Key result
Implementation of vasoactive drug protocols in critically ill patients significantly decreased prescribing errors by 55.9%, validation errors by 68.1%, and administration errors by 78.8%.
Why the study?
Does the implementation of vasoactive drug protocols reduce medication errors and maintain efficacy in critically ill patients?
Observational (n=432)
Does the implementation of vasoactive drug protocols reduce medication errors and maintain efficacy in critically ill patients?
Implementing vasoactive drug protocols in the ICU significantly reduces medication errors without compromising hemodynamic efficacy.
Answers are grounded in this paper and cite their sources.
VAD protocols reduced medication errors without affecting efficacy; leaves open confirmation via randomized trials before practice change.
WHAT IS KNOWN AND OBJECTIVE: The correct management of high-alert medications is a priority issue in expert recommendations for improving the clinical safety of patients. Objectives were to assess the impact of the implementation of vasoactive drug (VAD) protocols on safety and efficacy in the treatment of critically ill patients. METHODS: A prospective before-and-after study on the implementation of different VAD protocols, comparing medication errors (MEs) rates, mean intensive care unit (ICU) stay, mean blood pressure (MAP), heart rate (HR) and oxygen saturation. RESULTS AND DISCUSSION: The study included 432 patients. There was a statistically significant decrease in prescribing errors (55·9%), validation errors (68·1%) and medication administration records (MAR) errors (78·8%). No differences were found between the two phases in ICU stay, MAP, HR and oxygen saturation. WHAT IS NEW AND CONCLUSION: Implementation of protocols decreases variability in clinical practice, reduces the incidence of MEs and maintains the effectiveness of VAD therapy in critically ill patients.
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López et al. (2016) conducted an observational in Critically ill patients (n=432). Vasoactive drug (VAD) protocols vs. Before protocol implementation was evaluated on Medication errors (prescribing, validation, and administration), ICU stay, mean blood pressure, heart rate, and oxygen saturation. Implementation of vasoactive drug protocols in critically ill patients significantly decreased prescribing errors by 55.9%, validation errors by 68.1%, and administration errors by 78.8%.
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