Abstract:
BACKGROUND AND OBJECTIVE:To determine the incidence of adverse drug events (ADE) in hospitalized patients, identify those that were potentially preventable, and asses the drug classes involved, the clinical symptoms and the type of medication errors that led to the preventable ADE. PATIENTS AND METHOD:An observational study of ADE prevalence in hospitalized patients in internal medicine, pneumology, gastroenterology, nephrology and neurology wards, over a six-month period, at a tertiary university hospital. ADE were prospectively detected through physician and nurses reporting fostered by daily visits of a clinical research and retrospectively through review of medical records using event codes as defined by the IDC-9-CM system. RESULTS:In a total of 2,643 hospitalized patients, 191 (7.2%) ADE were detected. Of these, 38 cases (19.9%) were classified as preventable, of which 21.1% were mild; 60.5% moderate and 18.4% serious or life-threatening. Preventable ADE were frequently associated with anti-infective drugs (22.9%), diuretics (18.8%) and digoxin (16.7%). Inadequate therapy monitoring (28.3%), excessive dosage (21.7%), selection of an inappropriate drug according to patient characteristics and/or to diagnosis (15.0%), lack of prescription of a necessary drug (15.0%) and drug-drug interactions (11.7%) were the most common identified type of errors leading to preventable ADE. CONCLUSIONS:1.4% of hospitalized patients in medical wards experienced potentially preventable ADE. Healthcare professionals and administrators must be made aware of the scope of this problem so that they will implement effective safety practices directed to reduce the incidence of medication errors, particularly prescription and monitoring errors.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Otero-López MJ,Alonso-Hernández P,Maderuelo-Fernández JA,Garrido-Corro B,Domínguez-Gil A,Sánchez-Rodríguez Adoi
10.1157/13083875keywords:
subject
Has Abstractpub_date
2006-01-28 00:00:00pages
81-7issue
3eissn
0025-7753issn
1578-8989pii
S0025-7753(06)71838-3journal_volume
126pub_type
杂志文章相关文献
MEDICINA CLINICA文献大全abstract::The incidence and clinical course of urinary tract infections in postmenopausal diabetic patients in comparison to non-diabetic women have been evaluated. All cases with former history of urinary instrumentation or underlying conditions favoring urinary infections were rejected. Urinary tract infection was present in ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1980-10-10 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Liver re-transplantation (re-LT) is an accepted indication for some (technical problems, primary non-function [PNF]) but not all indications, particularly recurrence of the original disease, such as hepatitis C. We aimed to determine in our center: a) the rate of survival following re-transplan...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13075442
更新日期:2005-05-21 00:00:00
abstract:BACKGROUND:To identify which clinical factors can modify the probability of the appearance of the psychotic syndromes in patients with idiopathic Parkinson's disease treated with levodopa. PATIENTS AND METHODS:214 patients were retrospectively studied to evaluate the appearance of hallucinosis, delusions or mental con...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1999-02-27 00:00:00
abstract::A prospective, open and uncontrolled study of effectiveness and side effects of intravenous 6-methylprednisolone megadoses was carried out in 20 patients with systemic vasculitis with rapidly progressive renal failure. The results showed a favorable response of renal function in 80% of patients and a control of pulmon...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1990-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To assess the safety and efficacy of insulin analogues versus human insulin in pregnant women with pregestational diabetes. PATIENTS AND METHODS:We collected data on pregnant women with type 1 or type 2 diabetes who were attended at the Diabetes and Pregnancy Unit between January 1998 and Apri...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2010.11.021
更新日期:2011-11-19 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Since World Health Organization (WHO) recommends brief interventions for smoking cessation to be included systematically in daily practise as a part of clinical work, the main aim of this study is to know if this intervention is done by health professionals working in hospital wards in a genera...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13106128
更新日期:2007-05-19 00:00:00
abstract:BACKGROUND AND OBJECTIVES:To analyze predictor factors of extended-spectrum betalactamasa (ESBL)-producing E. coli and its repercussion in mortality. PATIENTS AND METHODS:Observational and comparative study of a cohort of non-paediatric admitted patients with E. coli bacteraemia (EB). RESULTS:153 EB (22% ESBL-produci...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2010.05.014
更新日期:2011-01-29 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Two different pathways for the development of tumor have been described in colorectal carcinoma: the chromosomic instability, raised by suppressor genes and proto-oncogene alterations, and the microsatellite instability (MSI), caused by alterations in DNA repairing genes. PATIENTS AND METHOD:T...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13071004
更新日期:2005-02-05 00:00:00
abstract:BACKGROUND:The capacity of stable asthma patients to recognize the presence of air flow obstruction, treatment improvement and daily variations was studied. METHODS:Placebo and 500 micrograms of inhaled terbutaline for two consecutive days were administered to 39 patients. The subjective impressions were compared with...
