (Fo = 14) during the administration (33.3%), mainly concentrated electrolytes and inhaled bronchodilators. No damage was caused in 70%, 100% of the cases were considered preventable. Among the contributing factors they excelled “not adhering to protocols” (63.3%) and “cognitive factors” (53.3%). Conclusions: The EM occur mainly during the administration not to follow protocols and cognition issues. It is likely that educational games support knowledge management and prevent the emergence of new EM.
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