Diluizione dei farmaci in Terapia Intensiva: indagine descrittiva sulle diluizioni in uso nelle Terapie Intensive della regione Emilia Romagna

Ricevuto: 26 gennaio 2019
Accettato: 26 gennaio 2019
Pubblicato: 26 gennaio 2019
Abstract Views: 1435
PDF: 678
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Autori

Introduzione: Dalla revisione della letteratura si stima che gli errori farmacologici rappresentino una percentuale compresa tra il 12% ed il 20% di tutti gli errori avvenuti in ambiente sanitario. Da uno studio analizzato in una revisione di letteratura del 2013 si evince che il 44% degli errori farmacologici accaduti nelle Terapie Intensive avviene durante la preparazione, a causa di omissioni e di dosaggi errati, i qualirappresentano i più frequenti errori. Il setting delle Terapie Intensive fornisce assistenza ai pazienti più critici, che ricevono molteplici infusioni di medicinali alcuni dei quali potenzialmente rischiosi, ed è perciò associato a rischi significativi per eventi avversi e gravi errori.

Dimensions

Altmetric

PlumX Metrics

Downloads

I dati di download non sono ancora disponibili.

Citations

National Coordinating Council for Medication Error Reporting and prevention, About medication errors, http://www.nccmerp.org/about-medication-errors ultimo accesso 20/08/2018
Rothschild J., Landrigan C., Cronin J., Kaushal R., Lockley S., Burdick E., et al. The critical care safety study: the incidence and nature of adverse events and serious medical errors in intensive care. Critical Care Medicine 2005 Aug;33(8):1694-700
Di Muzio M., Marzuillo C., De Vito C., La Torre G., Tartaglini D. Knowledge, attitudes, behaviour and training needs of ICU nurses on medication errors in the use of IV drugs: a pilot study. Signa Vitae 2016, 11(1) 182-206
McDowell S., Mt-Isa S., Ashby D., Ferner R. Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. Qual Saf Health Care 2010 Aug;19(4):341-5
O'Shea E. Factors contributing to medication errors: a literature review. Journal of Clinical Nursing 1999 Sep;8(5):496-504
Valentin A., Capuzzo M., Guidet B., Moreno R., Metnitz B., Bauer P., et al. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. British Medical Journal 2009 Mar 12;338:b814
Burdeu G., Dip G., Cert G., Crawford R., Hos D., Van de Vreede M., McCann, J. Taking aim at infusion confusion. Journal of Nursing Care Quality 2006 Apr-Jun;21(2):151-9
Parshuram C., To T., Seto W., Trope A., Koren G., Laupacis A. Systematic evaluation of errors occurring during the preparation of intravenous medication. Canadian Medical Association Journal 2008 Jan 1;178(1):42-8
Borthwick M., Woods J., Keeling S., Keeling P., Waldmann C. A survey to inform standardisation of intravenous medication concentrations in critical care. The Journal of the Intensive Care Society, 8(1), 92-96 (2007).
Borthwick M., Keeling S., Keeling P., Waldmann C., Scales K. Towards standardization of drug infusion concentrations in UK critical care units. The Journal of the Intensive Care Society, 10(3), 197-200 (2009).
Borthwick M., Keeling S., Keeling P., Scales K. Towards IV drug standardization in critical care. British Journal of Nursing, 2010 Oct 28-Nov 10;19(19):S30-3
Intensive Care Society, Medication Concentrations in Adult Critical Care Areas (2017), disponibile a http://www.ics.ac.uk/AsiCommon/Controls/BSA/Downloader.aspx?iDocumentStorageKey= 869e97f4-fa26-416a-b1e8-e4904b251fac&iFileTypeCode=PDF&iFileName=Medication%2 0Concentration%20in%20Critical%20Care%20Areas , ultimo accesso 20/08/2018
Wheeler D. W., Degnan B.A., Sehmi J.S., Burnstein R.M., Menon A.K. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Intensive Care Med 2008 Aug;34(8):1441-7
Donati D., Tartaglini D., Di Muzio M. L’errore nella somministrazione di terapia farmacologica endovenosa nelle Unità di Terapia Intensiva: stato dell’arte e strategie. Scenario, (2015) 32 (2) 20-27.
Van de Bemt P., Fijn R., Van der Voort P., Gossen A., Egberts T., Brouwers J. Frequency and determinants of drug administration errors in the intensive care unit. Critical care Medicine 2002 Apr;30(4):846-50.
Titiesari YD, Barton G, Borthwick M, Keeling S, Keeling P, Infusion medication concentrations in UK's critical care areas: Are the Intensive Care Society's recommendations being used?, J Intensive Care Soc. 2017 Feb;18(1):30-35
Dennison R.D. A medication safety education program to reduce the risk of harm caused by medication errors. The Journal of Continuing Education in Nursing 2007 Jul-Aug;38(4):176-84.
Abstoss K.M., Shaw B.E., Owens T. A., Juno J.L., Commiskey E.L., Niedner,M.F. Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level. British Medical Journal Qual Saf 2011 Nov;20(11):914-22.
Frith K.H. Medication errors in the intensive care unit. American Association of Critical-Care Nurses 2013 Oct-Dec;24(4):389-404

Agenzie di supporto

Come citare

Munaretto, K., Piombini, S., & Imbrìaco, G. (2019). Diluizione dei farmaci in Terapia Intensiva: indagine descrittiva sulle diluizioni in uso nelle Terapie Intensive della regione Emilia Romagna. Scenario® - Il Nursing Nella Sopravvivenza, 35(4), 19–24. https://doi.org/10.4081/scenario.2018.370