journal_title:Medicina clinica
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1995-11-11 00:00:00
abstract::The authors report a case of hepatorenal polycystic disease discovered in the course of a routine physical examination. The patient was asymptomatic and the progression of the disease was extremely low. The existence of the disorder, however, was confirmed in the autopsy. Although hepatorenal polycystic disease is a r...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1980-02-10 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To determine whether in the Mexican population the spouses of patients with type 2 diabetes mellitus (DM2) have an increased risk of any degree of glucose intolerance compared with spouses of subjects without diabetes. SUBJECTS AND METHOD:An analytical cross-sectional study was made in the Fam...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13127917
更新日期:2008-11-08 00:00:00
abstract::Heart failure is a complex syndrome that affects almost all organs and systems of the body. Signs and symptoms of organ dysfunction, in particular kidney dysfunction, may be accentuated or become evident for the first time during acute decompensation of heart failure. Cardiorenal syndrome has been defined as the simul...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/S0025-7753(14)70079-X
更新日期:2014-03-01 00:00:00
abstract::Cystatin C (CysC) is an antiprotease useful for measuring kidney function. Beyond such property, it carries significant prognostic information in several fields of cardiovascular diseases. We review data that support CysC as a prognostic factor in cardiovascular diseases among healthy elderly, hypertensive and heart f...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2009.11.013
更新日期:2011-02-19 00:00:00
abstract:BACKGROUND:In 1993 a first study on the scientific production of Spain in 1986-1989 on Biomedicine and Health Sciences, through the Science Citation Index (SCI) was published. The analysis attained the level of centres, with special emphasis in those related to the Health Care System. This paper analyses the period 199...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1997-10-18 00:00:00
abstract::Cardiovascular disease is a chronic disorder which is usually already at an advanced stage when the first symptoms develop. The fact that the initial clinical presentation can be lethal or highly incapacitating emphasizes the need for primary and secondary prevention. It is estimated that the ratio of patients with go...
journal_title:Medicina clinica
pub_type: 共识发展会议,杂志文章
doi:10.1016/j.medcli.2016.10.031
更新日期:2017-02-09 00:00:00
abstract:BACKGROUND:Myotonic dystrophy (DM) is an inherited autosomal dominant disorder. The molecular defect responsible for the disease is the expansion of a CTG triplet at the 3' end of the DM gene. We report the analysis of the gene expansion, its correlation with the clinical severity and with the phenomenon of anticipatio...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1993-03-13 00:00:00
abstract:BACKGROUND:The presence of cagA antibodies constitutes a serum marker of infection caused by virulent strains of Helicobacter pylori. The objective of this study was to determine the risk of peptic ulcer in patients with H. pylori infection, in relation to the detection of CagA and VacA antibodies. PATIENTS AND METHOD...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:2001-05-12 00:00:00
abstract:BACKGROUND:Advanced atrioventricular block (AB) during acute myocardial infarction (AMI), characterizes a high-risk subgroup of patients. Our aim was to determine the prognostic significance of AB and its possible peculiarities in relation to infarction localization and/or the thrombolytic therapy. PATIENTS AND METHOD...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(00)71282-6
更新日期:2000-03-11 00:00:00
abstract::Bacillary angiomatosis (epithelioid) is a recently described clinicopathologic syndrome, principally associated to infection by the human immunodeficiency virus. The case of a patient who was seen for fever and the appearance of four painful, erythematous and indurated subcutaneous nodules on the anteroexternal face o...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:
更新日期:1993-06-12 00:00:00
