redesign of the medication use system. J. Nurs. Care Qual., v.22, n.1, p.11-17, 2007. [ Links ] DONALDSON, L.J.; FLETCHER, M.J. The WHO world alliance for patient safety: towards the of living less dangerously. Med. J. Aust., v.10, p.S69-S72, 2006. [ Links ] ERNST, F.R.; GRIZZLE, A.J. Drug-related morbity and mortality: updating the cost-of-ilness model. J. Am. Pharm. Assoc., v.43, n.2, p.192-199, 2001. [ Links ] FRY, M.M.; DACEY, M. Factors contributing to incidents in medicine administration. Part 1 Br. J. Nurs., v.16, n.9, p.556-559, 2007. [ Links ] GUNTEN, V.V.; AMOS, V.; SIDLER, A.L.; BENEY, J.; TROILLET, N.; REYMOND, J.P. Hospital pharmacists' reinforcement of guidelines for switching from parenteral to oral antibiotics: a pilot study. Pharm. World Sci., v.25, n.2, p.52-55, 2003. [ Links ] HATCHER, I.; SULLIVAN, M.; HUTCHINSON, J.; THURMAN, S.; GAFFNEY, F.A. An intravenous medication safety system preventing high-risk medication errors at the point of care. J. Nurs. Adm., v.34, n.10, p.437-439, 2004. [ Links ] HODGKINSON, B.; KOCH , G.S.; NAY, R.; NICHOLS, K. Strategies to reduce medications errors with reference to older adults. Int. J. Evid. Based Healthc., v.4, p.2-41, 2006. [ Links ] HOEFEL, H.H.K.; LAUTERT, L. Errors commited by nursing technicians and assistants in administering antibiotics. Am. J. Infect. Control., v.34, p.437-442, 2006b. [ Links ] HOEFEL, H.H.K.; LAUTERT, L. Administracao endovenosa de antibioticos e resistencia bacteriana: responsabilidade da enfermagem. Rev. Eletronica Enferm., v.8, n.3, p.441-449, 2006a. Disponivel em: Acesso em: 25 jul. 2007. [ Links ] KLASCO, R.K. (ED): DRUGDEX System. Thomson MICROMEDEX, Greenwood Village, Colorado, USA. 2007. Disponivel em: Acesso em: 25 jul. 2007. [ Links ] KOOP, B.J.; ERSTAD, B.L.; ALLEN, M.E.; THEODOROU, A.A.; PRIESTLEY, G. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit. Care Med., v.34, n.2, p.415-425, 2006. [ Links ] KUCUKARSLAN, S.N.; PETER, M.; MLYNARECK, M.; NAFZIGER, D.A. Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Arch. Intern. Med., v.163, p.2014-2018, 2003. [ Links ] LAGROU, K.; VERHAEGEN, J.; PEETERMANS, W.E.; DE RIJDT, T.; MAERTENS, J.; VAN WIJNGAERDEN, E. Fungemia at a tertiary care hospital: incidence, therapy, and distribution and antifungal susceptibility of causative species. Eur. J. Clin. Microbiol. Infect. Dis., v.26, p.541-547, 2007. [ Links ] LEVY, S.B.; MARSHALL, B. Antibacterial resistance worldwide: causes, challenges and responses. Nat. Med., v.10, n.12, p.S122-129, 2004. [ Links ] MANASSE JUNIOR, H.R.; THOMPSON, K.K. Medication safety as problem in public policy. In: ______. Medication safety: a guide for health care facilities. Bethesda: ASHP, 2005. p.1-15. [ Links ] MANENTI, S.; CHAVES, A.B.; LEOPOLDINO, R.S.; PADILHA, K.G. Ocorrencias adversas com medicacao em unidades de terapia intensiva: analise da administracao de solucoes hidroeletroliticas e antibioticos. Rev. Esc. Enferm. USP, v.32, n.4, p.369-376, 1998. [ Links ] MANIAS, E.; AITKEN, R.; DUNNING, T. How graduate nurses use protocols to manage patients' medications. J. Clin. Nurs., v.14, p.935-944, 2005. [ Links ] MERLE, L.; LAROCHE, M.L.; DANTONE, T.; CHAMES, J.P. Prediciting and preventing adverse drug reactions in very old. Drug Aging, v.22, n.5, p.375-392, 2005. [ Links ] MIASSO,