Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos
Ano de defesa: | 2019 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de
|
Departamento: |
Administra????o
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/2128 |
Resumo: | There is a considerable diversity in outpatient settings, especially those related to health care assistance. It is necessary to understand medication errors and adverse events to have a whole concept of patient safety. The main objective of this research was to detect the main patient safety flaws related to outpatient drug use in the public service. This is a prospective and exploratory cross-sectional case study with a quantitative and qualitative approach. We reviewed the literature available and we have chosen from the existing questionnaires a group of questions related to drugs and patient safety. Data collection was performed to apply the adapted questionnaire at the Universidade Nove de Julho multidisciplinary clinic. Study population was composed by 207 participants, with a mean age of 59.7 years, 64.9% are female and, 47.8% of participants completed high school. Most common diagnoses were systemic arterial hypertension and diabetes. Thyroid disorders, hypercholesterolemia, gastritis and other diseases have also been identified. Number of consultations was of 7.9 / patient (SD= 6.7), on average, 140 (67.6%) participants had been using the service for over a year, 150 (72.5%) of patients had already used medications. Medication have been used for 71.5 (?? 70.5) months. Two diseases were diagnosed in 34.8% of patients evaluated and, 2.4 drugs per patient were prescribed on average. In this study 97 (46.8%) of patients has forgotten to take the drugs prescribed at least once. Analgesics and antinflammatory were the most used drugs in this research. Seventy-six patients (36.7%) failed to comply with medication administration at the pre-established schedule and, 49 (23.7%) patients did not fully adhere to the recommended dosing. In the study population, 25 (12%) reported having had a drug-related adverse event. Furthermore, in 129 (62,3%) preventable drug-related adverse events were associated with errors in patient compliance. In conclusion, the questionnaire applied at multidisciplinary clinic brought sensitive information regarding medication in outclinic setting. We emphasize the importance of disseminate knowledge on medication to health professionals and patients contributing to the broadened view of appropriate practices to improve treatment adherence, to reduce adverse events related to medication and to promote better quality of life of patients. |
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Novaretti, Marcia Cristina ZagoNovaretti, Marcia Cristina ZagoMonken, Sonia Francisca de PaulaBarbosa, Antonio PiresPedroso, Marcelo CaldeiraLiberal, Marcia Costa dehttp://lattes.cnpq.br/5107608263152923Soares, V??vian Elaine Alflen2019-11-05T20:58:41Z2019-09-30Soares, V??vian Elaine Alflen. Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos. 2019. 122 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/2128There is a considerable diversity in outpatient settings, especially those related to health care assistance. It is necessary to understand medication errors and adverse events to have a whole concept of patient safety. The main objective of this research was to detect the main patient safety flaws related to outpatient drug use in the public service. This is a prospective and exploratory cross-sectional case study with a quantitative and qualitative approach. We reviewed the literature available and we have chosen from the existing questionnaires a group of questions related to drugs and patient safety. Data collection was performed to apply the adapted questionnaire at the Universidade Nove de Julho multidisciplinary clinic. Study population was composed by 207 participants, with a mean age of 59.7 years, 64.9% are female and, 47.8% of participants completed high school. Most common diagnoses were systemic arterial hypertension and diabetes. Thyroid disorders, hypercholesterolemia, gastritis and other diseases have also been identified. Number of consultations was of 7.9 / patient (SD= 6.7), on average, 140 (67.6%) participants had been using the service for over a year, 150 (72.5%) of patients had already used medications. Medication have been used for 71.5 (?? 