| Suspend drug |
177 (18.97) |
Enoxaparin treatment dose in patient with active bleeding; two prescriptions of midazolam in the same order with different dose; omeprazole and ranitidine prescribed in the same order |
| Replace by safer, more effective and/or cost-effective drug |
70 (7.50) |
Replace omeprazole by ranitidine for stress ulcer. The cost of omeprazole is greater than ranitidine and the efficacy of the prophylaxis is equivalent |
| Replace by safer, more effective, more cost-effective and/or available presentation/ pharmaceutical form |
75 (8.04) |
Replace sublingual isosorbide dinitrate 5mg 3 times daily by immediate release isosorbide dinitrate 10mg 3 times daily; the sublingual presentation has a lower time of action than another to treat angina |
| Start drug |
46 (4.93) |
Suggest starting polystyrene sulfonate in a patient with hyperkalemia. |
| Individualize/correct the posology |
470 (50.38) |
Patient with clearance of creatinine (CrCl) <30mL/min, using enoxaparin. It is recommend to use 50% of the usual dose reported in literature. |
| Correct preparation and/or administration by nursing |
5 (0.54) |
It is recommend that ceftriaxone and calcium gluconate are not administered together in Y catheter, due the high risk of chemical interaction |
| Correct order errors (recommendation/prescription) |
30 (3.22) |
Prescription present insulin NPH 30UI in the morning but the order recommendation present insulin NPH 40UI |
| Provide information/education to healthcare professionals |
60 (6.43) |
Patient was taking clarithromycin and amitriptyline, this association may prolong the QT interval. Give information to the responsible physician to improve monitoring toxicity signals |
| Total |
933 |
|
