Factors related to adverse events from medicines in children hospitalized in a health institution in Sucre 2014-2018

Objective. To determine the factors related to adverse drug events in children hospitalized in a health institution in Sucre-Colombia. Material and methods. Observational, descriptive, retrospective and relational study, in which 20 children were analyzed who had 23 Adverse Events for Drugs between...

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Publicado en:Revista Científica de Ciencias de la Salud
Autores principales: Martínez Reyes, Cielo, Horta Murcia, María, Martínez Vergara, Carmen, Osorio Loaiza, Sandra, Vinasco Isaza, Julián Esteban
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Publicado: Universidad Peruana Unión 2019
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author Martínez Reyes, Cielo
Horta Murcia, María
Martínez Vergara, Carmen
Osorio Loaiza, Sandra
Vinasco Isaza, Julián Esteban
author_browse Horta Murcia, María
Martínez Reyes, Cielo
Martínez Vergara, Carmen
Osorio Loaiza, Sandra
Vinasco Isaza, Julián Esteban
author_facet Martínez Reyes, Cielo
Horta Murcia, María
Martínez Vergara, Carmen
Osorio Loaiza, Sandra
Vinasco Isaza, Julián Esteban
author_sort Martínez Reyes, Cielo
collection Revistas
container_title Revista Científica de Ciencias de la Salud
description Objective. To determine the factors related to adverse drug events in children hospitalized in a health institution in Sucre-Colombia. Material and methods. Observational, descriptive, retrospective and relational study, in which 20 children were analyzed who had 23 Adverse Events for Drugs between January 2014 and June 2018. Results. 45% of the children were under one year of age and 91.3% were polyimedicalized. The most frequent EAM was the chemical phlebitis with 34.78%. 91.30% were preventable, because they were a consequence of human failures such as error in the prescription (13.04%), dispensation (13.04%), application of the wrong medication (30.43%), incorrect dilution (13.04) %), the permeability of the venous access was not verified (8.7%) and 17.3% were EAM tracers, that is, mistakes were made in several phases of the process. 43.47% occurred at night. There was a sentinel EAM and 65.22% were mild. There was no evidence of nursing follow-up after the EAM in 65.22% of the cases. There was a statistical relationship between prolongation of stay (p = 0.018), prescription (p = 0.018), nursing errors (p = 0.0023) and anatomical site affected (p = 0.001) with the occurrence of them EAM. Conclusions. EAMs are always present, because they are implicit in care; the prevention depends on the institutional commitment of the professionals before the correct fulfillment of their work and of involving the caregivers and the patient in their safety.
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spelling oai:rccs.upeu.edu.pe:article/12132020-02-25T17:35:57Z Factors related to adverse events from medicines in children hospitalized in a health institution in Sucre 2014-2018 Factores relacionados con los eventos adversos por medicamentos en niños hospitalizados en una institución de Salud en Sucre 2014-2018 Martínez Reyes, Cielo Horta Murcia, María Martínez Vergara, Carmen Osorio Loaiza, Sandra Vinasco Isaza, Julián Esteban Nursing care, pediatrics, medications, patient safety. Sourse (DeCS) Cuidado de enfermería, pediatría, medicamentos, seguridad del paciente. Fuente (DeCS) Objective. To determine the factors related to adverse drug events in children hospitalized in a health institution in Sucre-Colombia. Material and methods. Observational, descriptive, retrospective and relational study, in which 20 children were analyzed who had 23 Adverse Events for Drugs between January 2014 and June 2018. Results. 45% of the children were under one year of age and 91.3% were polyimedicalized. The most frequent EAM was the chemical phlebitis with 34.78%. 91.30% were preventable, because they were a consequence of human failures such as error in the prescription (13.04%), dispensation (13.04%), application of the wrong medication (30.43%), incorrect dilution (13.04) %), the permeability of the venous access was not verified (8.7%) and 17.3% were EAM tracers, that is, mistakes were made in several phases of the process. 