Cassiani Sílvia Helena, Gimenes Fernanda Raphael, Freire Cláudia Câmara
Departamento de Enfermagem Geral, Escola de Enfermagem de Ribeirão Preto-USP.
Rev Bras Enferm. 2002 Sep-Oct;55(5):509-13.
The medical orders have an important role in the prevention of medication errors. The objective of this study is to identify and to analyse the causal factors of error in the medication related to electronic prescription in two different clinics of a university hospital of the interior of the state of São Paulo. A questionnaire related to the advantages and disadvantages of electronic prescription was applied to the professionals of these clinics. The data collected was grouped in accordance with the similarity of the answers. These professionals identified causal factors of errors in the medical orders, but they also mentioned the advantages of it when compared to the manual order, such as bigger readability, rapidity and organization of the first one. As we can see, the computerized system of medical order represents a great advance considering strategies to minimize errors from orders badly formulated. However, it does not eliminate the possibility of occurrence of causal factors of errors in the medication, which asks for some modifications in the system.
医嘱在预防用药错误方面发挥着重要作用。本研究的目的是识别和分析圣保罗州内陆一家大学医院两个不同科室与电子处方相关的用药错误因果因素。一份关于电子处方优缺点的问卷被应用于这些科室的专业人员。收集到的数据根据答案的相似性进行了分组。这些专业人员识别出了医嘱中的错误因果因素，但他们也提到了与手写医嘱相比电子处方的优点，比如前者具有更高的可读性、速度和条理性。如我们所见，考虑到尽量减少开具不当医嘱错误的策略，医嘱计算机化系统代表了一大进步。然而，它并不能消除用药错误因果因素出现的可能性，这就要求对该系统进行一些改进。
