Analysis of prescriptions in brazilian public maternity
Keywords:
Segurança do paciente, Prescrição, Erros de medicação, Maternidade.Abstract
Aim: To analyze prescriptions in brazilian public maternity as information related about patient, prescriber and drugs.
Methods: Prescriptions of April 2013 were analyzed to obtain a number of completed prescriptions containing a minimum of 1000 items containing medications. The observance of prescribers about legal and institutional procedures was checked. An individual analysis of all prescription drugs for the occurrence of errors has also accomplished.
Results: 194 prescriptions were analyzed with 1002 items containing medications. The predominant form of writing was handwritten (n=142; 73,19%). Absence or illegibility of the patients name was identified in 31.96% (n=62) of the prescriptions and lack of signature and stamp of the prescribing physician in 13,40% (n=26). Errors related to medications were observed in 108 prescriptions (55,67%), highlighting the error in dose. The use of abbreviations occurred in 973 (98,78%) drugs and in 175 (17,98%) this use were considered dangerous.
Conclusion: The existence of failures was identified in the writing process of drug prescription with errors in the data related to patients, prescribers and drugs, in disagreement with current legislation and with the potential to compromise the quality of care provided to hospitalized patients.
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