Implantation of wristbands for patient identification |
[...]could even, thus, the implantation of that identification bracelet, which is a way of identifying this patient (E4). |
-Minimize the risks of medication errors by changing patients. |
Implantation of colored bracelets to identify risks |
As prevention strategy of incidents we can implant colored bracelet for risks of falls, allergies (GF1-P4).
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-Minimize the risks of prescription and administration of medicine of which the patient is allergic and other risks that may be present in an emergency service. |
Identify risk of drug allergy |
[...] many times professionals point out that the patient is allergic to plastic, has an allergy to buscopan ... and this question of safety also when the patient arrives at the doctor, knows how to inform also what he has already taken, which he has allergy (E15).
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-Minimize the risks of administering medication of which the patient is allergic. - Involve the patient and family in the care. |
Checking all safety items |
“It is always to confirm if it is the same patient, if it is the record, if everything corresponds to the patient, to see if there is no change of medication, what we call in the nursing of the “five corrects”, five C” (E11).
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- To ensure the safe administration of medicinal products (right patient, right medication, right track, right time, right dose, right record, right action, right form, right answer). |
Elaborate institutional protocols |
All patients I ask if they have allergy to medications but need to turn protocol ask if the patient is allergic (GF1- P2).
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- Standardize safety checking of all items for safe practices in the drug therapy process. |
Education in service |
As a measure of error prevention, perform professional orientation work, to be giving this name in all sectors, from the host, doctor's office, when to take the medication, check name and surname, full name (E19).
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- Involve and train staff to implement safe practices in drug administration. |
Computerization of medical prescription |
I strongly believe that if it is computerized, even in terms of revenue, not to have medication error, error in the way, because of illegible letters, will also help a lot (E21).
[...] if a doctor could open the computer and visualize the history, he would know that the patient was in the emergency room four times with the same complaint, had taken and that he did not improve with any medication [...] would sometimes have a more attentive view of the patient” (E21).
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- Ensure legibility in prescription and items necessary for safe prescription. - Ensure access to patient history and systematized information. |
Restructure drug storage location |
And this question of how to organize medication also has to do with organization [...] (GF2-P4).
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- Ensure safety at the drug selection and dispensation stage. |
Hiring a pharmaceutical professional |
For dispensing, for example, you would need to have a pharmacist for every hour, to spare, to work twenty-four hours, is a top-level professional, and does not have (GF2-P4).
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- Ensure safety at the drug selection and dispensation stage. |
List with standardized drugs and their possible interactions |
It's a chart that tells us which medication can be mixed with another. It has medication that cannot be mixed with any other (GF2-P1).
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- Increase the safety of the use and prevention of adverse reactions through drug interaction, due to the greater familiarity of the health team with these drugs. |
Clarification to the patient about the medication to be administered. |
[...] clarification of the patient for me is fundamental in the beginning, because through this I can avoid various incidents (E1).
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-Involve the patient and family in care as a barrier to error in administering the medication |
Surveillance as for potentially dangerous or highly vigilant substances. |
For example, it installed the serum, made insulin, the correct one in case the insulin is to monitor the blood glucose, sixty, ninety minutes, does again the test already arrived at the ideal value (E18).
Because very patient has the companion, most patients who sometimes come for hyperglycemia has companion, who can stand beside giving support (E18).
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- Minimize the risks of prescription and administration of potentially dangerous drugs. - Involve the patient and family in monitoring post-administration of potentially dangerous medications. |