Fortalecimiento de las estrategias de seguridad del paciente: Una revisión integrativa de los procesos de seguridad de los medicamentos

Autores/as

DOI:

https://doi.org/10.33448/rsd-v9i12.9564

Palabras clave:

Polifarmacia; Seguridad del paciente; Uso racional de drogas.

Resumen

Objetivos: Identificar evidencias sobre los procesos utilizados para promover la seguridad del paciente relacionados con el uso de medicamentos en el ámbito hospitalario y qué implicaciones tienen estas acciones para la práctica clínica y la atención farmacéutica. Métodos: Revisión integrativa realizada en las bases de datos, Cochrane Library, Epistemonikos, Health Evidence, Health Systems Evidence y Virtual Health Library, utilizando los dominios "anciano", "seguridad del paciente", "polifarmacia" combinándolos con los operadores booleanos 'Y' y 'O'. Las publicaciones fueron seleccionadas de acuerdo con los criterios de inclusión y exclusión, los artículos fueron analizados por pares; no hubo restricción de idioma. Resultados: La búsqueda resultó en 73 artículos, de los cuales: 42 fueron excluidos por temática diferente a la de esta revisión, 4 revisiones sistemáticas, y 3 duplicados; Quedaron 24 artículos elegibles, divididos en 5 ejes temáticos: percepción de profesionales y pacientes sobre la seguridad en el uso de medicamentos; sistemas de entrega y lista de medicamentos estandarizada; dispensación de medicamentos por farmacéuticos y técnicos de farmacia; Examen de estabilidad; y calidad y gestión de los procesos de asistencia. Conclusión: Existen numerosas estrategias empleadas para promover la seguridad en el uso de medicamentos y el farmacéutico, como consultor técnico y clínico en la atención farmacéutica, puede actuar detectando posibles fallas y delineando estrategias para promover la seguridad del paciente con el fin de reducir costos con tecnologías sanitarias.

Biografía del autor/a

Alessandra Santos Ferreira, Universidade Federal do Pará

Alessandra Santos Ferreira. Discente. Programa de Pós-Graduação em Assistência Farmacêutica. Instituto de Ciências da Saúde. Universidade Federal do Pará. Campus Universitário do Guamá. Rua Augusto Corrêa, 01. Guamá. CEP: 66075-110. Belém, Pará. Fone: (91) 3201-7201.

ORCID: https://orcid.org/0000-0002-4785-5351

E-mail: ferreira.ale.dias@gmail.com

Orenzio Soler, Universidade Federal do Pará

Orenzio Soler. Professor. Dr. Faculdade de Farmácia. Programa de Pós-Graduação em Assistência Farmacêutica. Instituto de Ciências da Saúde. Universidade Federal do Pará. Campus Universitário do Guamá. Rua Augusto Corrêa, 01. Guamá. CEP: 66075-110. Belém, Pará. Fone: (91) 3201-7201. ORCID: http://orcid.org/0000-0003- 2246-0019; E-mail: orenziosoler@gmail.com

Citas

Alassaad, A., Gillespie, U., Bertilsson, M. & Hammarlund-Udenaes, M. (2013). Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: An observational and interventional study. Journal of Evaluation in Clinical Practice, 19(1), 185–191. https://doi.org/10.1111/j.1365-2753.2011.01798.x

Alcântara, T. D. S., Onozato, T., Araújo Neto, F. D. C., Dosea, A. S., Cunha, L. C., De Araújo, D. C. S. A. & Lyra Junior, D. P. (2018). Perceptions of a group of hospital pharmacists and other professionals of the implementation of clinical pharmacy at a high complexity public hospital in Brazil. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3036-7

Alex, S., Adenew, A. B., Arundel, C., Maron, D. D., & Kerns, J. C. (2016). Medication Errors Despite Using Electronic Health Records. Quality Management in Health Care, 25(1), 32–37. Retrieved from http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage &an=00019514-201601000-00005

Anto, B., James, K. L., Barlow, D., Brinklow, N., Oborne, C. A. & Whittlesea, C. (2013). Exploratory study to identify the process used by pharmacy staff to verify the accuracy of dispensed medicines. International Journal of Pharmacy Practice, 21(4), 233–242. https://doi.org/10.1111/j.2042-7174.2012.00255.x

