[Errors of medication in a university hospital: type, causes, suggestions and actions].
This exploratory study (survey) has analyzed the errors of medication in a university hospital on the basis of 40 interviews conducted with professionals of the medication system. The results showed that the most frequent types of errors occur in drug prescription (29.04%); individual flaws are considered the main cause of errors (47.37%) and the main flaws in the medication system (26.98%); changes in individual attitudes are suggested as a way to avoid errors (28.26%); guidance is the most utilized administrative action (25%). The conclusion is that there is no systemic awareness among professionals regarding errors, putting the blame on the human being. This culture must be altered and transformed into improvements for the system.
Silva
Ana Elisa Bauer de Camargo
AE
Faculdade de Enfermagem da Universidade Federal de Goiás. anaelisa@terra.com.br
Cassiani
Silvia Helena De Bortoli
SH
D001938:Brazil; D011307:Drug Prescriptions / Q000592:standards; D006785:Hospitals, University; D006801:Humans; D007407:Interviews as Topic; D008508:Medication Errors / Q000145:classification / Q000517:prevention & control; D008510:Medication Systems, Hospital; D010607:Pharmacy Service, Hospital / Q000592:standards