Reducing And Preventing Adverse Drug Events In Hospitals And Following Discharge: Nurse's Role

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[Reducing and Preventing Adverse Drug Events In Hospitals and following Discharge: Nurse's Role]


Table of Contents



Aim of the research3

Background Information3

Current Nursing Practice8

Methods of ADE Detection13

Voluntary Reporting13

Intensified Surveillance14

Computerized Surveillance14

Complementary Methods15

Preventability of ADEs16

Impact of ADE17

Physiological Perspective17

Strengths and Weaknesses18

Limitations/ Problems Of Current Nursing Practice20




Literature Review


The adverse drug events (ADEs) cover adverse drug reaction (ADR) medication error (ME) (Kearney 2007, p. 54). The EM is one of the most frequent types of ADEs and has the features being able to be avoided, this occurs at any stage of the system of medication (prescription, distribution and administration of medications) and any professional multidisciplinary team, responsible for actions aimed at drug therapy: doctors, pharmacists and nurses.

The World Health Organisation is encouraging, in every country in the world, to give greater attention to the enterprise asset management (EAM) and patient safety in many countries, the discussions and implementation of strategies related to this subject are already well advanced (Johnson 2009, p. 1500). One of the first attitudes has been the incentive to systematize the collection of detailed information on the MAP to be analyzed in order to plan and adopt strategies for reducing incidents in the future.

It is therefore important to know the information that nurses have regarding their participation before these adverse events, with the intention of designing a proposed program of training of adverse events in the belief that better training would enhance emergency plans and / or contingencies and especially to work in unconventional ways, and is confident that the statistics may have fallen by 50% of referred to herein and the outlook for reducing the effects of achieving the mitigation or adverse events, as is known in the literature modern undoubtedly yield positive results and raise the nursing profession, and would place above all other professions, including, other health professionals (Hsu 2008, p. 2349).

At international level, over recent years in several countries, and are being developed and implemented policies and practices for reporting ADEs. In UK, the identification, classification and analysis of ADEs occurring in hospitals are poorly publicised and government actions in support of patient safety are still very shy, as there are no estimates on the incidence of Member States, its consequences, its causes and the direct and indirect costs caused by these errors in healthcare organisations(Hayashi 2009, p. 45).

An overview of the national situation was revealed in a pioneering study in three hospitals in Rio de Janeiro which identified a frequency of 5.6% of EAM. The current reality is that many hospitals are identified only serious ADEs, which cause much harm to the patient and, thus, become public domain. The EAM considered less proportion are not reported by the lack of processes aimed at the identification, notification and registration thereof, or fear of exposure and punishment (Tierney 2008, p. 14).

Ignorance of the rate of EAM impossible for administrators size the additional costs imposed on the organisation, such as increased hospitalisation period, the solicitation of additional tests and drugs, not to mention the possibility of legal action moved by affected ...
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