Erros de medicação em anestesia: inaceitável ou inevitável?

Resumo Os erros de medicacao sao as causas mais comuns de morbidade e mortalidade dos pacientes. Alem disso, esses erros aumentam os encargos financeiros da instituicao. Embora o impacto varie de nenhum dano a efeitos adversos graves, inclusive o obito, e preciso estar atento a ordem de prioridades porque os erros de medicacao sao evitaveis. Na atualidade, com as pessoas cientes e os processos medicos em evidencia, frear esse problema e de extrema prioridade. O esforco individual para diminuir os erros de medicacao pode nao obter sucesso ate que uma mudanca nos protocolos e sistemas existentes seja incorporada. Muitas vezes, os erros de medicacao ocorridos nao podem ser revertidos. A melhor maneira de “tratar” esses erros e impedi‐los. Os erros de medicacao (devido a troca de seringa), de overdose (devido a mal‐entendido ou preconcepcao da dose, mal uso de bomba e erro de diluicao), de via de administracao incorreta, de subdosagem e de omissao sao causas comuns de erro de medicacao que ocorrem no periodo perioperatorio. A omissao e erros no calculo de medicamentos ocorrem comumente em UTI. Os erros de medicacao podem ocorrer no periodo perioperatorio, tanto durante a preparacao e administracao quanto na manutencao de registros. Um grande numero de erros humanos e do sistema pode ser responsabilizado pela ocorrencia de erros de medicacao. A necessidade do momento e parar o jogo da culpa, aceitar os erros e desenvolver uma cultura segura e “justa” para evitar os erros de medicacao. Os sistemas recem‐criados, como o Veinrom, um sistema de administracao de liquidos, e uma nova abordagem na prevencao de erros de medicacao devido aos medicamentos mais comumente usados em anestesia. Desenvolvimentos semelhantes, juntamente com medicos vigilantes, uma cultura de local de trabalho seguro e apoio organizacional, todos em conjunto podem ajudar a evitar esses erros.

• Publication year

  2017

• Venue

  Revista Brasileira De Anestesiologia

• Publication date

  2017-03-01

• Fields of study

  Not labeled

• Identifiers
  DOI 10.1016/J.BJAN.2016.12.006
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

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