Opioid Medication Errors in Patients Followed by Home Palliative Care Support Teams in the Community of Madrid.

IF 0.9 Q3 ANESTHESIOLOGY
María Consuelo Fernández Gómez, Genoveva Díaz Sierra, María Del Carmen Peinado Cañaveras, María Antonia Berrocal Higuero, Cristina de Miguel Sánchez
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Abstract

The presence of comorbidities and complex drug regimens makes palliative care patients more susceptible to opioid medication errors. Most of the studies conducted so far have mainly focused on patients admitted to hospitals or hospice facilities. During this study, we examined the frequency of medication errors with opioids and the causes and consequences for patients, followed by home palliative care teams. Errors occurred in 39% of patients (n = 378) and 27% of all prescribed opioids (n = 708). Of the 148 (39%) patients with error/s in the opioid/s prescribed, in 55% the patient and/or the caregiver were involved in the error; in 26% the health care providers were involved. An association was found between the presence of error in the prescribed opioid and the level of patient education, p = .038, and with the number of days of follow-up, p < .001. Considering their formulation, the prescribed opioids were associated with medication error, type of error, and cause of the error. The study demonstrated an association between the route of administration and error p < .004, and type of error p < .001.

马德里社区居家姑息关怀支持团队随访患者的阿片类药物用药错误。
由于存在合并症和复杂的用药方案,姑息治疗患者更容易出现阿片类药物用药错误。迄今为止进行的大多数研究主要集中在医院或临终关怀机构收治的患者身上。在这项研究中,我们研究了阿片类药物用药错误的发生频率,以及对患者造成的原因和后果,并对居家姑息关怀团队进行了跟踪调查。39%的患者(n = 378)和27%的阿片类药物处方(n = 708)发生了错误。在处方阿片类药物出错的 148 名患者(39%)中,55% 的患者和/或护理人员与错误有关;26% 的患者和/或护理人员与错误有关。研究发现,阿片类药物处方中是否存在错误与患者教育水平(P = .038)和随访天数(P P P
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来源期刊
CiteScore
1.60
自引率
9.10%
发文量
40
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