43.47% occurred at night. There was a sentinel EAM and 65.22% were mild. There was no evidence of nursing follow-up after the EAM in 65.22% of the cases. There was a statistical relationship between prolongation of stay (p = 0.018), prescription (p = 0.018), nursing errors (p = 0.0023) and anatomical site affected (p = 0.001) with the occurrence of them EAM. Conclusions. EAMs are always present, because they are implicit in care; the prevention depends on the institutional commitment of the professionals before the correct fulfillment of their work and of involving the caregivers and the patient in their safety. Objetivo: Determinar los factores relacionados con los eventos adversos por medicamentos enniños hospitalizados en una institución de salud de Sucre-Colombia. Material y métodos: Estudioobservacional descriptivo, retrospectivo y relacional, en el que se analizaron 20 niños que tuvieron23 Eventos Adversos por Medicamentos entre enero de 2014 y junio de 2018. Resultados. 45% delos niños eran menores de un año de edad y 91,3% eran polimedicalizados. El EAM más frecuentefue la flebitis química con un 34,78%. 91,30% eran prevenibles, porque fueron consecuencia de fallashumanas como error en la prescripción (13,04%), dispensación (13,04%), aplicación del medicamentoequivocado (30,43%), dilución incorrecta (13,04%), no se verificó la permeabilidad del acceso venoso(8,7%) y 17,3% fueron EAM trazadores, es decir, se cometieron equivocaciones en varias fasesdel proceso. 43,47% ocurrieron en la noche. Hubo un EAM centinela y un 65,22% fueron leves. Nohubo evidencia del seguimiento que hizo enfermería después del EAM en un 65,22% de los casos.Hubo relación estadística entre la prolongación de la estancia (p=0,018), la prescripción (p=0,018),errores de enfermería (p=0,0023) y sitio anatómico afectado (p=0,001) con la ocurrencia de los EAM.Conclusiones. Los EAM siempre están presentes, pues son implícitos al cuidado; su prevencióndepende del compromiso institucional, de los profesionales ante el correcto cumplimiento de su labory de involucrar a los cuidadores y al mismo paciente en su seguridad. Universidad Peruana Unión 2019-12-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://rccs.upeu.edu.pe/index.php/rc_salud/article/view/1213 10.17162/rccs.v12i2.1213 Revista Científica de Ciencias de la Salud; Vol. 12 No. 2 (2019): Revista Científica de Ciencias de la Salud Revista Científica de Ciencias de la Salud; Vol. 12 Núm. 2 (2019): Revista Científica de Ciencias de la Salud 2411-0094 2306-0603 10.17162/rccs.v12i2 spa https://rccs.upeu.edu.pe/index.php/rc_salud/article/view/1213/1544 https://rccs.upeu.edu.pe/index.php/rc_salud/article/view/1213/1545
spellingShingle Nursing care, pediatrics, medications, patient safety. Sourse (DeCS)
Cuidado de enfermería, pediatría, medicamentos, seguridad del paciente. Fuente (DeCS)
Martínez Reyes, Cielo
Horta Murcia, María
Martínez Vergara, Carmen
Osorio Loaiza, Sandra
Vinasco Isaza, Julián Esteban
Factors related to adverse events from medicines in children hospitalized in a health institution in Sucre 2014-2018
title Factors related to adverse events from medicines in children hospitalized in a health institution in Sucre 2014-2018
title_alt Factores relacionados con los eventos adversos por medicamentos en niños hospitalizados en una institución de Salud en Sucre 2014-2018
title_full Factors related to adverse events from medicines in children hospitalized in a health institution in Sucre 2014-2018
title_fullStr Factors related to adverse events from medicines in children hospitalized in a health institution in Sucre 2014-2018
title_full_unstemmed Factors related to adverse events from medicines in children hospitalized in a health institution in Sucre 2014-2018
title_short Factors related to adverse events from medicines in children hospitalized in a health institution in Sucre 2014-2018
title_sort factors related to adverse events from medicines in children hospitalized in a health institution in sucre 2014 2018
topic Nursing care, pediatrics, medications, patient safety. Sourse (DeCS)
Cuidado de enfermería, pediatría, medicamentos, seguridad del paciente. Fuente (DeCS)
topic_facet Nursing care, pediatrics, medications, patient safety. Sourse (DeCS)
Cuidado de enfermería, pediatría, medicamentos, seguridad del paciente. Fuente (DeCS)
url https://rccs.upeu.edu.pe/index.php/rc_salud/article/view/1213
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