Avanços e desafios nas políticas de medicamentos e assistência farmacêutica no Brasil

Objective: To present the results of a pilot study of medical reconciliation performed on admission of onco-haematological patients, implemented in a public hospital in the South of Brazil. Method: This pilot study, descriptive and observational, which was conduc...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autor principal:	Thiago Botelho Azeredo
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2019
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/c49c9837c8194f78934d2fb0f857e098
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c49c9837c8194f78934d2fb0f857e098
record_format	dspace
spelling	oai:doaj.org-article:c49c9837c8194f78934d2fb0f857e0982021-11-28T02:47:28ZAvanços e desafios nas políticas de medicamentos e assistência farmacêutica no Brasil2179-59242316-7750https://doaj.org/article/c49c9837c8194f78934d2fb0f857e0982019-06-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/179https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: To present the results of a pilot study of medical reconciliation performed on admission of onco-haematological patients, implemented in a public hospital in the South of Brazil. Method: This pilot study, descriptive and observational, which was conducted during January to March 2013, included patients admitted in the Hematology and Oncology Unit of Hospital Nossa Senhora da Conceição - Porto Alegre - RS. Patients and their caregivers were interviewed and their prescriptions (home and hospital) reconciled. The differences between the list of drugs that the patient is taking at home and the hospital prescriptions were categorized as intentional or unintentional discrepancies. The therapeutic drug class involved in the discrepancies was classified according to the Anatomical Therapeutic Chemical (ATC) classification. Results: From January to March 2013 were conducted 101 interviews corresponding to 89 patients. Seventeen patients were excluded from the study. The median age of patients enrolled was 55 years (14-84 years). A total of 227 medications were reconciled and identifyed 52.9% of discrepancies, with 83.3% of those, classified as intentional. An average of 1.4 discrepancies and previous use of 2.7 drugs per interview were observed. Twenty discrepancies were categorized as unintentional (17.7%). In 60% of these cases, the prescriber was reported and in 35% of cases the problem was solved, thus avoiding seven medication errors by omission of continuous use drugs. Conclusions: The results of the pilot study demonstrated that the proposed strategy was able to identify a significant percentage of discrepancies (52.9%), approaching the pharmacist of the health care team and reinforcing the importance of the implementation of this routine in the institution. Descriptors: Medication Reconciliation , Medication Errors, Patient Safety. Thiago Botelho AzeredoSociedade 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 5, Iss 1 (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 Thiago Botelho Azeredo Avanços e desafios nas políticas de medicamentos e assistência farmacêutica no Brasil
description	Objective: To present the results of a pilot study of medical reconciliation performed on admission of onco-haematological patients, implemented in a public hospital in the South of Brazil. Method: This pilot study, descriptive and observational, which was conducted during January to March 2013, included patients admitted in the Hematology and Oncology Unit of Hospital Nossa Senhora da Conceição - Porto Alegre - RS. Patients and their caregivers were interviewed and their prescriptions (home and hospital) reconciled. The differences between the list of drugs that the patient is taking at home and the hospital prescriptions were categorized as intentional or unintentional discrepancies. The therapeutic drug class involved in the discrepancies was classified according to the Anatomical Therapeutic Chemical (ATC) classification. Results: From January to March 2013 were conducted 101 interviews corresponding to 89 patients. Seventeen patients were excluded from the study. The median age of patients enrolled was 55 years (14-84 years). A total of 227 medications were reconciled and identifyed 52.9% of discrepancies, with 83.3% of those, classified as intentional. An average of 1.4 discrepancies and previous use of 2.7 drugs per interview were observed. Twenty discrepancies were categorized as unintentional (17.7%). In 60% of these cases, the prescriber was reported and in 35% of cases the problem was solved, thus avoiding seven medication errors by omission of continuous use drugs. Conclusions: The results of the pilot study demonstrated that the proposed strategy was able to identify a significant percentage of discrepancies (52.9%), approaching the pharmacist of the health care team and reinforcing the importance of the implementation of this routine in the institution. Descriptors: Medication Reconciliation , Medication Errors, Patient Safety.
format	article
author	Thiago Botelho Azeredo
author_facet	Thiago Botelho Azeredo
author_sort	Thiago Botelho Azeredo
title	Avanços e desafios nas políticas de medicamentos e assistência farmacêutica no Brasil
title_short	Avanços e desafios nas políticas de medicamentos e assistência farmacêutica no Brasil
title_full	Avanços e desafios nas políticas de medicamentos e assistência farmacêutica no Brasil
title_fullStr	Avanços e desafios nas políticas de medicamentos e assistência farmacêutica no Brasil
title_full_unstemmed	Avanços e desafios nas políticas de medicamentos e assistência farmacêutica no Brasil
title_sort	avanços e desafios nas políticas de medicamentos e assistência farmacêutica no brasil
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2019
url	https://doaj.org/article/c49c9837c8194f78934d2fb0f857e098
work_keys_str_mv	AT thiagobotelhoazeredo avancosedesafiosnaspoliticasdemedicamentoseassistenciafarmaceuticanobrasil
_version_	1718408464564224000

Avanços e desafios nas políticas de medicamentos e assistência farmacêutica no Brasil

Ejemplares similares