Construction and evaluation of medication reconciliation instruments for pediatric patients

Objective: To construct and evaluate medication reconciliation instruments for hospital admission moments and the internal transfers of pediatric patients to the context of Brazilian hospitals. Methods: Prospective descriptive study was performed from April 2014 to March 2015 in a pediatric publ...

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Autores principales: Diana Domingues Da Camara Graça, Walter Viera Mendes Junior, Saint Clair Dos Santos Gomes Junior
Formato: article
Lenguaje:EN
PT
Publicado: Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2019
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Acceso en línea:https://doaj.org/article/8b0c144007c54aceb38b228f7a2248cf
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spelling oai:doaj.org-article:8b0c144007c54aceb38b228f7a2248cf2021-11-28T02:46:22ZConstruction and evaluation of medication reconciliation instruments for pediatric patients10.30968/rbfhss.2018.094.0052179-59242316-7750https://doaj.org/article/8b0c144007c54aceb38b228f7a2248cf2019-11-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/387https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: To construct and evaluate medication reconciliation instruments for hospital admission moments and the internal transfers of pediatric patients to the context of Brazilian hospitals. Methods: Prospective descriptive study was performed from April 2014 to March 2015 in a pediatric public hospital. Four instruments were designed based on international literature to record the primary medication history, participant data and medication reconciliation. The instruments were analyzed by experts in Delphi technique. A pilot study assessed the need for adjustments and the clinical practice application compared to the primary drug history with the best possible drug history. A pilot study evaluated the necessity for adjustments and applicability in clinical practice compared to the primary medication history with the best possible medication history. The Pearson correlation and the Wilcoxon-Mann-Whitney test were used for statistical analysis. Results: Experts suggested improvements in “Clear language and correct terminology”. The pilot study indicated the need for instrument adjustments. Clinical practice identified a significant difference (P <0.05) in the comparison of the pharmaceutical researcher registry with the other professional registry for almost all variables analyzed, except for the information source and the intervention record. Conclusion: The medication reconciliation forms were valid for pediatric patients in the institution studied and their allocation in a visible and accessible place of the medical records of similar institutions would allow the availability of relevant information about the drugs in use by pediatric patients to all those involved in their care, contributing to a safer care. Diana Domingues Da Camara GraçaWalter Viera Mendes JuniorSaint Clair Dos Santos Gomes JuniorSociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticlePublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 9, Iss 4 (2019)
institution DOAJ
collection DOAJ
language EN
PT
topic Public aspects of medicine
RA1-1270
Pharmacy and materia medica
RS1-441
Therapeutics. Pharmacology
RM1-950
spellingShingle Public aspects of medicine
RA1-1270
Pharmacy and materia medica
RS1-441
Therapeutics. Pharmacology
RM1-950
Diana Domingues Da Camara Graça
Walter Viera Mendes Junior
Saint Clair Dos Santos Gomes Junior
Construction and evaluation of medication reconciliation instruments for pediatric patients
description Objective: To construct and evaluate medication reconciliation instruments for hospital admission moments and the internal transfers of pediatric patients to the context of Brazilian hospitals. Methods: Prospective descriptive study was performed from April 2014 to March 2015 in a pediatric public hospital. Four instruments were designed based on international literature to record the primary medication history, participant data and medication reconciliation. The instruments were analyzed by experts in Delphi technique. A pilot study assessed the need for adjustments and the clinical practice application compared to the primary drug history with the best possible drug history. A pilot study evaluated the necessity for adjustments and applicability in clinical practice compared to the primary medication history with the best possible medication history. The Pearson correlation and the Wilcoxon-Mann-Whitney test were used for statistical analysis. Results: Experts suggested improvements in “Clear language and correct terminology”. The pilot study indicated the need for instrument adjustments. Clinical practice identified a significant difference (P <0.05) in the comparison of the pharmaceutical researcher registry with the other professional registry for almost all variables analyzed, except for the information source and the intervention record. Conclusion: The medication reconciliation forms were valid for pediatric patients in the institution studied and their allocation in a visible and accessible place of the medical records of similar institutions would allow the availability of relevant information about the drugs in use by pediatric patients to all those involved in their care, contributing to a safer care.
format article
author Diana Domingues Da Camara Graça
Walter Viera Mendes Junior
Saint Clair Dos Santos Gomes Junior
author_facet Diana Domingues Da Camara Graça
Walter Viera Mendes Junior
Saint Clair Dos Santos Gomes Junior
author_sort Diana Domingues Da Camara Graça
title Construction and evaluation of medication reconciliation instruments for pediatric patients
title_short Construction and evaluation of medication reconciliation instruments for pediatric patients
title_full Construction and evaluation of medication reconciliation instruments for pediatric patients
title_fullStr Construction and evaluation of medication reconciliation instruments for pediatric patients
title_full_unstemmed Construction and evaluation of medication reconciliation instruments for pediatric patients
title_sort construction and evaluation of medication reconciliation instruments for pediatric patients
publisher Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate 2019
url https://doaj.org/article/8b0c144007c54aceb38b228f7a2248cf
work_keys_str_mv AT dianadominguesdacamaragraca constructionandevaluationofmedicationreconciliationinstrumentsforpediatricpatients
AT waltervieramendesjunior constructionandevaluationofmedicationreconciliationinstrumentsforpediatricpatients
AT saintclairdossantosgomesjunior constructionandevaluationofmedicationreconciliationinstrumentsforpediatricpatients
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