Errores relacionados con los medicamentos ocurridos en unidades de cuidados críticos y propuesta de mejora mediante la aplicación móvil de juegos educativos / Medication-related errors occurred in critical care units and improvement proposal by the mobile application of educational games", "_e": "n

Introducción: En unidades de Cuidados Críticos (UCC) Existe alcalde probability De que ocurran Errores DEBIDO un Múltiples factors. Los Relacionados a Medicamentos y los asociados al Cuidado de enfermería hijo Los Mas Frecuentes. Las Comunicaciones Móviles y el Internet de han Permitido Nuevas Alternativas de Educación, Asi los juegos Tienen el potencial de facilitar y Mejorar el Aprendizaje. Objetivo: Describir los Errores Relacionados Con Los MEDICAMENTOS ocurridos ES UNA UCC Y proponer Intervención de Enfermería Como Propuesta de Mejora Dirigida col personales Para La Seguridad de los Pacientes. Métodos y materiales: cuantitativo Y Descriptivo, Realizado en julio-diciembre 2014 En Una Institución de alta especialidad, Que ABORDA Los Errores de medicación (EM) ocurridos Estudio en UCC. Se analizaron con estadística descriptiva Datos. Con la base en los Resultados SE PROPONE Como intervention al personal Una Aplicación para Teléfono móvil de Juego Interactivo Sobre Medicamentos. Resultados: Del total de eventos de (n = 107) los EM ocuparon el 61,2% (n = 30). Se presentaron los más Es Varones (66%), 50% en estado de alerta, los medios de comunicación Edad de 37 años, Estancia Hospitalaria 9,5 Dias. La majority Ocurrió en turno matutino (Fo = 14), Durante la Administración (33,3%), Principalmente electrolitos Concentrados y broncodilatadores inhalados. No se Causo Daño es 70%, el 100% de los Casos se consideraron evitables. Entre los Factores Contribuyentes sobresalieron «sin adherirse una Protocolos¼ (63,3%) Y "Factores cognitivos" (53,3%). Conclusiones: Los EM ocurren Principalmente Durante la Administración por no Seguir Protocolos y por Cuestiones de cognición. Es practicable Que Los Juegos Educativos apoyen la gestión de Conocimientos y prevengan la Aparición de Nuevos EM.

Introduction: Critical Care Units (CCU) There mayor probability of occurrence Errors Causing a Multiple factors. The Drug-Related and associated nursing care child most frequent. Mobile Communications and the Internet have allowed New Alternatives education, games have the potential to facilitate and improve learning. Objective: To describe the related medication errors occurred IS A UCC and propose Nursing Intervention As Directed Personal Improvement Proposal cabbage for Patient Safety. Methods and Materials: quantitative and descriptive Realized in July-December 2014 in an institution highly specialized, addressing medication errors (EM) Study occurred in UCC. They were analyzed with descriptive statistics data. Based on the results is proposed as intervention personnel An Application for Mobile Interactive Gaming About Drugs. Results: Of the total number of events (n = 107) MS occupied 61.2% (n = 30). Is the Boys (66%), 50% on alert, the media age 37, hospital stay 9.5 days were presented. The majority occurred in the morning shift (Fo = 14), during the administration (33.3%), mainly electrolytes Concentrates and inhaled bronchodilators. Damage Caused is not 70%, 100% of the cases were considered preventable. Contributing factors excelled "not become a member of Protocols" (63.3%) and "Cognitive factors" (53.3%). Conclusions: EM occur mainly during the Administration for not following Protocols and cognition issues. It is practicable educational games Knowledge management support and prevent the emergence of new MS.

Erro de medicação: a visão do enfermeiro neonatologista / Medication Error: the perspective of the neonatal nurse

