Caracterização da avaliação farmacêutica da prescrição médica em um hospital universitário
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/18163 |
Resumo: | The hospital pharmacy must control and dispense medicines in a timely manner to optimize the recovery of patients. The implementation of systems and procedures for the control and improvement of health services are increasingly necessary. Objective: To characterize the pharmaceutical assessment of medical prescription of a university hospital in southern Brazil, classifying patients regarding the risk of developing drug related problems, describing pharmaceutical interventions in high-risk patients and the impact of these interventions. Methodology: Cross-sectional study in a university hospital in southern Brazil. The pharmaceutical assessment of prescriptions was performed by the application of a pharmaceutical score. After classification of risk, pharmacists performed pharmacotherapeutic analysis through Micromedex and Uptodate databases. Pharmaceutical interventions were included in the records of the patients and after, it was verified how many and which recommendations had been used. Results: 282 prescriptions for patients treated by 15 different medical specialties were assessed, being 150 (53%) classified as high risk to develop pharmacotherapeutic problems. 265 pharmaceutical interventions in high-risk patients were performed. Of these, the main ones were: potential interactions and dose adjustment. The health team was favorable concerning 37 (14%) of the interventions. Conclusion: The prescriptions assessed by the pharmacists presented different risks for the patient to develop pharmacotherapeutic problems. With the use of a pharmaceutical score it was possible to prioritize situations of high risk for developing pharmacotherapeutic problems and make recommendations to health staff. The incorporation of clinical pharmacy services is needed for patients, health professionals and institutions. |
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Caracterização da avaliação farmacêutica da prescrição médica em um hospital universitárioCharacterization of the pharmaceutical assessment of medical prescription at a university hospitalPrescrições de medicamentosServiço de farmácia hospitalarSistemas de informação em farmácia clínicaDrug prescriptionsPharmacy serviceHospitalClinical pharmacy information systemsCNPQ::CIENCIAS DA SAUDE::MEDICINAThe hospital pharmacy must control and dispense medicines in a timely manner to optimize the recovery of patients. The implementation of systems and procedures for the control and improvement of health services are increasingly necessary. Objective: To characterize the pharmaceutical assessment of medical prescription of a university hospital in southern Brazil, classifying patients regarding the risk of developing drug related problems, describing pharmaceutical interventions in high-risk patients and the impact of these interventions. Methodology: Cross-sectional study in a university hospital in southern Brazil. The pharmaceutical assessment of prescriptions was performed by the application of a pharmaceutical score. After classification of risk, pharmacists performed pharmacotherapeutic analysis through Micromedex and Uptodate databases. Pharmaceutical interventions were included in the records of the patients and after, it was verified how many and which recommendations had been used. Results: 282 prescriptions for patients treated by 15 different medical specialties were assessed, being 150 (53%) classified as high risk to develop pharmacotherapeutic problems. 265 pharmaceutical interventions in high-risk patients were performed. Of these, the main ones were: potential interactions and dose adjustment. The health team was favorable concerning 37 (14%) of the interventions. Conclusion: The prescriptions assessed by the pharmacists presented different risks for the patient to develop pharmacotherapeutic problems. With the use of a pharmaceutical score it was possible to prioritize situations of high risk for developing pharmacotherapeutic problems and make recommendations to health staff. The incorporation of clinical pharmacy services is needed for patients, health professionals and institutions.A farmácia hospitalar deve controlar e dispensar os medicamentos em tempo oportuno para otimização da recuperação dos pacientes. A implantação de sistemas e procedimentos para controle e aprimoramento dos serviços de saúde são cada vez mais necessários. Objetivo: caracterizar a avaliação farmacêutica da prescrição médica de um hospital universitário do sul do país, classificando os pacientes em relação ao risco de desenvolverem problemas farmacoterapêuticos, descrevendo as intervenções farmacêuticas realizadas em pacientes de alto risco e o impacto destas intervenções. Metodologia: estudo transversal em hospital universitário do sul do país. A avaliação farmacêutica das prescrições foi realizada por meio da aplicação de um escore farmacêutico. Após classificação do risco, os farmacêuticos realizavam análise farmacoterapêutica por meio das bases de dados Micromedex e Uptodate. As intervenções farmacêuticas foram inseridas nos prontuários dos pacientes e, após, verificou-se quantas e quais recomendações haviam sido utilizadas. Resultados: Foram avaliadas 282 prescrições de pacientes atendidos por 15 especialidades médicas diferentes, sendo 150 (53%) classificadas como de alto risco para desenvolverem problemas farmacoterapêuticos. Foram realizadas 265 intervenções farmacêuticas nos pacientes de alto risco. Destas, as principais foram: interações potenciais e ajuste de dose. A equipe de saúde aceitou 37 (14%) das intervenções realizadas. Conclusão: As prescrições avaliadas pelos farmacêuticos apresentaram diferentes riscos do paciente desenvolver problemas farmacoterapêuticos. Com a