Evidence map›Paper›PMID 25883691›Full record

ArticlePharmacy practice

Description of medication errors detected at a drug information centre in Southern Brazil.

Luciana Dos Santos, Natália Winkler, Marlise A Dos Santos, Jacqueline K Martinbiancho

Open access · diamondAbstract read
In one paragraph

Article in Pharmacy practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  4. The role of drug information centers to improve medication safety in Saudi Arabia - a study from healthcare professionals' perspective.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Luciana Dos SantosDrug Information Centre, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS ( Brazil ). lusantos@hcpa.ufrgs.br.
Natália WinklerPontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre RS ( Brazil ). nataliawinkler_478@hotmail.com.
Marlise A Dos SantosPontifícia Universidade Católica do Rio Grande do Sul . Porto Alegre RS ( Brazil ). marlise.santos@pucrs.br.
Jacqueline K MartinbianchoInformation Centre, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS ( Brazil ). Jmartinbiancho@hcpa.ufrgs.br.
Hospital de Clínicas de Porto Alegre · BRPontifícia Universidade Católica do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify and describe actual or potential medication errors related to drug information inquiries made by staff members of a teaching hospital to a Drug Information Centre from January 2012 to December 2013.

methodsData were collected from the records of inquiries made by health care professionals to the Drug Information Centre throughout this period.

resultsDuring the study period, the Drug Information Centre received 3,500 inquiries. Of these, 114 inquiries had medication errors. Most errors were related to prescribing, preparation, and administration and were classified according to severity as category B (57%) (potential errors) and categories C (26.3%) and D (15.8%) (actual errors that did not result in harm to the patient). Error causes included overdose (13.2%), wrong route of administration (11.4%), inadequate drug storage (11.4%), and wrong dosage form (8.8%). The drugs most frequently involved in errors were vitamin K (4.4%), vancomycin (3.5%), and meropenem (3.5%).

conclusionIn this study, it was not possible to measure the reduction in error rate involving medication use because of the lack of previous data on this process in the institution. However, our findings indicate that the Drug Information Centre may be used as a strategy to seek improvements in processes involving medication use.

Indexed as

BrazilDrug Information ServicesHospitalMedication ErrorsPatient SafetyPharmacy Service

Identifiers

PMID25883691
PMCPMC4384269
OpenAlexW1591650879

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.