Evaluation of a drug reconciliation service in private hospital in Fortaleza-CE: quality indicators

Objective: Analyze the registered results of this drug conciliation service on hospital admission to a private hospital in Fortaleza-CE, based on quality indicators, such as the reconciliation rate and operations performed. Methods: A cross-sectional retrospective study in which anamnesis data was...

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Autores principales:	Flavio R. FILHO, Paulo Y. FIRMINO, Natália M. FREIRE
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2021
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/f0336564b43a42d6a241c0262e08d99d
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spelling	oai:doaj.org-article:f0336564b43a42d6a241c0262e08d99d2021-11-28T02:43:37ZEvaluation of a drug reconciliation service in private hospital in Fortaleza-CE: quality indicators10.30968/rbfhss.2021.121.05562179-59242316-7750https://doaj.org/article/f0336564b43a42d6a241c0262e08d99d2021-03-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/556https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: Analyze the registered results of this drug conciliation service on hospital admission to a private hospital in Fortaleza-CE, based on quality indicators, such as the reconciliation rate and operations performed. Methods: A cross-sectional retrospective study in which anamnesis data was collected in the medication reconciliation service of a private hospital in Fortaleza-CE, and with the registration of patients, data such as name, responsible physician, age, pharmaceutical intervention carried out, highlighting its impact on the quality of service for increasing patient safety, and with these records an analysis of the indicators was made in relation to the doctors’ acceptance and the monitoring in relation to the validation of the prescribed drugs and classes, in July to December 2018. 833 patients (divided into Clinical and surgical ones) with more than 48 hours of hospitalization were included, in whom medication reconciliation was performed at the time of admission to the 7 hospitalization stations present at the hospital. Results: 119 patients were reconciled in the study and that among the patients 294 interventions were performed, of which 228 were accepted, showing high performance in terms of acceptance, efficiency and quality of service. In addition, there was a result of high acceptance in the month following the implantation, in August, with 29.4%, falling in October to 9.3%, suggesting that the service improved the prescription culture, requiring fewer interventions and promoting a increasing patient safety. The main intervention was the addition of medications, evidencing the communication to the medical team of the existence of comorbidities that were not being treated. Conclusion: The medication reconciliation in the hospital environment identified the need to add medications, as the most common intervention. In addition to the need to communicate patients’ comorbidities to the medical team, because of this intervention presenting itself as a great tool with the participation of the pharmacist in the clinical care of the patient in order to promote patient safety, increasing the quality of the prescription at the time of hospitalization. Flavio R. FILHOPaulo Y. FIRMINONatália M. FREIRESociedade 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 12, Iss 1 (2021)
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 Flavio R. FILHO Paulo Y. FIRMINO Natália M. FREIRE Evaluation of a drug reconciliation service in private hospital in Fortaleza-CE: quality indicators
description	Objective: Analyze the registered results of this drug conciliation service on hospital admission to a private hospital in Fortaleza-CE, based on quality indicators, such as the reconciliation rate and operations performed. Methods: A cross-sectional retrospective study in which anamnesis data was collected in the medication reconciliation service of a private hospital in Fortaleza-CE, and with the registration of patients, data such as name, responsible physician, age, pharmaceutical intervention carried out, highlighting its impact on the quality of service for increasing patient safety, and with these records an analysis of the indicators was made in relation to the doctors’ acceptance and the monitoring in relation to the validation of the prescribed drugs and classes, in July to December 2018. 833 patients (divided into Clinical and surgical ones) with more than 48 hours of hospitalization were included, in whom medication reconciliation was performed at the time of admission to the 7 hospitalization stations present at the hospital. Results: 119 patients were reconciled in the study and that among the patients 294 interventions were performed, of which 228 were accepted, showing high performance in terms of acceptance, efficiency and quality of service. In addition, there was a result of high acceptance in the month following the implantation, in August, with 29.4%, falling in October to 9.3%, suggesting that the service improved the prescription culture, requiring fewer interventions and promoting a increasing patient safety. The main intervention was the addition of medications, evidencing the communication to the medical team of the existence of comorbidities that were not being treated. Conclusion: The medication reconciliation in the hospital environment identified the need to add medications, as the most common intervention. In addition to the need to communicate patients’ comorbidities to the medical team, because of this intervention presenting itself as a great tool with the participation of the pharmacist in the clinical care of the patient in order to promote patient safety, increasing the quality of the prescription at the time of hospitalization.
format	article
author	Flavio R. FILHO Paulo Y. FIRMINO Natália M. FREIRE
author_facet	Flavio R. FILHO Paulo Y. FIRMINO Natália M. FREIRE
author_sort	Flavio R. FILHO
title	Evaluation of a drug reconciliation service in private hospital in Fortaleza-CE: quality indicators
title_short	Evaluation of a drug reconciliation service in private hospital in Fortaleza-CE: quality indicators
title_full	Evaluation of a drug reconciliation service in private hospital in Fortaleza-CE: quality indicators
title_fullStr	Evaluation of a drug reconciliation service in private hospital in Fortaleza-CE: quality indicators
title_full_unstemmed	Evaluation of a drug reconciliation service in private hospital in Fortaleza-CE: quality indicators
title_sort	evaluation of a drug reconciliation service in private hospital in fortaleza-ce: quality indicators
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2021
url	https://doaj.org/article/f0336564b43a42d6a241c0262e08d99d
work_keys_str_mv	AT flaviorfilho evaluationofadrugreconciliationserviceinprivatehospitalinfortalezacequalityindicators AT pauloyfirmino evaluationofadrugreconciliationserviceinprivatehospitalinfortalezacequalityindicators AT nataliamfreire evaluationofadrugreconciliationserviceinprivatehospitalinfortalezacequalityindicators
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Evaluation of a drug reconciliation service in private hospital in Fortaleza-CE: quality indicators

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