Medication errors reported in a pediatric intensive care unit for oncologic patients.

BACKGROUND

Considering all sources of errors that may occur during healthcare, medication errors are the most common and also the most frequent cause of adverse events.

OBJECTIVE

The objective of the study was to describe the medication errors reported in a pediatric intensive care unit for oncologic patients.

METHODS

This is a descriptive and exploratory study. The errors were reported by the professionals involved in the medication system in a medication error report form developed for the study.

RESULTS

The sample consisted of 110 medication errors reported on 71 forms. The omission error was the most common error type reported (22.7%), followed by administration error (18.2%). No harm to patients was reported in 83.1% of the notifications.

CONCLUSION

The analysis of the110 medication errors provides evidence of the context of their occurrence and the need to implement measures that can prevent or intercept these errors.

IMPLICATIONS FOR PRACTICE

In an institution without adverse events report and a formal system to patient safety analysis, the implementation of a local nonpunitive approach to medication errors notification represented an important tool to patient safety promotion.