Errors in the administration of intravenous medication in Brazilian hospitals.
OBJECTIVE
To verify the frequency of errors in the preparation and administration of intravenous medication in three Brazilian hospitals in the State of Bahia.


BACKGROUND
The administration of intravenous medications constitutes a central activity in Brazilian nursing. Errors in performing this activity may result in irreparable damage to patients and may compromise the quality of care.


METHODS
Cross-sectional study, conducted in three hospitals in the State of Bahia, Brazil.


METHODS
Direct observation of the nursing staff (nurse technicians, auxiliary nurses and nurse attendants), preparing and administering intravenous medication.


RESULTS
When preparing medication, wrong patient error did not occur in any of the three hospitals, whereas omission dose was the most frequent error in all study sites. When administering medication, the most frequent errors in the three hospitals were wrong dose and omission dose.


CONCLUSIONS
The rates of error found are considered low compared with similar studies. The most frequent types of errors were wrong dose and omission dose. The hospitals studied showed different results with the smallest rates of errors occurring in hospital 1 that presented the best working conditions. Relevance to clinical practice. Studies such as this one have the potential to improve the quality of care.
Anselmi
Maria Luiza
ML
University of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil. anselmi@eerp.usp.br
Peduzzi
Marina
M
Dos Santos
Claudia Benedita
CB
D001938:Brazil; D002983:Clinical Competence; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D003625:Data Collection; D032022:Delegation, Professional / Q000458:organization & administration; D004358:Drug Therapy / Q000451:nursing / Q000706:statistics & numerical data; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006801:Humans; D007262:Infusions, Intravenous / Q000451:nursing / Q000706:statistics & numerical data; D007275:Injections, Intravenous / Q000451:nursing / Q000706:statistics & numerical data; D008508:Medication Errors / Q000379:methods / Q000451:nursing / Q000706:statistics & numerical data; D008510:Medication Systems, Hospital / Q000458:organization & administration; D024802:Nurse's Role; D009728:Nursing Assistants / Q000193:education / Q000458:organization & administration; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration; D009745:Nursing, Supervisory / Q000458:organization & administration; D019370:Observation; D011787:Quality of Health Care; D017749:Total Quality Management