70.5) months. Two diseases were diagnosed in 34.8% of patients evaluated and, 2.4 drugs per patient were prescribed on average. In this study 97 (46.8%) of patients has forgotten to take the drugs prescribed at least once. Analgesics and antinflammatory were the most used drugs in this research. Seventy-six patients (36.7%) failed to comply with medication administration at the pre-established schedule and, 49 (23.7%) patients did not fully adhere to the recommended dosing. In the study population, 25 (12%) reported having had a drug-related adverse event. Furthermore, in 129 (62,3%) preventable drug-related adverse events were associated with errors in patient compliance. In conclusion, the questionnaire applied at multidisciplinary clinic brought sensitive information regarding medication in outclinic setting. We emphasize the importance of disseminate knowledge on medication to health professionals and patients contributing to the broadened view of appropriate practices to improve treatment adherence, to reduce adverse events related to medication and to promote better quality of life of patients.H?? grande diversidade de caracter??sticas nos ambientes ambulatoriais, principalmente relacionadas ??s configura????es de cuidados em sa??de. Sobre o conceito da seguran??a do paciente ?? necess??rio compreender sobre os erros de medica????o e eventos adversos relacionados a esse contexto. Esta pesquisa teve como objetivo principal detectar as principais falhas de seguran??a do paciente relacionada ao uso de medicamentos em n??vel ambulatorial no em um ambulat??rio p??blico multidisciplinar de sa??de. Trata-se de um estudo de caso de delineamento transversal, prospectivo e explorat??rio com abordagem quantitativa e qualitativa. A partir da revis??o bibliogr??fica dos diversos instrumentos existentes, fez-se necess??rio optar por um agrupamentos de quest??es que avaliassem as vari??veis propostas e correla????es. Realizada coleta de dados para aplica????o do question??rio adaptado no ambulat??rio multidisciplinar da Universidade Nove de Julho. A popula????o de estudo foi composta por 207 participantes, com a m??dia de idade de 59,7 anos, freq????ncia de 64,9% do sexo feminino e ensino m??dio completo em 47,8%. Os principais diagn??sticos dos agravos ?? sa??de foram hipertens??o arterial sist??mica e diabetes. Tamb??m foram identificadas altera????es na tire??ide, hipercolesterolemia, gastrite e outros. N??meros de consultas no ??ltimo ano em m??dia 7,9/ paciente (DP=6,7), 140 (67,6%) participantes faziam uso do servi??o h?? mais de um ano, 150 (72,5%) dos pacientes j?? faziam uso pr??vio de medicamentos, o tempo m??dio de uso do medicamento ?? de 71,5 (??70,5) meses. Em 34,8% dos pacientes apresentam dois agravos ?? sa??de e foi encontrada prescri????o de 2,4 medicamentos por paciente, em m??dia. Foi verificado que 97 (46,8%) dos pacientes desta pesquisa esquecem de tomar o medicamento. Cerca de 24% dos pacientes fazem ou fizeram uso de algum medicamento sem prescri????o; dentre os mais utilizados s??o os analg??sicos e antiinflamat??rios. Setenta e seis pacientes (36,7%) falham no cumprimento da administra????o do medicamento no hor??rio preestabelecido e49 (23,7%) dos pacientes n??o tem ader??ncia total quanto ?? dosagem preconizada. Na popula????o estudada, 25 (12%) relataram ter tido evento adverso relacionado a medicamentos. Al??m disso, muitos eventos adversos evit??veis relacionados a medicamentos em 129 (62,3%) tamb??m est??o associados a erros na ades??o do paciente. Concluimos que o question??rio aplicado em um cen??rio ambulatorial em unidade p??blica de assist??ncia ?? sa??de trouxe informa????es significativas para o entendimento da ocorr??ncia de eventos adversos relacionados a medicamentos e da ader??ncia dos pacientes ?? terap??utica medicamentosa. Ressaltamos a import??ncia da dissemina????o do conhecimento sobre medicamentos para os profissionais em sa??dee para os portadores dos agravos ?? sa??de contribuindo para o olhar ampliado das pr??ticas adequadas para aprimorar a ades??o ao tratamento, reduzir a ocorr??ncia de eventos adversos relacionada aos medicamentos e essencial para a melhoria da qualidade de vida dos pacientes.