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Enquadramento: o doente crítico está particularmente vulnerável à exposição a incidentes relacionados com medicação, devido à elevada complexidade de cuidados. Objetivos: analisar quais as intervenções de enfermagem que promovem a segurança no uso do medicamento no doente crítico. Metodologia: revisão integrativa da literatura. Foram selecionados os motores de busca PubMed, EBSCO, Scielo e B-On e incluídos na amostra nove artigos. Resultados: a complexidade dos doentes críticos, com situações clínicas vulneráveis e necessidade de múltiplas medicações em simultâneo, associados a stress e rácio enfermeiro-doente inadequado, resultam em erros de medicação. A equipa multidisciplinar deve estar a atenta a todas as fases da medicação, pelo que uma comunicação eficaz e centrada no doente é fundamental na segurança do medicamento. Conclusão: os enfermeiros, enquanto elementos-chave da prestação de cuidados ao doente crítico, têm um papel crucial na segurança no uso do medicamento. Todo o processo de prevenção de danos neste âmbito constitui um enorme desafio, que exige uma avaliação e monitorização minuciosas, sendo a sua responsabilidade garantir a prestação de cuidados seguros, eficientes e centrados nas necessidades do doente e família.
Background: the critically ill patient is particularly vulnerable to medication-related incidents, due to the high complexity of care. Aims: analyze the nursing interventions that promote medication safety in critical care patients. Methodology: integrative review on four data-bases, PubMed, EBSCO, Scielo and B-On. Nine articles were included. Results: medication safety is considered a major quality indicator in healthcare organizations. Implementing a safety culture is important, since it recognizes that highly risk interventions are performed and error is inevitable. The complexity of care in critically ill patients implies a vulnerable condition, where multiple medications are needed, which when associated with stress and poor nurse-patient ratio, can result in medication errors. The healthcare team should be aware of all stages of medication; therefore, communication is essencial in medication safety. Conclusion: the nursing team, as key-elements of care delivery in critically ill patients, have an important role in medication safety. Therefore, the process of preventing errors is a considerate challenge, requiring evaluation and monitoring thorough. The nursing team has to guarantee a safe efficient and focused care for the patient and family.
Background: the critically ill patient is particularly vulnerable to medication-related incidents, due to the high complexity of care. Aims: analyze the nursing interventions that promote medication safety in critical care patients. Methodology: integrative review on four data-bases, PubMed, EBSCO, Scielo and B-On. Nine articles were included. Results: medication safety is considered a major quality indicator in healthcare organizations. Implementing a safety culture is important, since it recognizes that highly risk interventions are performed and error is inevitable. The complexity of care in critically ill patients implies a vulnerable condition, where multiple medications are needed, which when associated with stress and poor nurse-patient ratio, can result in medication errors. The healthcare team should be aware of all stages of medication; therefore, communication is essencial in medication safety. Conclusion: the nursing team, as key-elements of care delivery in critically ill patients, have an important role in medication safety. Therefore, the process of preventing errors is a considerate challenge, requiring evaluation and monitoring thorough. The nursing team has to guarantee a safe efficient and focused care for the patient and family.
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Keywords
Enfermagem Cuidados críticos Tratamento farmacológico Segurança do paciente Nursing Critical care Drug therapy Patient safety