O manejo da terapia medicamentosa em unidade de terapia intensiva neonatal é complexo e agrega inúmeras drogas. Nesse sentido, manter a atenção ao preparar e administrar corretamente os medicamentos é fundamental em todo o período de assistência ao recém-nascido. Portanto, faz-se necessário que os enfermeiros tenham o entendimento acerca do conceito do erro com medicação, para que possa identificá-lo, bem como os fatores contribuintes para sua ocorrência. Diante do exposto, esta pesquisa teve como objetivos: analisar o entendimento dos enfermeiros neonatologistas sobre o conceito do erro de medicação em uma unidade de terapia intensiva neonatal; conhecer na visão destes enfermeiros quais os fatores contribuintes para a ocorrência desse erro e discutir a partir desta visão como estes fatores podem afetar a segurança do neonato. Metodologia: trata-se de uma pesquisa qualitativa, do tipo descritiva. O cenário do estudo foi uma unidade de terapia intensiva neonatal de um hospital universitário, situado no município do Rio de Janeiro. Os sujeitos foram 14 enfermeiros entre plantonistas e residentes que atuavam no manejo da terapia medicamentosa. Para a coleta dos dados utilizou-se a entrevista semiestruturada, que foram analisadas através da análise de conteúdo de Bardin, emergindo 04 categorias: Diversos conceitos sobre erros de medicação; Fatores humanos contribuintes ao erro de medicação; Fatores ambientais contribuintes ao erro de medicação e Conhecendo como os fatores contribuintes ao erro podem afetar a segurança do paciente. Para as enfermeiras o erro de medicação significa errar um dos cinco certos na administração de medicamentos (paciente, dose, via, horário e medicamento certo), e este pode acontecer em alguma parte do sistema de medicação. Neste sentido, elas entendem que uma pessoa não pode ser considerada a única responsável pela ocorrência de um erro medicamentoso...

The management of drug therapy in a neonatal intensive care unit is complex and combines innumerous drugs. In this way, paying attention in the correct preparation and administration of drugs is fundamental in the whole period of assistance to the newborn infants. Therefore, is necessary that the nurses have the understanding of the concept of medication error, in order to be able to identify it as well as the contributing factors for its occurrence. In the presence of what was told, this research had as its aims: to analyze the understanding of the neonatal nurses of the concept of medication error in a neonatal intensive care unit; to apprehend from the perspective of these nurses, which contributing factor could affect the safety of the neonate. Methodology: it is a qualitative research with a descriptive design. The study setting was a neonatal intensive care unit from a university hospital in the city of Rio de Janeiro. The participants were 14 nurses, attending and resident physicians, which operate in the management of drug therapy. For the data collection a semi-structured interview was used, and then analyzed through the content analysis of Bardin, from what 04 categories emerged: different concepts of medication error; human contributing factors to the medication error; environmental contributing factors to the medication error; and understanding how the contributing factors to the medication error can affect the safety of the patient. For the nurses the medication error means making a mistake in one of the five rights in the medication administration (the right patient, the right dose, the right route, the right time, and the right drug), and this can happen in any part of the medication-use process. Thus, they understand that one person cannot be considered the only responsible for the occurrence of a medication error...

The neurodevelopmental consequences of prenatal alcohol exposure.

During pregnancy, ingestion of alcohol, a known teratogen, can cause harm to the fetus. Prenatal alcohol exposure is one of the leading causes of birth defects, developmental disorders, and mental retardation in children. The fetal central nervous system is particularly vulnerable to alcohol; this vulnerability contributes to many of the long-term disabilities and disorders seen in individuals with prenatal alcohol exposure. Diagnoses associated with prenatal alcohol exposure include fetal alcohol syndrome (FAS), partial fetal alcohol syndrome, fetal alcohol effects, alcohol-related neurodevelopmental disorder, and alcohol-related birth defects. Once diagnosed, early intervention improves the long-term outcome of affected children. Without documentation of maternal alcohol use, a diagnosis, and consequently treatment, is often difficult to attain. It is imperative that nurses, physicians, and other healthcare providers become comfortable with obtaining a history of, and providing anticipatory guidance and counseling about, alcohol use.

Fetal alcohol spectrum disorder.

Fetal alcohol spectrum disorder (FASD) is a serious and widespread problem in this country. Positioned within the community with links to children, families, and healthcare systems, school nurses are a critical element in the prevention and treatment of those affected by fetal alcohol spectrum disorder. Although most school nurses are familiar with fetal alcohol syndrome (FAS) and the problems it poses, they may not be familiar with the newer term, fetal alcohol spectrum disorder. This article summarizes the most recent information about FASD and recently published guidelines on diagnostic criteria for FAS. Also outlined are primary, secondary, and tertiary prevention activities school nurses can take to help assure that children, families, and communities work to prevent the problem and to treat the children affected by it.

Case study of the home health management of a child with congenital anomalies associated with prenatal cocaine abuse.

The presence of a history of poor parental upbringing, poverty, and substance abuse within a family stresses its capacity to cope with the needs of a child with congenital anomalies. Nursing has a key role to play in providing specific information, practical assistance, and support in these circumstances. A case study of a child in such a family is presented in this article, and the multiple nursing interventions provided to facilitate the family's coping skills are discussed.