Elaboration and Validation of the Medication Prescription Safety Checklist

Pires, Aline de Oliveira Meireles; Ferreira, Maria Beatriz Guimarães; Nascimento, Kleiton Gonçalves do; Felix, Márcia Marques dos Santos; Pires, Patrícia da Silva; Barbosa, Maria Helena

doi:10.1590/1518-8345.1817.2921

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Original Article • Rev. Latino-Am. Enfermagem 25 • 2017 • https://doi.org/10.1590/1518-8345.1817.2921 linkcopy

Elaboration and Validation of the Medication Prescription Safety Checklist¹

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective: to elaborate and validate a checklist to identify compliance with the recommendations for the structure of medication prescriptions, based on the Protocol of the Ministry of Health and the Brazilian Health Surveillance Agency.

Method: methodological research, conducted through the validation and reliability analysis process, using a sample of 27 electronic prescriptions.

Results: the analyses confirmed the content validity and reliability of the tool. The content validity, obtained by expert assessment, was considered satisfactory as it covered items that represent the compliance with the recommendations regarding the structure of the medication prescriptions. The reliability, assessed through interrater agreement, was excellent (ICC=1.00) and showed perfect agreement (K=1.00).

Conclusion: the Medication Prescription Safety Checklist showed to be a valid and reliable tool for the group studied. We hope that this study can contribute to the prevention of adverse events, as well as to the improvement of care quality and safety in medication use.

Descriptors:
Patient Safety; Medication Errors; Drug Prescriptions

Medicines on the prescription	Judge A		Judge B		ICC*	p
Medicines on the prescription	Mean	sd	Mean	sd
Q10. Has abbreviations^†	29.65	21.92	29.65	21.92	1.00	-
Q11. Contains abbreviated administration route as standardized	100.00	0.00	100.00	0.00	-	-
Q12. Standardized in Denominação Comum Brasileira	100.00	0.00	100.00	0.00	-	-
Q13. Has medicines with similar names	-	-	-	-	-	-
Q14. Uses non-metric measures^†	56.09	31.62	54.98	30.78	0.99	<0.001
Q15. Pharmaceutical form accompanied by all necessary information	0.00	0.00	0.00	0.00	-	-
Q16. Clearly indicated measuring unit	55.68	32.30	54.57	31.00	0.99	<0.001
Q17. Uses point to replace comma in dose prescription^†	100.00	0.00	100.00	0.00	-	-
Q18. Uses zero before the comma^†	100.00	0.00	100.00	0.00	-	-
Q19. Uses expressions like “continuing use” or “non-stop”^†	91.41	11.76	89.81	12.40	0.85	<0.001
Q20. Expression “if necessary” with all necessary information	0.00	0.00	0.00	0.00	-	-
Q21. Contains information about diluents	46.53	32.54	47.63	33.24	0.92	<0.001
Q22. Definition of infusion speed	38.09	40.53	38.09	40.53	1.00	-

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Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3387 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[TFN1] *Agreement proportion.

[TFN2] †Kappa coefficient.

Identification of prescription	Judge A				Judge B				PC*	K ^†	p
	No		Yes		No		Yes		PC*
	N	%	N	%	N	%	N	%	%
Q1. Full name of patient without abbreviations	0	0	27	100	1	3.7	26	96.3	100	1.00	<0.001
Q2. Patient file number	0	0	27	100	1	3.7	26	96.3	100	1.00	<0.001
Q3. Nursing ward/apartment	0	0	27	100	0	0	27	100	100	-	-
Q4. Bed number/letter	0	0	27	100	0	0	27	100	100	-	-
Q5. Full name of prescribing professional	0	0	27	100	0	0	27	100	100	-	-
Q6. Professional board registration number	0	0	27	100	0	0	27	100	100	-	-
Q7. Signature/password of prescriber	0	0	27	100	1	3.7	26	96.3	100	1.00	<0.001
Q8. Full name of institution	27	100	0	0	27	100	0	0	100	-	-
Q9. Identification of prescription date	0	0	27	100	0	0	27	100	100	-	-

Elaboration and Validation of the Medication Prescription Safety Checklist1

Elaboration and Validation of the Medication Prescription Safety Checklist¹