Medication reconciliation in a medical clinic unit as a strategy for Patient Safety in a university hospital
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
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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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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1797052717755006976 |