急诊科的用药错误：电子病历是有效的障碍吗？
Medication errors in emergency departments: is electronic medical record an effective barrier?
作者信息
Vaidotas Marina, Yokota Paula Kiyomi Onaga, Negrini Neila Maria Marques, Leiderman Dafne Braga Diamante, Souza Valéria Pinheiro de, Santos Oscar Fernando Pavão Dos, Wolosker Nelson
机构信息
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
出版信息
Einstein (Sao Paulo). 2019 Jul 10;17(4):eGS4282. doi: 10.31744/einstein_journal/2019GS4282.
OBJECTIVE
To compare medication errors in two emergency departments with electronic medical record, to two departments that had conventional handwritten records at the same organization.
METHODS
A cross-sectional, retrospective, descriptive, comparative study of medication errors and their classification, according to the National Coordinating Council for Medication Error Reporting and Prevention, associated with the use of electronic and conventional medical records, in emergency departments of the same organization, during one year.
RESULTS
There were 88 events per million opportunities in the departments with electronic medical record and 164 events per million opportunities in the units with conventional medical records. There were more medication errors when using conventional medical record - in 9 of 14 categories of the National Coordinating Council for Medication Error Reporting and Prevention.
CONCLUSION
The emergency departments using electronic medical records presented lower levels of medication errors, and contributed to a continuous improvement in patients´ safety.
目的
比较同一机构中两个使用电子病历的急诊科与两个使用传统手写病历的急诊科的用药差错情况。
方法
进行一项横断面、回顾性、描述性、比较性研究，根据国家用药差错报告和预防协调委员会的标准，对同一机构急诊科在一年期间与使用电子病历和传统病历相关的用药差错及其分类进行研究。
结果
使用电子病历的科室每百万机会中有88起事件，使用传统病历的科室每百万机会中有164起事件。在国家用药差错报告和预防协调委员会的14类差错中，有9类在使用传统病历时出现的用药差错更多。
结论
使用电子病历的急诊科用药差错水平较低，有助于持续提高患者安全。
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