Atik, A. (2012). Adherence to the Australian National Inpatient Medication Chart: the efficacy of a uniform national drug chart on improving prescription error. Journal of Evaluation in Clinical Practice, no-no. Retrieved from http://doi.wiley.com/10.1111/j.1365-2753.2012.01847.x

Baqir, W., Jones, K., Horsley, W., Barrett, S., Fisher, D., Copeland, R.& Stephenson, R. (2015). Reducing unacceptable missed doses: Pharmacy assistant-supported medicine administration. International Journal of Pharmacy Practice, 23(5), 327–332. https://doi.org/10.1111/ijpp.12172

Berthouzoz, S., Berger, L., Bonnabry, P. & Pannatier, A. (2012). The Hospital Pharmacist: An Important Contributor to Improved Patient Safety in the Hospital. CHIMIA International Journal for Chemistry, 66(5), 300–303. https://doi.org/10.2533/chimia.2012.300

Brasil. Ministério da Saúde. Portaria nº 529, de 1º de abril de 2013. Institui o Programa Nacional de Segurança ao Paciente (PNSP). Diário Oficial da União, Brasília, DF, 2 abr. 2013. Seção 1, p. 43.

Brasil. Ministério da Saúde. Protocolo de segurança na prescrição, uso e administração de medicamentos. Brasília; 2014.

Brasil. Ministérios da Saúde. Sistema Nacional de Informações Tóxico-Farmacológicas: Casos, Óbitos e Letalidade de Intoxicação Humana por Região e Centro, 2017. Recuperado de https://sinitox.icict.fiocruz.br/dados-nacionais

Brasil. Ministério da Saúde. Boletim de Farmacovigilância nº. 8. Ano 2019.

Bujaldón-Querejeta, N., Aznar-Saliente, T., Esplá-González, S., Ruíz-Darbonnéns, S., Pons-Martínez, L., Talens-Bolos, A.& Aranaz-Andrés, J. M. (2014). Plan estratégico integral de seguridad en el uso de medicamentos en un departamento sanitario. Revista de Calidad Asistencial, 29(1), 43–50. Retrieved from https://linkinghub.elsevier.com/retrieve/pii/S113 4282X13001292

Cater, S. W., Luzum, M., Serra, A. E., Arasaratnam, M. H., Travers, D., Martin, I. B. K.&Brice, J. H. (2015). A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. Journal of Emergency Medicine, 48(2), 230–238. https://doi.org/10.1016/j.jemermed.2014.09.065

Celikkayalar, E., Myllyntausta, M., Grissinger, M. & Airaksinen, M. (2016). Adapting and remodelling the US Institute for Safe Medication Practices’ Medication Safety Self-Assessment tool for hospitals to be used to support national medication safety initiatives in Finland. International Journal of Pharmacy Practice, 24(4), 262–270. https://doi.org/10.1111/ijpp.12238

Clancy, C. M. (2008). Evidence shows cost and patient safety benefits of emergency pharmacists. American Journal of Medical Quality, 23(3), 231–233. https://doi.org/10.1177/1062860608316108

Cobaugh, D. J., Maynard, G., Cooper, L., Kienle, P. C., Vigersky, R., Childers, D.&Cohen, M. (2013). Enhancing insulin-use safety in hospitals: Practical recommendations from an ASHP Foundation expert consensus panel. American Journal of Health-System Pharmacy, 70(16), 1404–1413. Retrieved from http://www.ajhp.org/cgi/doi/10.2146/ajhp130169

Cochran, G. L., Barrett, R. S., & Horn, S. D. (2016). Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. American Journal of Health-System Pharmacy, 73(15), 1167–1173. Retrieved from http://www.ajhp.org/cgi/doi/10.2146/ajhp150760

Dixon-Woods, M., Redwood, S., Leslie, M., Minion, J., Martin, G. P. & Coleman, J. J. (2013). Improving Quality and Safety of Care Using “Technovigilance”: An Ethnographic Case Study of Secondary Use of Data from an Electronic Prescribing and Decision Support System. Milbank Quarterly, 91(3), 424–454. Retrieved from http://doi.wiley.com/10.1111/1468-0009.12021

Ferrández, O., Grau, S., Urbina, O., Mojal, S., Riu, M. & Salas, E. (2018). Validation of a score to identify inpatients at risk of a drug-related problem during a 4-year period. Saudi Pharmaceutical Journal, 26(5), 703–708. https://doi.org/10.1016/j.jsps.2018.02.020

