Abstract
Objective: to raise scientific evidence on technologies for the safe administration of injectable drugs in hospitalized adult patients. Method: this is a study of the Scoping Review type, using the crossing of the descriptors Patient Safety, Medication Errors and Technology in the following databases: Medical Literature Analysis and Retrieval System Online Electronic Library Online, Science Direct, Virtual Health Library, Pubmed, Web of Science and Scopus. The choice of studies included in the sample and data extraction occurred in a paired manner by independent researchers. Results: 14 studies were classified as eligible. The interventions found were medication administration using a barcode, patient identification by plates, bracelets, radiofrequency and/or biometrics, personal digital assistants, mobile nursing carts, electronic medication administration record, safety syringe system based on key-lock adapters, smart infusion pumps, drugs organizer kits, storage bag, trays with dividers, adhesive in different colors for separating medicines by class, and double checking. Final considerations: The implementation of technologies, professionalism, changes in the organization and in the workplace linked to the empowerment of the patient and family/companion enables the quality of the injectable medication administration processes. It is considered an advantageous investment in technologies for the culture of safety.
Highlights
IntroductionThe proposal of the text brought alarming numbers showing that adverse events, those arising from health care and not from the underlying disease, generated more deaths than diseases such as AIDS, breast cancer, and traffic-accidents, in addition to causing serious financial expenses (Brazil, 2014)
The subject of patient safety became relevant in health debates with the publication of the report “To Err is Human: Building a Safer Health System" from the United States Institute of Medicine, in 1999
The provision of measures aimed at reducing errors must come with interventions based on specific points: professionalism, work environment, and safety culture (Figure 3)
Summary
The proposal of the text brought alarming numbers showing that adverse events, those arising from health care and not from the underlying disease, generated more deaths than diseases such as AIDS, breast cancer, and traffic-accidents, in addition to causing serious financial expenses (Brazil, 2014). Failures and complications can occur at any time and may have serious consequences for the patient, institution, and health care professionals (Brazil, 2013). It should be emphasized that one of the six International Patient Safety Goals, established by the World Health Organization (WHO) and recommended by the Joint Commission International, is to improve safety in the prescription, use, and administration of medicines (Franciscatto, Bessow, Ruzczyk, Oliveira & Kluck, 2012)
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