title: [Evaluation of administration errors of injectable drugs in neonatology].
abstract: OBJECTIVE
  Use of injectable drugs in newborns represents more than 90% of prescriptions and requires special precautions in order to ensure more safety and efficiency. The aim of this study is to gather errors relating to the administration of injectable drugs and to suggest corrective actions.
  
  
  METHODS
  This descriptive and transversal study has evaluated 300 injectable drug administrations in a neonatology unit. Two hundred and sixty-one administrations have contained an error. Data are collected by direct observations of administrative act.
  
  
  RESULTS
  Errors observed are: an inappropriate mixture (2.6% of cases); an incorrect delivery rate (33.7% of cases); incorrect dilutions (26.7% of cases); error in calculation of the dose to be injected (16.7% of cases); error while sampling small volumes (6.3% of cases); error or omission of administration schedule (1% of cases).
  
  
  CONCLUSIONS
  These data have enabled us to evaluate administration of injectable drugs in neonatology. Different types of errors observed could be a source of therapeutic inefficiency, extended lengths of stay or iatrogenic drug. Following these observations, corrective actions have been undertaken by pharmacists and consist of: organizing training sessions for nursing; developing an explanatory guide for dilution and administration of injectable medicines, which was made available to the clinical service. Collaborative strategies doctor-nurse-pharmacist can help to reduce errors in the medication process especially during his administration. It permits improvement of injectable drugs use, offering more security and better efficiency and contribute to guarantee ideal therapy for patients.
authors.affiliation: Service pharmacie, centre de maternité et de néonatologie, Monastir, Tunisie; Faculté de pharmacie, Monastir, Tunisie. Electronic address: amani_cherif@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Cherif
authors.affiliation: Service pharmacie, centre de maternité et de néonatologie, Monastir, Tunisie; Faculté de pharmacie, Monastir, Tunisie.
authors.forename: M
authors.initials: M
authors.lastname: Sayadi
authors.affiliation: Service de néonatologie, centre de maternité et de néonatologie, Monastir, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Ben Hmida
authors.affiliation: Service de néonatologie, centre de maternité et de néonatologie, Monastir, Tunisie.
authors.forename: K
authors.initials: K
authors.lastname: Ben Ameur
authors.affiliation: Service de néonatologie, centre de maternité et de néonatologie, Monastir, Tunisie.
authors.forename: K
authors.initials: K
authors.lastname: Mestiri
mesh_terms: D004334:Drug Administration Schedule; D004339:Drug Compounding; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007267:Injections; D008297:Male; D008508:Medication Errors / Q000706:statistics & numerical data*; D008510:Medication Systems, Hospital; D009359:Neonatology / Q000592:standards*; D019999:Pharmaceutical Solutions; D010607:Pharmacy Service, Hospital; D011446:Prospective Studies
chemical_list: D019999:Pharmaceutical Solutions
keywords: Administration error; Erreurs d’administration; Injectable drugs; Médicaments injectables; Neonatology; Néonatologie