Errors in preparation and administration of parenteral drugs in neonatology: evaluation and corrective actions

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Published Sep 22, 2017
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Vol. 94 No. 12 (2016): Issue Dec 2016

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Nesrine Hasni
Emira Ben Hamida
Khouloud Ben Jeddou
Sarra Ben Hamida
Imene Ayadi
Zeineb Ouahchi
Zahra Marrakchi

Abstract

The medication iatrogenic risk is quite unevaluated in neonatology

Objective: Assessment of errors that occurred during the preparation and administration of injectable medicines in a neonatal unit in order to implement corrective actions to reduce the occurrence of these errors.

Methods: A prospective, observational study was performed in a neonatal unit over a period of one month. The practice of preparing and administering injectable medications were identified through a standardized data collection form. These practices were compared with summaries of the characteristics of each product (RCP) and the bibliography.

Results: One hundred preparations were observed of 13 different drugs. 85 errors during preparations and administration steps were detected. These errors were divided into preparation errors in 59% of cases such as changing the dilution protocol (32%), the use of bad solvent (11%) and administration errors in 41% of cases as errors timing of administration (18%) or omission of administration (9%).

Conclusion: This study showed a high rate of errors during stages of preparation and administration of injectable drugs. In order to optimize the care of newborns and reduce the risk of medication errors, corrective actions have been implemented through the establishment of a quality assurance system which consisted of the development of injectable drugs preparation procedures, the introduction of a labeling system and staff training.

Keywords:

Medication error, preparation error, iatrogenic risk, administration error, prevention of errors

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