Patient safety best practices related to medication management in two public hospitals

Objectives: This study aims to analyze the compliance with the ISEP-Brazil patient safety good practice indicators related to medication management. It also aims to evaluate the applicability and limitations of these indicators in these hospitals. Methods: This is a cross-sectional study conduct...

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Autores principales:	Clarice Chemello, Renata Gonçalves Diniz, Mariana Gonzaga Do Nascimento
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2020
Materias:	Hospital Pharmacy Service Indicators of Health Services Patient Safety Safety Management Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/954987452a8d4f989513e93c29ce6ef9
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spelling	oai:doaj.org-article:954987452a8d4f989513e93c29ce6ef92021-11-28T02:46:16ZPatient safety best practices related to medication management in two public hospitals10.30968/rbfhss.2019.101.03882179-59242316-7750https://doaj.org/article/954987452a8d4f989513e93c29ce6ef92020-02-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/388https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objectives: This study aims to analyze the compliance with the ISEP-Brazil patient safety good practice indicators related to medication management. It also aims to evaluate the applicability and limitations of these indicators in these hospitals. Methods: This is a cross-sectional study conducted in two large hospitals (H1 e H2) of the Minas Gerais public hospital network. The Group 5 indicators (medication management) and additional information on the safety profile were collected in both hospitals in February 2018, through an on-site visit. The difference between the proportions of the items met at H1 and H2 was evaluated using the Pearson chi-square test at a level of statistical significance of 5%. Results: Both hospitals satisfactorily meet more than 65% of the items evaluated (H1=71.2%, H2=66.7%), with H1 meeting three more items (n=42) than H2 (n=39). There was no statistically significant difference between the proportions of items in compliance at H1 and H2 (p = 0.69). However, through additional collection, activities that were not evaluated by the ISEP-Brazil indicators which may contribute to patient safety were detected, especially in H1. Examples are clinical activities, computerization of the dispensing and emergency carts, daily check of dispensing errors. Conclusion: A considerable proportion of sub-items followed the ISEP-Brazil indicators in hospitals. Although there was no statistically significant difference between these proportions, the additional on-site diagnosis allowed identification of a safer medication system in H1. Clarice ChemelloRenata Gonçalves DinizMariana Gonzaga Do NascimentoSociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticleHospital Pharmacy ServiceIndicators of Health ServicesPatient SafetySafety ManagementPublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 10, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Hospital Pharmacy Service Indicators of Health Services Patient Safety Safety Management Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
spellingShingle	Hospital Pharmacy Service Indicators of Health Services Patient Safety Safety Management Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950 Clarice Chemello Renata Gonçalves Diniz Mariana Gonzaga Do Nascimento Patient safety best practices related to medication management in two public hospitals
description	Objectives: This study aims to analyze the compliance with the ISEP-Brazil patient safety good practice indicators related to medication management. It also aims to evaluate the applicability and limitations of these indicators in these hospitals. Methods: This is a cross-sectional study conducted in two large hospitals (H1 e H2) of the Minas Gerais public hospital network. The Group 5 indicators (medication management) and additional information on the safety profile were collected in both hospitals in February 2018, through an on-site visit. The difference between the proportions of the items met at H1 and H2 was evaluated using the Pearson chi-square test at a level of statistical significance of 5%. Results: Both hospitals satisfactorily meet more than 65% of the items evaluated (H1=71.2%, H2=66.7%), with H1 meeting three more items (n=42) than H2 (n=39). There was no statistically significant difference between the proportions of items in compliance at H1 and H2 (p = 0.69). However, through additional collection, activities that were not evaluated by the ISEP-Brazil indicators which may contribute to patient safety were detected, especially in H1. Examples are clinical activities, computerization of the dispensing and emergency carts, daily check of dispensing errors. Conclusion: A considerable proportion of sub-items followed the ISEP-Brazil indicators in hospitals. Although there was no statistically significant difference between these proportions, the additional on-site diagnosis allowed identification of a safer medication system in H1.
format	article
author	Clarice Chemello Renata Gonçalves Diniz Mariana Gonzaga Do Nascimento
author_facet	Clarice Chemello Renata Gonçalves Diniz Mariana Gonzaga Do Nascimento
author_sort	Clarice Chemello
title	Patient safety best practices related to medication management in two public hospitals
title_short	Patient safety best practices related to medication management in two public hospitals
title_full	Patient safety best practices related to medication management in two public hospitals
title_fullStr	Patient safety best practices related to medication management in two public hospitals
title_full_unstemmed	Patient safety best practices related to medication management in two public hospitals
title_sort	patient safety best practices related to medication management in two public hospitals
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2020
url	https://doaj.org/article/954987452a8d4f989513e93c29ce6ef9
work_keys_str_mv	AT claricechemello patientsafetybestpracticesrelatedtomedicationmanagementintwopublichospitals AT renatagoncalvesdiniz patientsafetybestpracticesrelatedtomedicationmanagementintwopublichospitals AT marianagonzagadonascimento patientsafetybestpracticesrelatedtomedicationmanagementintwopublichospitals
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Patient safety best practices related to medication management in two public hospitals

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