BOAS PRÁTICAS PARA A PREVENÇÃO DE ERROS DE MEDICAÇÃO RELACIONADOS AO USO DE MEDICAMENTO ENDOVENOSO EM AMBIENTE HOSPITALAR: uma revisão narrativa

• DOI: https://doi.org/10.22533/at.ed.52724160910

• Palavras-chave: Erros de Medicação, Medicamentos, Segurança do Paciente

• Keywords: Medication Errors, Medications, Patient Safety

• Abstract: The process of medication use in a hospital is complex and involves multiple stages, with the participation of various professionals. The intravenous route is a type of parenteral drug administration extensively employed in hospital routines; however, it is risky and susceptible to medication errors, particularly during the preparation and administration phases, which often require reconstitution and multiple stages of manipulation. These errors compromise patient safety and can lead to mild to severe harm. The aim of this study was to conduct a narrative review of the literature to evaluate strategies aimed at preventing medication errors associated with the preparation and administration of intravenous drugs. The search was conducted in May 2024 in the Medical Literature Analysis and Retrieval System Online (Medline) database via PubMed, and in June 2024 in the Embase database (via Elsevier). Primary studies in hospital settings published in the last ten years (2014-2024) were included, focusing on medication errors, patient safety, use of parenteral drugs - specifically intravenous drugs - and best practices for the preparation and administration of intravenous drugs. Since it is a multidisciplinary topic, studies published in pharmacy and nursing journals were included. No language filter was applied to the studies' publication, and systematic or narrative reviews, as well as studies on topics such as parenteral nutrition, evaluation of specific drug bioavailability, treatment comparisons, chemotherapeutic drugs, and studies conducted in outpatient settings, were excluded. Eleven articles were included in the review. The main findings indicate high rates of medication errors in different scenarios and present strategies such as the implementation of electronic prescribing, barcode usage, smart infusion pumps, technology-assisted workflow, and the adoption of ready-to-administer drugs. Moreover, the importance of adopting a set of measures, including educational actions, adaptations to internal policies, and cultural changes, is highlighted to optimize processes and reduce the occurrence of errors. Variability in the results suggests that effective measures cannot be generalized to all contexts, reinforcing the need for an integrated approach to improve patient safety, in which the pharmacist plays a crucial role.