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Abstract

RIASSUNTO I danni da errore terapeutico rappresentano un grave problema per il Servizio Sanitario Nazionale. La letteratura dimostra che gli errori di somministrazione dei farmaci avvengono molto più frequentemente nei reparti d'emergenza rispetto ad altri contesti assistenziali. L'obiettivo primario è quello di individuare gli errori più comunemente registrati nella pratica clinica infermieristica che avvengono durante la somministrazione dei farmaci. L'obiettivo secondario è quello di identificare i fattori che possono contribuire ad errori e le loro possibili misure preventive. E' stata condotta un'indagine multicentrica osservazionale con la somministrazione di un questionario anonimo a 206 infermieri di 7 reparti di 4 aziende sanitarie delle regioni italiane Lombardia e Veneto. Il questionario auto-compilato è composto da 15 domande. I dati sono stati raccolti da un infermiere non dipendente dalle strutture sanitarie analizzate. Sono stati completati 150 questionari (72,8%). I risultati mostrano come 81 infermieri (54%) abbiano somministrato un farmaco con dosaggio errato, mentre 80 professionisti (53,3%) abbiano somministrato uno o più farmaci ad un orario differente dalla prescrizione. L'analisi statistica ha evidenziato una significativa associazione fra l'esecuzione impropria di esami diagnostici e l'etí  di servizio del professionista. E' stata riscontrata anche un'evidente associazione lineare, statisticamente significativa, fra l'anzianití  lavorativa dell'infermiere e la disponibilití  a comunicare un errore. Dall'analisi dei dati emerge chiaramente la necessití  di educare gli infermieri sull'importanza di un sistema di denuncia volontaria per migliorare la sicurezza dei pazienti. I risultati dello studio possono essere utilizzati in programmi destinati a riconoscere l'errore, causato dalla somministrazione di farmaci o altro evento e ridurre o eliminare gli ostacoli alla comunicazione. Parole chiave: terapia farmacologica, errore terapeutico, risk management, infermieristica di emergenza, studio multicentrico

ABSTRACT Mistakes in providing medication are amongst main problems in National Health Service. The literature shows that drug's errors administration occur much more frequently in emergency departments than in other care settings. Main objective is to identify most commonly mistakes, recorded in nursing clinical practice, occurring during drugs administration. A secondary objective is to identify factors that may contribute to errors and possible preventive measures. A multicentre survey was conducted, administering an anonymous questionnaire to 206 nurses of 7 wards of 4 health services in Lombardia and Veneto region of Italy. The self-compiled questionnaire is composed by 15 questions. Informations were collected by a third-party nurse. Responders to test were 150 (72.8%). Main results show that 81 nurses (54%) administered a wrong drug dose, as well as 80 health care professional (53.3%) gave one or more drug at a different time from what was prescribed. It was also found a statistically significant association between improper performance of diagnostic tests and health care professionals age. Moreover, a strong linear association between medication error reporting and nurses was found. Educating nurses about accident reporting system to enhance patient safety culture is highly recommended. Our results could be used in programs aimed to promote medication error recognition and reduce or eliminate barriers to communication. Key words: drug therapy, medication error, risk management, emergency nursing, multicenter study

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Storti, M., Zucchi, A., & Buccoliero, P. (2014). Analisi dei rischi nel processo di somministrazione dei farmaci nei dipartimenti di emergenza: uno studio osservazionale multicentrico. PROFESSIONI INFERMIERISTICHE, 64(4). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/57
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