utilização de um escore farmacêutico, foi possível priorizar situações de alto risco de desenvolver problemas farmacoterapêuticos e realizar recomendações a equipe de saúde. A incorporação dos serviços de farmácia clínica se faz necessária para pacientes, profissionais de saúde e instituições.Universidade Federal de Santa MariaBrasilMedicinaUFSMPrograma de Pós-Graduação em Ciências da SaúdeCentro de Ciências da SaúdeCampos, Marli Matiko Anraku dehttp://lattes.cnpq.br/6421182991125434Flores, Liziane Maahshttp://lattes.cnpq.br/7244754996330153Carpes, Adriana Dornelleshttp://lattes.cnpq.br/9735757544227661Werlang, Maria Cristinahttp://lattes.cnpq.br/7002560547874016Hodali, Namir Ferreira El2019-09-06T19:30:50Z2019-09-06T19:30:50Z2016-03-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/18163porAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2019-09-07T06:00:43Zoai:repositorio.ufsm.br:1/18163Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2019-09-07T06:00:43Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.none.fl_str_mv |
Caracterização da avaliação farmacêutica da prescrição médica em um hospital universitário Characterization of the pharmaceutical assessment of medical prescription at a university hospital |
title |
Caracterização da avaliação farmacêutica da prescrição médica em um hospital universitário |
spellingShingle |
Caracterização da avaliação farmacêutica da prescrição médica em um hospital universitário Hodali, Namir Ferreira El Prescrições de medicamentos Serviço de farmácia hospitalar Sistemas de informação em farmácia clínica Drug prescriptions Pharmacy service Hospital Clinical pharmacy information systems CNPQ::CIENCIAS DA SAUDE::MEDICINA |
title_short |
Caracterização da avaliação farmacêutica da prescrição médica em um hospital universitário |
title_full |
Caracterização da avaliação farmacêutica da prescrição médica em um hospital universitário |
title_fullStr |
Caracterização da avaliação farmacêutica da prescrição médica em um hospital universitário |
title_full_unstemmed |
Caracterização da avaliação farmacêutica da prescrição médica em um hospital universitário |
title_sort |
Caracterização da avaliação farmacêutica da prescrição médica em um hospital universitário |
author |
Hodali, Namir Ferreira El |
author_facet |
Hodali, Namir Ferreira El |
author_role |
author |
dc.contributor.none.fl_str_mv |
Campos, Marli Matiko Anraku de http://lattes.cnpq.br/6421182991125434 Flores, Liziane Maahs http://lattes.cnpq.br/7244754996330153 Carpes, Adriana Dornelles http://lattes.cnpq.br/9735757544227661 Werlang, Maria Cristina http://lattes.cnpq.br/7002560547874016 |
dc.contributor.author.fl_str_mv |
Hodali, Namir Ferreira El |
dc.subject.por.fl_str_mv |
Prescrições de medicamentos Serviço de farmácia hospitalar Sistemas de informação em farmácia clínica Drug prescriptions Pharmacy service Hospital Clinical pharmacy information systems CNPQ::CIENCIAS DA SAUDE::MEDICINA |
topic |
Prescrições de medicamentos Serviço de farmácia hospitalar Sistemas de informação em farmácia clínica Drug prescriptions Pharmacy service Hospital Clinical pharmacy information systems CNPQ::CIENCIAS DA SAUDE::MEDICINA |
description |
The hospital pharmacy must control and dispense medicines in a timely manner to optimize the recovery of patients. The implementation of systems and procedures for the control and improvement of health services are increasingly necessary. Objective: To characterize the pharmaceutical assessment of medical prescription of a university hospital in southern Brazil, classifying patients regarding the risk of developing drug related problems, describing pharmaceutical interventions in high-risk patients and the impact of these interventions. Methodology: Cross-sectional study in a university hospital in southern Brazil. The pharmaceutical assessment of prescriptions was performed by the application of a pharmaceutical score. After classification of risk, pharmacists performed pharmacotherapeutic analysis through Micromedex and Uptodate databases. Pharmaceutical interventions were included in the records of the patients and after, it was verified how many and which recommendations had been used. Results: 282 prescriptions for patients treated by 15 different medical specialties were assessed, being 150 (53%) classified as high risk to develop pharmacotherapeutic problems. 265 pharmaceutical interventions in high-risk patients were performed. Of these, the main ones were: potential interactions and dose adjustment. The health team was favorable concerning 37 (14%) of the interventions. Conclusion: The prescriptions assessed by the pharmacists presented different risks for the patient to develop pharmacotherapeutic problems. With the use of a pharmaceutical score it was possible to prioritize situations of high risk for developing pharmacotherapeutic problems and make recommendations to health staff. The incorporation of clinical pharmacy services is needed for patients, health professionals and institutions. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-03-28 2019-09-06T19:30:50Z 2019-09-06T19:30:50Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/18163 |
url |
http://repositorio.ufsm.br/handle/1/18163 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Brasil Medicina UFSM Programa de Pós-Graduação em Ciências da Saúde Centro de Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Brasil Medicina UFSM Programa de Pós-Graduação em Ciências da Saúde Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Manancial - Repositório Digital da UFSM instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Manancial - Repositório Digital da UFSM |
collection |
Manancial - Repositório Digital da UFSM |
repository.name.fl_str_mv |
Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
atendimento.sib@ufsm.br||tedebc@gmail.com |
_version_ |
1805922131635077120 |