Failures |
n |
Context and transcribed record
(in italics) |
Occasion (“when?”)
|
8
|
The pharmacist recorded guidance on the use of tramadol when the patient
was no longer using it. Tramadol was suspended on the 3rd day of
hospitalization, however the pharmacist recorded the guidance only on
the 4th day.
”I warn that tramadol can intensify this condition of
constipation”
|
Audience (“who?”)
|
66
|
The nurse reported that losartan was not administered because the
patient stated that it was suspended by the doctor, although the
medication was present in the prescription of the day.
”The patient refused the medication losartan 50mg because he
states that the doctor suspended it” (Note: this report has been
classified as having audience and purpose failures)
|
Purpose (“why?”)
|
98
|
In the nurse’s report, it was not possible to find clarity in the
outcome of the non-administration of pregabalin, since the drug was no
longer used several times during hospitalization due to lack.
”Patient refused pregabalin, I mean, the companion refused”
|
Content (“what?”)
|
313
|
1) The patient reports using nine drugs at home. On the first day of
hospitalization, the doctor prescribes eight medications, even recording
that the previous pharmacotherapy would be maintained.
”I prescribe medicines I used at home”
2) The patient reports having allergy to metoclopramide, but the doctor
prescribes this medication for use when necessary.
|