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- Regina Célia de Oliveira, Ana Elisa Bauer de Camargo, and Silvia Helena Bortoli Cassiani.
- Faculdade de Enfermagem Nossa Senhora das Graças da Universidade de Pernambuco, Aluna do Programa Interunidades de Doutoramento da EERP-USP. reginac.oliveira@terra.com.br
- Rev Bras Enferm. 2005 Jul 1; 58 (4): 399-404.
AbstractThis study identified situations indicating medication errors or near misses by analyzing medication orders and the nursing staff's performance. It also implemented a cycle of lectures and a course on safety in medication administration for professionals at the emergency room in a hospital in the northeastern region of Brazil. The results showed that of 1,585 orders under analysis, 83,9% did not clearly express the medication presentation and 84.6% did not define the dosage from prescribed medication, in 34.2%, the administration time was unchecked; in 22.5%, the time had been circled. Among the non-administered medication, 26% were antibiotics and anticoagulants and 15% analgesics. The professionals participated in the implemented strategies with good attendance levels.
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