Publication: Evaluación de la seguridad de un programa informático para el registro de la administración de medicamentos en el ámbito hospitalario
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2018-02-21
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Universidad Complutense de Madrid
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Abstract
La seguridad del paciente ocupa un lugar cada vez más destacado entre los objetivos de calidad de los sistemas de salud. La cadena terapéutica del medicamento en los hospitales es un sistema complejo en el que intervienen muchos profesionales y consta de numerosos procesos y etapas interrelacionados, siempre con el objetivo de hacer un uso de los medicamentos seguro, efectivo, apropiado y eficiente. Aunque los errores de medicación (EM) se pueden producir en cualquier etapa del circuito de utilización de medicamentos, la administración es el proceso más crítico en cuanto a la seguridad del paciente, por dos razones principalmente. Por un lado, se interceptan muy pocos errores de administración potenciales y, por otro lado, la mayoría de estos EM llegan al paciente con mayor probabilidad de causarle daño grave e incluso la muerte. Son pocas las barreras que existen para prevenir este tipo de EM y por ello se deben buscar estrategias para lograr que el proceso de administración de medicamentos sea lo más seguro posible. Diversas organizaciones han emitido recomendaciones para mejorar la seguridad en la administración de los medicamentos, entre estas se encuentran la utilización de nuevas tecnologías como es el registro electrónico de administración de medicamentos (REAM). Aunque las nuevas tecnologías pueden reducir los EM y mejorar la seguridad del paciente, la implementación de una tecnología no está exenta de riesgo, ya que también tiene el potencial de causar nuevos tipos de EM. Por ello, para garantizar que la herramienta para el REAM mejora la seguridad del paciente, es necesario un correcto desarrollo, y una correcta implantación y utilización...
Patient safety occupies an increasingly prominent place among the quality objectives of healthcare systems. In hospitals, the medication management system is complex and involves many professionals, processes and interrelated stages, always with the aim of making a safe, effective, appropriate and efficient use of medications. Although medication errors (ME) can occur at any stage in the medication-use process, medication administration stage carries the greatest risk for patient safety, for two main reasons. On the one hand, the vast majority of medication administration errors made do not get intercepted and, on the other hand, most of these ME reach the patient with a greater probability of causing serious harm and even death. Moreover, few barriers exist to prevent this type of ME. These facts together suggest that solutions should be sought to improve the medication administration process. Several organizations have issued recommendations to improve safety in medication administration. Among them are the use of new technologies such as electronic medication administration record (eMAR). Although technologies can help to reduce ME and improve patient safety, implementing a new technology is not without risk, as it also has the potential to cause new types of ME. Therefore, to ensure that a novel eMAR application improves patient safety, it is essential a correct development, as well as an adequate implementation and use...
Patient safety occupies an increasingly prominent place among the quality objectives of healthcare systems. In hospitals, the medication management system is complex and involves many professionals, processes and interrelated stages, always with the aim of making a safe, effective, appropriate and efficient use of medications. Although medication errors (ME) can occur at any stage in the medication-use process, medication administration stage carries the greatest risk for patient safety, for two main reasons. On the one hand, the vast majority of medication administration errors made do not get intercepted and, on the other hand, most of these ME reach the patient with a greater probability of causing serious harm and even death. Moreover, few barriers exist to prevent this type of ME. These facts together suggest that solutions should be sought to improve the medication administration process. Several organizations have issued recommendations to improve safety in medication administration. Among them are the use of new technologies such as electronic medication administration record (eMAR). Although technologies can help to reduce ME and improve patient safety, implementing a new technology is not without risk, as it also has the potential to cause new types of ME. Therefore, to ensure that a novel eMAR application improves patient safety, it is essential a correct development, as well as an adequate implementation and use...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Farmacia, Departamento de Farmacología, leída el 02-06-2017