Authors

1Ángeles Ibiricu Barro, 2Mª José Bueno Domínguez, 3Esperanza Vallejo García, 4Francisca Celma Moya

Position

¹Coordinadora Enfermería ABS Cambrils.²Enfermera, Directora de Calidad Grup Sagessa. Reus, Tarragona.³Enfermera ABS Reus V. Reus,Tarragona..⁴Enfermera ABS La Selva,Tarragona.

Contact address

ABS Cambrils. Plaza Ayuntament, 2. 43850 Cambrils (Tarragona).

Contact email: aibiricu@grupsagessa.com

Abstract

The growing complexity of therapeutic processes, the specialisation and segmentation of healthcare and the existence of a healthcare professional culture that tends to hide instead of favouring open communication regarding errors and their causes in the provision of care, are factors predisposing to an increase in the number of errors when administering medication.
With the aim of identifying and analysing errors in the administration of drugs within the setting of primary care and also to implant notification and surveillance systems, a Modal Analysis of Errors and Effects (AMFE) on the “Administration of Drugs” was carried out. Five centres participated in the survey, including nurses, a family practitioner, a paediatrician and a quality director from the Sagessa Group. Amongst all the processes relating to the intervention, the “administration of drugs” obtained the highest risk score calculated on the basis of severity and the probability of error. Analysis of this procedure resulted in the creation of several protocols that are currently being assessed.

Keywords:

patient safety; administration of drugs; adverse effects; Primary Carenursing

Versión en Español

Título:

Seguridad clínica en Enfermería: análisis de puntos críticos en administración de fármacos