Publish in this journal
Journal Information
Share
Share
Download PDF
More article options
ePub
Visits
...
Original article
Available online 1 June 2022
Assessment of the implementation of safe medication practices in Intensive Medicine Units
Evaluación de la implantación de prácticas seguras con los medicamentos en los Servicios de Medicina Intensiva
Visits
...
M.J. Oteroa,
Corresponding author
mjotero@telefonica.net

Corresponding author.
, P. Merino de Cosb, I. Aquerreta Gónzalezc, M. Bodíd, E. Domingo Chivae, S.M. Marrero Penichetf, R. Martín Muñoza, M.C. Martín Delgadog
a Instituto para el Uso Seguro de los Medicamentos (ISMP-España), IBSAL-Hospital Universitario de Salamanca, Salamanca, Spain
b Servicio de Medicina Intensiva, Hospital Can Misses, Ibiza, Balearic Islands, Spain
c Servicio de Farmacia, Clínica Universidad de Navarra, Pamplona, Navarra, Spain
d Servicio de Medicina Intensiva, Hospital Universitario de Tarragona Joan XXIII, Tarragona, Spain
e Servicio de Farmacia, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
f Servicio de Farmacia, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Las Palmas, Spain
g Servicio de Medicina Intensiva, Hospital de Universitario de Torrejón, Torrejón de Ardoz, Madrid, Spain
Received 09 May 2021. Accepted 08 July 2021
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Tables (5)
Table 1. Characteristics of the Intensive Care Units that participated in the study (N = 40).
Table 2. Overall results obtained from the survey conducted in all Intensive Care Units (N = 40), and groups under consideration.
Table 3. Overall results obtained from the survey conducted in all Intensive Care Units (N = 40) regarding several evaluation items associated with the implementation of new technologies.
Table 4. Overall results obtained from the survey conducted in all Intensive Care Units (N = 40) regarding several evaluation items associated with continuing healthcare.
Table 5. Overall results obtained from the survey conducted in all Intensive Care Units (N = 40) regarding several evaluation items associated with the use of high-risk drugs.
Show moreShow less
Abstract
Objective

To assess the level of implementation of medication safety practices in Intensive Care Units (ICUs) and to identify opportunities for improvement.

Design

A descriptive multicenter study was carried out.

Setting

Intensive Care Units.

Participants/Procedure

A total of 40 ICUs voluntarily completed the “Medication use-system safety self-assessment for Intensive Care Units” between March and September 2020. The survey comprised 147 items for evaluation grouped into 10 key elements.

Main variables

Calculation was made of the mean scores and mean percentages based on the maximum possible values for the overall survey, referred to the key elements and to each individual item for evaluation.

Results

The mean score of the overall questionnaire among the participating ICUs was 436.8 (49.2% of the maximum possible score). No differences were found according to functional dependence, size of the hospital or type of ICU. The key elements referred to the incorporation of clinical pharmacists in these Units, as well as the competence and training of the professionals in safety practices yielded the lowest values (31.2% and 33.2%, respectively). Three other key elements related to accessibility to information about patients and medicines; to the standardization, storage and distribution of medicines; and to the quality and risk management programs, yielded percentages <50%.

Conclusions

Numerous effective safety medication practices have been identified with a low level of implementation in ICUs. This situation must be addressed in order to reduce medication errors in critically ill patients.

Keywords:
Medication errors/prevention and control
Medication systems, hospital/standards
Process assessment, health care
Safety management
Self-evaluation programs
Intensive Care Units
Resumen
Objetivo

Conocer el grado de implantación de las prácticas seguras con los medicamentos en los Servicios de Medicina Intensiva e identificar oportunidades de mejora.

Diseño

Estudio descriptivo multicéntrico.

Ámbito

Servicios de Medicina Intensiva.

Participantes/Procedimiento

40 Servicios de Medicina Intensiva que voluntariamente cumplimentaron el “Cuestionario de Autoevaluación de la Seguridad del Uso de los Medicamentos en los Servicios de Medicina Intensiva” entre marzo y septiembre de 2020. El cuestionario contiene 147 ítems de evaluación agrupados en 10 elementos clave.

Variables principales de interés

Puntuación media y porcentaje medio sobre el valor máximo posible en el cuestionario completo, en los elementos clave y en los ítems de evaluación.

Resultados

La puntuación media del cuestionario completo en los Servicios de Medicina Intensiva fue de 436,8 (49,2% del valor máximo posible). No se encontraron diferencias según dependencia funcional, tamaño del hospital y tipo de servicio. Los elementos clave referentes a la incorporación de farmacéuticos en estos servicios, así como a la competencia y formación de los profesionales en prácticas de seguridad mostraron los valores más bajos (31,2% y 33,2%, respectivamente). Otros tres elementos clave relativos a la accesibilidad a información sobre los pacientes y los medicamentos; a la estandarización, el almacenamiento y la distribución de los medicamentos; y a programas de calidad y gestión de riesgos mostraron porcentajes inferiores al 50%.

Conclusiones

Se han identificado numerosas prácticas seguras efectivas cuyo grado de implantación en los Servicios de Medicina Intensiva es bajo y que es preciso abordar para reducir los errores de medicación en el paciente crítico.

Palabras clave:
Errores de medicación/prevención y control
Sistemas de medicación, hospital/estándares
Evaluación de procesos, asistencia sanitaria
Gestión de la seguridad
Programas de autoevaluación
Unidades de Cuidados Intensivos

Article

These are the options to access the full texts of the publication Medicina Intensiva (English Edition)
Member
If you are a member of the Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias::
Go to the members area of the website of the SEMICYUC (www.semicyuc.org )and click the link to the magazine.
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Medicina Intensiva (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Medicina Intensiva (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?