La isoapariencia farmacéutica un factor de riesgo de errores de medicación / Pharmaceutical "isoappearance": a risk factor for medication errors

OBJETIVO: conocer la opinión de los profesionales de Enfermería sobre la influencia de la isoapariencia farmacéutica en el desarrollo de errores de medicación. MÉTODO: se realizó un estudio descriptivo transversal entre abril y mayo de 2017. Los sujetos de estudio fueron profesionales de Enfermería procedentes de dos hospitales españoles de nivel terciario. Para la recolección de los datos se utilizó un cuestionario diseñado ad hoc para el estudio, que incluía 21 ítems con cinco posibles respuestas según escala Likert (1 = muy en desacuerdo a 5 = muy de acuerdo). Se realizó estadística descriptiva. Se usó del software estadístico SPSS V.22. RESULTADOS: participaron 123 profesionales de Enfermería. El 96% (n = 118) de los encuestados consideró la isoapariencia farmacéutica como un factor de riesgo para la incursión en un error de medicación. Un 15% (n = 19) de la muestra reconoció haber cometido un error por este motivo. CONCLUSIONES: la isoapariencia farmacéutica es percibida por los profesionales de Enfermería como un factor de riesgo de errores de medicación

OBJECTIVE: to understand the opinion of Nursing Professionals about the influence of pharmaceutical "isoappearance" on the occurrence of medication errors. METHOD: a descriptive cross-sectional study was conducted between April and May, 2017. The study subjects were Nursing Professionals from two Spanish tertiary hospitals. Data collection was conducted through a questionnaire designed ad hoc for the study, including 21 items with five possible answers according to the Likert Scale (1 = extremely disagree to 5 = extremely agree). Descriptive statistics analysis was conducted, using the SPSS statistical software version 22. RESULTS: the study included 124 Nursing professionals; 96% (n = 118) of the participants considered that pharmaceutical "isoappearance" was a risk factor for making medication errors, while 15% (n = 19) of the sample admitted that they had made a mistake for this reason. CONCLUSIONS: pharmaceutical "isoappearance" is perceived by Nursing professionals as a risk factor for medication errors

Manejo inefectivo del régimen terapéutico e incumplimiento del tratamiento y su relación con episodios ciap / Ineffective management of therapeutic regimen and noncompliance and its relationship with episodes wonca

El no seguimiento de los tratamientos es un problema importante, tanto clínico como económico, de los sistemas sanitarios, y son las enfermeras las principales encargadas de velar por la monitorización correcta de las pautas terapéuticas acordadas con los pacientes. El objetivo de este trabajo es determinar cuáles son los problemas de salud (expresados a través de la clasificación CIAP-WONCA) en los que se presenta con más frecuencia el no seguimiento de los tratamientos, relacionando los códigos CIAP (Clasificación Internacional de Atención Primaria) con los pacientes diagnosticados de «Manejo inefectivo del régimen terapéutico» o «Incumplimiento» de la clasificación NANDA-I. MÉTODO. Estudio descriptivo, retrospectivo. Los datos utilizados se han extraído de la Historia Clínica de OMI-AP (gestor) del total de pacientes del conjunto de centros de salud de la Comunidad de Madrid, durante los años 2006, 2007 y 2008. RESULTADOS. El 36.1 % de los pacientes que incumplen o no manejan correctamente el tratamiento estaban clasificados con el código CIAP K86 Hipertensión no complicada; el 33.2 % con T90 Diabetes no insulinodependiente; el 8 % con A13 Miedo al tratamiento, y el 5.6 % con T82 Obesidad. No existen diferencias entre hombres y mujeres respecto al cumplimiento terapéutico y el grupo etario de más de 50 años es el que tiene mayores problemas en el seguimiento de sus tratamientos (AU)

At the present time, failure to follow prescribed treatments is a problem of deep draft of health systems. The problem is both clinical and economic. Nurses are main responsible, within the health system, to ensure the proper monitoring of therapeutic guidelines agreed with the patients, by themselves or by other health care professionals. The aim of this work is to determine the health problems (expressed through the ICPC-WONCA classification) in which occurs more often no tracking treatments, following a nurse methodology, specifically relating ICPC codes with patients diagnosed with «Ineffective management of therapeutic regimen» or «Noncompliance» of NANDA-I classification. METHOD. It has been made a descriptive and retrospective study. The data used are drawn from the clinical history of OMI-AP (manager) of all patients of all health centers in the Madrid region, during 2006, 2007 and 2008. RESULTS. 36.1 % of patients who fail or do not properly handle the treatment were classified with ICPC code K86 uncomplicated hypertension; 33.2 % with non-insulin dependent diabetes T90; 8 % with A13 treatment fear; and 5.6% with Obesity T8. There are no differences between men and women regarding compliance and the age group over 50 years is having major problems in monitoring their treatment (AU)

[INEFFECTIVE MANAGEMENT OF THERAPEUTIC REGIMEN AND NONCOMPLIANCE AND ITS RELATIONSHIP WITH EPISODES WONCA]. / Manejo infectivo de régimen terapéutico e incumplimiento de tratamento y su relacíon con episodios CIAP.

UNLABELLED: At the present time, failure to follow prescribed treatments is a problem of deep draft of health systems. The problem is both clinical and economic. Nurses are main responsible, within the health system, to ensure the proper monitoring of therapeutic guidelines agreed with the patients, by themselves or by other health care professionals. The aim of this work is to determine the health problems (expressed through the ICPC-WONCA classification) in which occurs more often no tracking treatments, following a nurse methodology, specifically relating ICPC codes with patients diagnosed with <> or <> of NANDA-I classification. METHOD: It has been made a descriptive and retrospective study. The data used are drawn from the clinical history of OMI-AP (manager) of all patients of all health centers in the Madrid region, during 2006, 2007 and 2008. RESULTS: 36.1 % ofpatients who fail or do not properly handle the treatment were classified with ICPC code K86 uncomplicated hypertension; 33.2 % with non-insulin dependent diabetes T90; 8 % with A13 treatment fear; and 5.6% with Obesity T8. There are no differences between men and women regarding compliance and the age group over 50 years is having major problems in monitoring their treatment.