Resumo

CASTRO LARA, Ariel; SOTOMAYOR NIETO, Julia; SEPULVEDA VARGAS, Yasna  e  MENA VELASQUEZ, Sandra. Adverse drug event reporting system: a university hospital experience. Enferm. glob. [online]. 2014, vol.13, n.33, pp.202-212. ISSN 1695-6141.

Introduction: The medication error (ME) has an impact in the morbi-mortality of the patients, as this way also the economic consequences for the individual, the systems of health and the society. A way of identifying them is across the system of reports. The aim of this communication is to present the experience of use of reports in an teaching hospital. Methodology: Descriptive Analysis of ME reports. There were in use as sources of information the system of census and the reports of the ME. Results: The rate of ME's reports was of 1.2x 1000 patients. The reports principally came from medical services (39 %) and 34% from Intensive Care Units 34 %. More frequent MM was in the administration (47 %) and dispensation (27 %). The notified ME 69 % came to the patient, some type of intervention being needed in 68 % of these cases. The gravity of ME was important in 47 % of the cases, being able to preventable 97 %. Conclusions: ME is a present reality in our hospital, which it is possible to anticipate. The system of ME reports is a useful tool in the identification that causes root.

Palavras-chave : Medication Error; Adverse Drug Events; Reports.

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