Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital
DOI:
https://doi.org/10.33448/rsd-v11i10.32128Keywords:
Medication reconciliation; Patient safety; Clinical pharmacy.Abstract
Introduction: Patient Safety has become a priority in health services, a continuous process involving educational activities and systematic actions aimed at reducing risk situations to the patient. Medication conciliation stands out among the main tools to prevent medication errors in patient care transition. Objective: To analyze the profile of medication reconciliation in patients admitted to a university hospital. Methodology: This is a descriptive and prospective study in the medical clinic unit of the university hospital located in the State of Amazonas in the semester of 2020. Results: A total of 237 visits were performed, of which 180 patients met the study inclusion criteria. There was a predominance of females, and the mean age was 46.67± 17.58 years, and the patients were mostly aged between 41 and 70 years. Among the discrepancies identified, about 56% were intentional and 44% unintentional. In unintentional discrepancies, we detected 50% due to omission of the medication, 25% from incorrect dose, and 25% from incorrect dosage. Regarding pharmaceutical interventions in unintentional discrepancies, 75% were accepted by the medical team. Conclusion: The performance of the medication reconciliation service by the clinical pharmacy team is of great importance for patient safety in the hospital environment, being a fundamental instrument for optimizing pharmacotherapy.
References
Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, González-García L, Cabeza-Barrera J, Galvez J. Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. In J Clin Pract 2015;69(11):1268-1274. 10.1111/ijcp.12701
Brasil. Ministério da Saúde. Anexo 03: Protocolo de Segurança na Prescrição, Uso e Administração de Medicamentos. Portaria nº 1377 de 24 de setembro de 2013.
Brasil. Ministério da Saúde. Institui o Programa Nacional de Segurança do Paciente (PNSP). Diário Oficial [República Federativa do Brasil], Portaria nº 529, 1 de abril de 2013.
Da Silva, T. B., Alves-Zarpelon, S. P., & Laureano, J. V. (2021). Conciliação medicamentosa em uma unidade de internação de hospital público do Sul do Brasil. Infarma-Ciências Farmacêuticas, 33(2), 158-166.
De Castro Brito, T. C., Veloso, R. C. D. S. G., Fernandes, M. R., de Castro Oliveira, G., da Costa, I. H. F., Araújo, C. F., & Detoni, K. B. (2022). Conciliação de medicamentos na admissão hospitalar para a segurança do paciente: uma revisão Reconciliation of medications at hospital admission for patient safety. Brazilian Journal of Health Review, 5(1), 1228-1243.
Domingos, S. C. F. (2013). Discrepâncias na medicação e reconciliação terapêutica em doentes internados: uma avaliação descritiva (Dissertação).
Donaldson, L. (2002). An organisation with a memory. Clinical medicine, 2(5), 452.
Fernandes, M. C. P., Mattos, L. F. V., & Barbosa, M. F. (2021). Conciliação Medicamentosa em Cuidados Paliativos Oncológicos. Revista Brasileira De Cancerologia, 67(4), e–031360. https://doi.org/10.32635/2176-9745.RBC.2021v67n4.1360.
Ferraz, C. L. A. S. (2015). A Importância da Reconciliação Medicamentosa na Internação Hospitalar. Revista Especialize On-line IPOG. Goiânia, GO, 9, 01-14.
Filho, F. R., Firmino, P. Y., & Freire, N. M. Avaliação de um serviço de reconciliação medicamentosa em um hospital privado de Fortaleza-CE: indicadores de qualidade.
Frizon, F., dos Santos, A. H., de Fátima Caldeira, L., & da Silva Menolli, P. V. (2014). Reconciliação de medicamentos em hospital universitário [Medication reconciliation at a university hospital]. Revista enfermagem UERJ, 22(4), 454-460.
Hughes, R. (Ed.). (2008). Patient safety and quality: An evidence-based handbook for nurses.
Kane-Gill, S., Rea, R. S., Verrico, M. M., & Weber, R. J. (2006). Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. American journal of health-system pharmacy, 63(19), 1876-1881.
Lindenmeyer, L. P., Goulart, V. P., & Hegele, V. (2012). Reconciliação medicamentosa como estratégia para a segurança do paciente oncológico-resultados de um estudo piloto. Revista Brasileira de Farmácia Hospitalar e Serviços de Saúde, 3(4).
Lombardi, N. F., Mendes, A. E. M., Lucchetta, R. C., Reis, W. C. T., Fávero, M. L. D., & Correr, C. J. (2016). Analysis of the discrepancies identified during medication reconciliation on patient admission in cardiology units: a descriptive study. Revista latino-americana de enfermagem, 24.
Miranda, L. S., Cavalcante, A. L., Pinheiro, R. M., Galato, D., & Silva, E. V. (2019). Reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital. Revista Brasileira de Farmácia Hospitalar e Serviços de Saúde, 10(4), 0353-0353.
Mueller, S. K., Sponsler, K. C., Kripalani, S., & Schnipper, J. L. (2012). Hospital-based medication reconciliation practices: a systematic review. Archives of internal medicine, 172(14), 1057-1069.
Reis, W. C. T., Scopel, C. T., Correr, C. J., & Andrzejevski, V. M. S. (2013). Análise das intervenções de farmacêuticos clínicos em um hospital de ensino terciário do Brasil. Einstein (São Paulo), 11, 190-196.
SAFER HEALTHCARE NOW. (2011). Medication Reconciliation in Acute Care Getting Started Kit [Internet]. Quebec: Safer Healthcare Now.
Siman, A. G., Braga, L. M., Amaro, M. D. O. F., & Brito, M. J. M. (2019). Practice challenges in patient safety. Revista Brasileira de Enfermagem, 72, 1504-1511.
Silva, W. P. C., Ribeiro, A. F., & Arruda, J. E. G. (2022). The importance of medication reconciliation in brazilian hospitals. Research, Society and Development, 11(1), e2411124091. https://doi.org/10.33448/rsd-v11i1.24091
Spalla, L. D. R., & Castilho, S. R. D. (2016). Medication reconciliation as a strategy for preventing medication errors. Brazilian Journal of Pharmaceutical Sciences, 52, 143-150.
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Copyright (c) 2022 Carlos Jonatas Fonseca Mota; Mírian Brasil Magalhães de Oliveira; Kedma Melo da Silva; Elizianne Andrade Burton; Vivian Nascimento Pereira; Rebeka Caribé Badin
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