abstract::Nausea and vomiting are considered one of the most distressing side-effects of chemotherapy. Complete control of acute and delayed emesis improves quality of life and increases adherence to treatment. The frequency of nausea and vomiting depends primarily on the emetogenic potential of the chemotherapeutic agents used...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1157/13084022
更新日期:2006-02-04 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:The albumin-cytologic dissociation in cerebrospinal fluid (CSF) supports the diagnosis of Guillain-Barre syndrome (GBS) but does not support the prognosis, so the aim of this study is to determine the usefulness of protein numbers in the CSF to predict progression in paediatric patients. PAT...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.06.063
更新日期:2018-05-11 00:00:00
abstract:BACKGROUND AND OBJECTIVE:This study estimates smoking-attributable mortality in Spain in 2006. POPULATION AND METHOD:Source data included 1) smoking prevalence in Spain; 2) deaths occurred in Spain; and 3) relative risks of mortality by tobacco-caused diseases drawn from the Cancer Prevention Study II. All data corres...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2010.03.039
更新日期:2011-02-12 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Our purpose was to provide information about static and dynamic balance posturographic disorders in elderly people with recurrent falls, and to compare the results with a healthy elderly group. PATIENTS AND METHOD:We included 95 subjects: 57 patients who fell (86% women; age, 78.1 years) and 3...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13071759
更新日期:2005-02-19 00:00:00
abstract::The first patient with myelopathy associated with T-cell leukemia/lymphoma virus infection (HTLV-I) in Spain is reported. Although this condition is endemic in several areas from the Caribbean Sea, South America, Africa and Japan, some cases have been reported in European countries, generally in immigrant patients, re...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1991-02-23 00:00:00
abstract::The coexistence of organ-specific and nonorgan-specific autoimmune diseases is an interesting phenomenon. A 52-year-old woman was admitted with fever, general discomfort, polyarthritis, and Raynaud's phenomenon. Physical examination revealed a goiter of stony consistency, hardening, paleness, and atrophy of the skin o...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1979-11-10 00:00:00
abstract::A group of 39 patients has been divided in three categories according to their plasmatic renine activity and the correlation of the hipotensive answer to the Timolol Maleate (betadrenergic blocking). The control is more favourable in the normorreninemic than in the hiporreninemic patients and, paradoxically, even more...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1980-09-10 00:00:00
abstract:BACKGROUND:Whether or not performing cardiopulmonary resuscitation (CPR) is a complex decision that requires taking account of several factors. The aim of this study was to analyse the preferences of elderly people with regard to CPR. SUBJECTS AND METHOD:Survey administered to 181 elderly subjects from nursing homes a...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(02)72296-3
更新日期:2002-02-02 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The effectiveness of the treatment of latent tuberculosis infection depends on its efficacy, the adherence to treatment and patient's risk of tuberculosis. The objective of this study was to evaluate the adherence to treatment with daily isoniazid for 9 months, its effectiviness and equivalent ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13116320
更新日期:2008-02-16 00:00:00
abstract:BACKGROUND:Human obesity is a widespread disease with considerable variability as to its severity, metabolic and endocrine manifestations and etiology. In the present study we have determined whether the alterations of uncomplicated severe obesity in adult young women affect with different intensity the circulating lev...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(01)71815-5
更新日期:2001-03-10 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The vanilloid receptor TRPV1 is a molecular integrator of painful stimuli. Several recent studies suggest that TRPV1 may play a role in development and maintenance of chronic pain. In an attempt to determine if genotypic variations in TRPV1 gene could be involved in the susceptibility to suffer...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2011.10.028
更新日期:2012-06-02 00:00:00