Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital

Detalhes bibliográficos
Autor(a) principal: Mota, Carlos Jonatas Fonseca
Data de Publicação: 2022
Outros Autores: Oliveira, Mírian Brasil Magalhães de, Silva, Kedma Melo da, Burton, Elizianne Andrade, Pereira, Vivian Nascimento, Badin, Rebeka Caribé
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/32128
Resumo: 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.
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spelling Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospitalConciliación de medicamentos en una unidad de clínica médica como estrategia para la Seguridad del Paciente en un hospital universitarioConciliação medicamentosa em unidade de clínica médica como estratégia para Segurança do Paciente em um hospital universitárioMedication reconciliationPatient safetyClinical pharmacy.Conciliación de medicamentoSeguridad del pacienteFarmacia clínica.Conciliação medicamentosaSegurança do pacienteFarmácia clínica.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.Introducción: La Seguridad del Paciente se ha convertido en una prioridad en los servicios de salud, siendo un proceso continuo que involucra actividades educativas y acciones sistemáticas encaminadas a reducir situaciones de riesgo para el paciente. Entre las principales herramientas para la prevención de errores de medicación en la transición asistencial del paciente destaca la conciliación de medicación. Objetivo: Analizar el perfil de conciliación de medicación en pacientes ingresados ​​en un hospital universitario. Metodología: Se trata de un estudio descriptivo y prospectivo en la unidad de clínica médica del Hospital Universitário Getúlio Vargas, ubicado en el Estado de Amazonas en un semestre de 2020. Resultados: Se realizaron un total de 237 visitas, de las cuales 180 pacientes cumplieron con los criterios de inclusión del estudio. Hubo predominio del sexo femenino y la edad media fue de 46,67± 17,58 años y los pacientes en su mayoría tenían entre 41 y 70 años. Entre las discrepancias identificadas, alrededor del 56 % fueron intencionales y el 44 % no intencionales. En las discrepancias no intencionadas detectamos un 50% por omisión del medicamento, un 25% por dosificación incorrecta y un 25% por dosificación incorrecta. En cuanto a las intervenciones farmacéuticas en discrepancias no intencionadas, el 75% fueron aceptadas por el equipo médico. Conclusión: La realización del servicio de conciliación de medicamentos por parte del equipo de farmacia clínica es de gran importancia para la seguridad del paciente en el ámbito hospitalario, siendo un instrumento fundamental para la optimización de la farmacoterapia.Introdução: A Segurança do Paciente tornou-se uma prioridade nos serviços de saúde, sendo um processo contínuo que envolve atividades educativas e ações sistematizadas que visam reduzir situações de risco ao paciente. Dentre as principais ferramentas para prevenir erros de medicação na transição de cuidado do paciente destaca-se a conciliação medicamentosa. Objetivo: Analisar o perfil da conciliação medicamentosa em pacientes internados em um hospital universitário. Metodologia: Trata-se de um estudo descritivo e prospectivo na unidade de clínica médica do Hospital Universitário Getúlio Vargas, localizado no Estado do Amazonas em um semestre de 2020. Resultados: Ao total foram realizadas 237 visitas, dos quais 180 pacientes preencheram os critérios de inclusão do estudo. Houve um predomínio do sexo feminino e a média de idade foi de 46,67± 17,58 anos e os pacientes majoritariamente apresentavam idade entre 41 a 70 anos. Dentre as discrepâncias identificadas cerca de 56% foram intencionais e 44% não intencionais. Nas discrepâncias não intencionais detectamos 50% por omissão do medicamento, 25% de dose incorreta e 25% de posologia incorreta. No que se refere as intervenções farmacêuticas nas discrepâncias não intencionais 75% foram aceitas pela equipe médica. Conclusão: A realização do serviço de conciliação medicamentosa pela equipe de farmácia clínica se mostra de grande importância para a segurança do paciente no âmbito hospitalar, sendo um instrumento fundamental para a otimização da farmacoterapia.Research, Society and Development2022-08-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3212810.33448/rsd-v11i10.32128Research, Society and Development; Vol. 11 No. 10; e568111032128Research, Society and Development; Vol. 11 Núm. 10; e568111032128Research, Society and Development; v. 11 n. 10; e5681110321282525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/32128/28086Copyright (c) 2022 Carlos Jonatas Fonseca Mota; Mírian Brasil Magalhães de Oliveira; Kedma Melo da Silva; Elizianne Andrade Burton; Vivian Nascimento Pereira; Rebeka Caribé Badinhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMota, Carlos Jonatas Fonseca Oliveira, Mírian Brasil Magalhães de Silva, Kedma Melo daBurton, Elizianne Andrade Pereira, Vivian Nascimento Badin, Rebeka Caribé 2022-08-12T22:23:03Zoai:ojs.pkp.sfu.ca:article/32128Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:48:13.640215Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital
Conciliación de medicamentos en una unidad de clínica médica como estrategia para la Seguridad del Paciente en un hospital universitario
Conciliação medicamentosa em unidade de clínica médica como estratégia para Segurança do Paciente em um hospital universitário
title Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital
spellingShingle Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital
Mota, Carlos Jonatas Fonseca
Medication reconciliation
Patient safety
Clinical pharmacy.
Conciliación de medicamento
Seguridad del paciente
Farmacia clínica.
Conciliação medicamentosa
Segurança do paciente
Farmácia clínica.
title_short Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital
title_full Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital
title_fullStr Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital
title_full_unstemmed Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital
title_sort Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital
author Mota, Carlos Jonatas Fonseca
author_facet Mota, Carlos Jonatas Fonseca
Oliveira, Mírian Brasil Magalhães de
Silva, Kedma Melo da
Burton, Elizianne Andrade
Pereira, Vivian Nascimento
Badin, Rebeka Caribé
author_role author
author2 Oliveira, Mírian Brasil Magalhães de
Silva, Kedma Melo da
Burton, Elizianne Andrade
Pereira, Vivian Nascimento
Badin, Rebeka Caribé
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Mota, Carlos Jonatas Fonseca
Oliveira, Mírian Brasil Magalhães de
Silva, Kedma Melo da
Burton, Elizianne Andrade
Pereira, Vivian Nascimento
Badin, Rebeka Caribé
dc.subject.por.fl_str_mv Medication reconciliation
Patient safety
Clinical pharmacy.
Conciliación de medicamento
Seguridad del paciente
Farmacia clínica.
Conciliação medicamentosa
Segurança do paciente
Farmácia clínica.
topic Medication reconciliation
Patient safety
Clinical pharmacy.
Conciliación de medicamento
Seguridad del paciente
Farmacia clínica.
Conciliação medicamentosa
Segurança do paciente
Farmácia clínica.
description 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.
publishDate 2022
dc.date.none.fl_str_mv 2022-08-10
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/32128
10.33448/rsd-v11i10.32128
url https://rsdjournal.org/index.php/rsd/article/view/32128
identifier_str_mv 10.33448/rsd-v11i10.32128
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/32128/28086
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 10; e568111032128
Research, Society and Development; Vol. 11 Núm. 10; e568111032128
Research, Society and Development; v. 11 n. 10; e568111032128
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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