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      Conocimiento de enfermeras en la administración y regulación de fármacos de alta vigilancia en oncología Translated title: Knowledge of nurses in the administration and regulation of high alert medications in oncology

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          Abstract

          RESUMEN: Objetivo: Identificar el conocimiento de las enfermeras sobre la administración y regulación de medicamentos de alta vigilancia en un hospital oncológico de Brasil. Método: Investigación transversal con abordaje cuantitativo realizada de septiembre a octubre de 2021, en cinco unidades de hospitalización. Participaron 26 enfermeras que respondieron Nurses’ knowledge of high alert medications. Los datos fueron analizados mediante estadística descriptiva y preguntas con puntuaciones ≥70% representaron conocimientos satisfactorios. Resultados: La mayoría de las enfermeras informaron no haber participado en la capacitación para la administración de medicamentos de alta vigilancia (57,7%; n=15). El conocimiento promedio general fue del 79,9%. Se observó que el conocimiento promedio para la administración de estos fármacos fue de 80,4%, y ocho preguntas obtuvieron ≥ puntuación de 70% de respuestas correctas, especialmente las relacionadas con la tasa de infusión, la vía de administración y dilución de soluciones concentradas. En cuanto a la regulación, el conocimiento promedio fue de 78,6%, y la pregunta "Si el paciente puede tolerar, se indica que el cloruro de potasio se administra por vía oral en lugar de intravenosa" obtuvo la mayor tasa de error (50%), seguida del ítem "Ampolla" o "vial" para la medición de la dosis, en lugar de "mg" o "g" con un 46,2% de respuestas incorrectas. Conclusión: El conocimiento de las enfermeras sobre el uso y regulación de los fármacos de alta vigilancia fue satisfactorio, aunque existe la necesidad de mejorarlo para promover la atención segura en el contexto oncológico.

          Translated abstract

          ABSTRACT: Objective: To identify the knowledge of nurses about the administration and regulation of high surveillance drugs in an oncology hospital in Brazil. Method: Cross-sectional research with quantitative approach carried out from September to October 2021, in five hospitalization units. The participants were 26 nurses who answered Nurses’ knowledge of high alert medications. The data were analyzed by descriptive statistics and questions with scores ≥70% represented satisfactory knowledge. Results: Most nurses reported not having participated in training for the administration of high surveillance medications (57.7%; n=15). The overall average knowledge was 79.9%. It was observed that the average knowledge for administration of these drugs was 80.4%, and eight questions obtained a score ≥ 70% of correct answers, especially those related to the speed of infusion, the route of administration and dilution of concentrated solutions. Regarding regulation, the average knowledge was 78.6%, and the question “If the patient can tolerate, it is indicated that potassium chloride is administered orally instead of intravenously” obtained the highest error rate (50%), followed by the item “Use “Ampoule” or “vial” for dosage measurement, instead of “mg” or “g” with 46.2% incorrect answers. Conclusion: Nurses’ knowledge about the use and regulation of high surveillance drugs was satisfactory, although there is a need to improve it to promote safe care in the oncological context.

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          Infusion therapy standards of practice

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            Global patient safety action plan 2021–2030: towards eliminating avoidable harm in health care

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              Strategies to minimize medication errors in emergency units: an integrative review

              ABSTRACT Objective: To assess the strategies used by the Nursing team to minimize medication errors in emergency units. Method: Integrative literature review in the PubMed, BDenf, Cochrane and LILACS databases. Timeless research, without language limitation, performed by peers. Articles published in full that answered the guiding question were included in research. Results: Educational strategies (conducting campaigns, elaborating explanatory manuals, creating a multidisciplinary committee involved in the prevention and reduction of adverse drug events); organizational (meetings, Deviance positive, creation of protocols and changes in the work process) and new technologies (implementation of prescription by computerized system, introduction of the unit doses and of the bar code in the administration of medicines) were evidenced in the studies with the purpose of minimizing medication errors in an emergency unit. Conclusion: The strategies identified were effective in minimizing medication errors in emergency units.
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                Author and article information

                Journal
                eg
                Enfermería Global
                Enferm. glob.
                Universidad de Murcia (Murcia, Murcia, Spain )
                1695-6141
                2022
                : 21
                : 67
                : 82-108
                Affiliations
                [1] Curitibia orgnameCentro Universitario Santa Cruz de Curitiba - UNISANTACRUZ Brasil josemar.batista@ 123456hotmail.com
                [2] orgnameUniversidad Federal del Paraná orgdiv1Complejo del Hospital de Clínicas Brasil
                Article
                S1695-61412022000300082 S1695-6141(22)02106700082
                10.6018/eglobal.511881
                059d5ebe-745e-4d18-ad9e-468302c67433

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 02 April 2022
                : 19 February 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 25, Pages: 27
                Product

                SciELO Spain

                Categories
                Originales

                Patient Safety,Nurses,Potentially Inappropriate Medication List,Medication Errors,Oncology Service, Hospital,Seguridad del Paciente,Enfermeras y Enfermeros,Lista de medicamentos potencialmente inapropiados,Errores de medicación,Servicio de Oncología Hospitalaria

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