García-Molina Sáez, C., Urbieta Sanz, E., Madrigal De Torres, M., Vicente Vera, T. & Pérez Cárceles, M. D. (2016). Computerized pharmaceutical intervention to reduce reconciliation errors at hospital discharge in Spain: An interrupted time-series study. Journal of Clinical Pharmacy and Therapeutics, 41(2), 203–208. https://doi.org/10.1111/jcpt.12365

Hesselgreaves, H., Watson, A., Crawford, A., Lough, M. & Bowie, P. (2013). Medication safety: using incident data analysis and clinical focus groups to inform educational needs. Journal of Evaluation in Clinical Practice, 19(1), 30–38. Retrieved from http://doi.wiley.com/10.1111/j.1365-2753.2011.01763.x

Karapinar-Çarkit, F., Borgsteede, S. D., Zoer, J., Egberts, T. C. G., van den Bemt, P. M. L. A. & Tulder, M. van. (2012). Effect of Medication Reconciliation on Medication Costs After Hospital Discharge in Relation to Hospital Pharmacy Labor Costs. Annals of Pharmacotherapy, 46(3), 329–338. Retrieved from http://journals.sagepub .com/doi/10.1345/aph.1Q520

Lima, L. F., Leventel, L. C.&Fernandes, M. P. P. Identificando os riscos do paciente hospitalizado. Einstein, 2008; 6(4): 434-438.

Mansur, J. M. (2016). Medication Safety Systems and the Important Role of Pharmacists. Drugs & Aging, 33(3), 213–221. Retrieved from http://link.springer.com/10.1007/s40266-016-0358-1

McLeod, M., Ahmed, Z., Barber, N. & Franklin, B. D. (2014). A national survey of inpatient medication systems in English NHS hospitals. BMC Health Services Research, 14(1), 93. Retrieved from http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-14-93

Mohsin-Shaikh, S., Garfield, S. & Franklin, B. D. (2014). Patient involvement in medication safety in hospital: An exploratory study. International Journal of Clinical Pharmacy, 36(3), 657–666. https://doi.org/10.1007/s11096-014-9951-8

Proper, J. S., Wong, A., Plath, A. E., Grant, K. A., Just, D. W. & Dulhunty, J. M. (2015). Impact of clinical pharmacists in the emergency department of an Australian public hospital: A before and after study. EMA - Emergency Medicine Australasia, 27(3), 232–238. https://doi.org/10.1111/1742-6723.12384

Sacco, K., Irvin, M., Bates, A. A., Hiroto, B., Heckman, A., Mareth, K., & Parkulo, M. (2018). Evaluation of medication list accuracy from hospital discharge to first outpatient follow-up. Journal of Pharmacy Practice and Research, 48(5), 437–441. https://doi.org/10.1002/jppr.1446

Souza, M. T., Silva, M. D.& Carvalho, R. Revisão Integrativa: o que é e como fazer? Einsten, 2010; 8(1 Pt 1): 102-6.

Vilela, R. P.B, Pompeo, D. A., Jericó, M. C.& Wernec, A. L. Custo do Erro de Medicação e Eventos Adversos à Medicação na Cadeia Medicamentosa: Uma Revisão Integrativa. J. Bras. Econ. Saúde 2018; 10(2): 179-189.

Villamañán, E., Larrubia, Y., Ruano, M., Vélez, M., Armada, E., Herrero, A. & Álvarez-Sala, R. (2013). Potential medication errors associated with computer prescriber order entry. International Journal of Clinical Pharmacy, 35(4), 577–583. https://doi.org/10.1007/s11096-013-9771-2

WHO. Organización Mundial de la Salude. Centro de Prensa. Retrieved from https://www.who.int/news-room/detail/29-03-2017-who-launches-global-effort-to-halve-medication-related-errors-in-5-years.

Publicado

11/12/2020

Cómo citar

FERREIRA, A. S. .; SOLER, O. . Fortalecimiento de las estrategias de seguridad del paciente: Una revisión integrativa de los procesos de seguridad de los medicamentos. Research, Society and Development, [S. l.], v. 9, n. 12, p. e129129564, 2020. DOI: 10.33448/rsd-v9i12.9564. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/9564. Acesso em: 25 nov. 2024.

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