Medication Reconciliation in Patients Hospitalized in a Cardiology Uni

Detalhes bibliográficos
Autor(a) principal: Magalhães, Gabriella Fernandes
Data de Publicação: 2014
Outros Autores: Santos, Gláucia Beisl Noblat de Carvalho, Rosa, Mário Borges, Noblat, Lúcia de Araújo Costa Beisl
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/17188
Resumo: p.1-12
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spelling Magalhães, Gabriella FernandesSantos, Gláucia Beisl Noblat de CarvalhoRosa, Mário BorgesNoblat, Lúcia de Araújo Costa BeislMagalhães, Gabriella FernandesSantos, Gláucia Beisl Noblat de CarvalhoRosa, Mário BorgesNoblat, Lúcia de Araújo Costa Beisl2015-03-19T15:11:42Z2015-03-19T15:11:42Z20141932-6203http://repositorio.ufba.br/ri/handle/ri/17188p.1-12Objectives To compare drugs prescribed on hospital admission with the list of drugs taken prior to admission for adult patients admitted to a cardiology unit and to identify the role of a pharmacist in identifying and resolving medication discrepancies. Method This study was conducted in a 300 bed university hospital in Brazil. Clinical pharmacists taking medication histories and reconciling medications prescribed on admission with a list of drugs used prior to admission. Discrepancies were classified as justified (e.g., based on the pharmacotherapeutic guidelines of the hospital studied) or unintentional. Treatments were reviewed within 48 hours following hospitalization. Unintentional discrepancies were further classified according to the categorization of medication error severity. Pharmacists verbally contacted the prescriber to recommend actions to resolve the discrepancies. Results A total of 181 discrepancies were found in 50 patients (86%). Of these discrepancies, 149 (82.3%) were justified changes to the patient's home medication regimen; however, 32 (17.7%) discrepancies found in 24 patients were unintentional. Pharmacists made 31 interventions and 23 (74.2%) were accepted. Among unintentional discrepancies, the most common was a different medication dose on admission (42%). Of the unintentional discrepancies 13 (40.6%) were classified as error without harm, 11 (34.4%) were classified as error without harm but which could affect the patient and require monitoring, 3 (9.4%) as errors could have resulted in harm and 5 (15.6%) were classified as circumstances or events that have the capacity to cause harm. Conclusion The results revealed a high number of unintentional discrepancies and the pharmacist can play an important role by intervening and correcting medication errors at a hospital cardiology unit.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2015-03-18T15:13:33Z No. of bitstreams: 1 Gabriella Fernandes Magalhães.pdf: 366431 bytes, checksum: f09624bc0096542bededdf2723a09236 (MD5)Approved for entry into archive by Delba Rosa (delba@ufba.br) on 2015-03-19T15:11:42Z (GMT) No. of bitstreams: 1 Gabriella Fernandes Magalhães.pdf: 366431 bytes, checksum: f09624bc0096542bededdf2723a09236 (MD5)Made available in DSpace on 2015-03-19T15:11:42Z (GMT). No. of bitstreams: 1 Gabriella Fernandes Magalhães.pdf: 366431 bytes, checksum: f09624bc0096542bededdf2723a09236 (MD5) Previous issue date: 2014http://dx.doi.org/10.1371/journal.pone.0115491reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAMedication Reconciliation in Patients Hospitalized in a Cardiology UniPLoS ONEinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBrasilinfo:eu-repo/semantics/openAccessporORIGINALGabriella Fernandes Magalhães.pdfGabriella Fernandes Magalhães.pdfapplication/pdf366431https://repositorio.ufba.br/bitstream/ri/17188/1/Gabriella%20Fernandes%20Magalh%c3%a3es.pdff09624bc0096542bededdf2723a09236MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/17188/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTGabriella Fernandes Magalhães.pdf.txtGabriella Fernandes Magalhães.pdf.txtExtracted texttext/plain33672https://repositorio.ufba.br/bitstream/ri/17188/3/Gabriella%20Fernandes%20Magalh%c3%a3es.pdf.txt03cd15e8cc9f77e7039eeb8a3143f9a4MD53ri/171882022-07-05 14:05:18.502oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:05:18Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Medication Reconciliation in Patients Hospitalized in a Cardiology Uni
dc.title.alternative.pt_BR.fl_str_mv PLoS ONE
title Medication Reconciliation in Patients Hospitalized in a Cardiology Uni
spellingShingle Medication Reconciliation in Patients Hospitalized in a Cardiology Uni
Magalhães, Gabriella Fernandes
title_short Medication Reconciliation in Patients Hospitalized in a Cardiology Uni
title_full Medication Reconciliation in Patients Hospitalized in a Cardiology Uni
title_fullStr Medication Reconciliation in Patients Hospitalized in a Cardiology Uni
title_full_unstemmed Medication Reconciliation in Patients Hospitalized in a Cardiology Uni
title_sort Medication Reconciliation in Patients Hospitalized in a Cardiology Uni
author Magalhães, Gabriella Fernandes
author_facet Magalhães, Gabriella Fernandes
Santos, Gláucia Beisl Noblat de Carvalho
Rosa, Mário Borges
Noblat, Lúcia de Araújo Costa Beisl
author_role author
author2 Santos, Gláucia Beisl Noblat de Carvalho
Rosa, Mário Borges
Noblat, Lúcia de Araújo Costa Beisl
author2_role author
author
author
dc.contributor.author.fl_str_mv Magalhães, Gabriella Fernandes
Santos, Gláucia Beisl Noblat de Carvalho
Rosa, Mário Borges
Noblat, Lúcia de Araújo Costa Beisl
Magalhães, Gabriella Fernandes
Santos, Gláucia Beisl Noblat de Carvalho
Rosa, Mário Borges
Noblat, Lúcia de Araújo Costa Beisl
description p.1-12
publishDate 2014
dc.date.issued.fl_str_mv 2014
dc.date.accessioned.fl_str_mv 2015-03-19T15:11:42Z
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.country.fl_str_mv Brasil
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1371/journal.pone.0115491
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