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2019-11-05T20:58:40Z No. of bitstreams: 1 V??vian Elaine Alflen Soares.pdf: 2307607 bytes, checksum: 7b81c39f69cf04c736b109a0e495b95c (MD5)Made available in DSpace on 2019-11-05T20:58:41Z (GMT). No. of bitstreams: 1 V??vian Elaine Alflen Soares.pdf: 2307607 bytes, checksum: 7b81c39f69cf04c736b109a0e495b95c (MD5) Previous issue date: 2019-09-30application/pdfporUniversidade Nove de JulhoPrograma de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??deUNINOVEBrasilAdministra????oseguran??a do pacienteassist??ncia ambulatorialmedicamentoseventos adversosaten????o prim??riapatient safetyoutpatient caremedicationadverse eventsprimary careADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOSAplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentosAplications of instruments to assess the safety of ambulatory patients for the use of medicinal productsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-710462410973612412600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALV??vian Elaine Alflen Soares.pdfV??vian Elaine Alflen Soares.pdfapplication/pdf2307607http://localhost:8080/tede/bitstream/tede/2128/2/V%C3%ADvian+Elaine+Alflen+Soares.pdf7b81c39f69cf04c736b109a0e495b95cMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2128/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/21282019-11-05 18:58:42.059oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2019-11-05T20:58:42Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos |
dc.title.alternative.eng.fl_str_mv |
Aplications of instruments to assess the safety of ambulatory patients for the use of medicinal products |
title |
Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos |
spellingShingle |
Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos Soares, V??vian Elaine Alflen seguran??a do paciente assist??ncia ambulatorial medicamentos eventos adversos aten????o prim??ria patient safety outpatient care medication adverse events primary care ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
title_short |
Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos |
title_full |
Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos |
title_fullStr |
Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos |
title_full_unstemmed |
Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos |
title_sort |
Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos |
author |
Soares, V??vian Elaine Alflen |
author_facet |
Soares, V??vian Elaine Alflen |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Novaretti, Marcia Cristina Zago |
dc.contributor.referee1.fl_str_mv |
Novaretti, Marcia Cristina Zago |
dc.contributor.referee2.fl_str_mv |
Monken, Sonia Francisca de Paula |
dc.contributor.referee3.fl_str_mv |
Barbosa, Antonio Pires |
dc.contributor.referee4.fl_str_mv |
Pedroso, Marcelo Caldeira |
dc.contributor.referee5.fl_str_mv |
Liberal, Marcia Costa de |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5107608263152923 |
dc.contributor.author.fl_str_mv |
Soares, V??vian Elaine Alflen |
contributor_str_mv |
Novaretti, Marcia Cristina Zago Novaretti, Marcia Cristina Zago Monken, Sonia Francisca de Paula Barbosa, Antonio Pires Pedroso, Marcelo Caldeira Liberal, Marcia Costa de |
dc.subject.por.fl_str_mv |
seguran??a do paciente assist??ncia ambulatorial medicamentos eventos adversos aten????o prim??ria |
topic |
seguran??a do paciente assist??ncia ambulatorial medicamentos eventos adversos aten????o prim??ria patient safety outpatient care medication adverse events primary care ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
dc.subject.eng.fl_str_mv |
patient safety outpatient care medication adverse events primary care |
dc.subject.cnpq.fl_str_mv |
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
description |
There is a considerable diversity in outpatient settings, especially those related to health care assistance. It is necessary to understand medication errors and adverse events to have a whole concept of patient safety. The main objective of this research was to detect the main patient safety flaws related to outpatient drug use in the public service. This is a prospective and exploratory cross-sectional case study with a quantitative and qualitative approach. We reviewed the literature available and we have chosen from the existing questionnaires a group of questions related to drugs and patient safety. Data collection was performed to apply the adapted questionnaire at the Universidade Nove de Julho multidisciplinary clinic. Study population was composed by 207 participants, with a mean age of 59.7 years, 64.9% are female and, 47.8% of participants completed high school. Most common diagnoses were systemic arterial hypertension and diabetes. Thyroid disorders, hypercholesterolemia, gastritis and other diseases have also been identified. Number of consultations was of 7.9 / patient (SD= 6.7), on average, 140 (67.6%) participants had been using the service for over a year, 150 (72.5%) of patients had already used medications. Medication have been used for 71.5 (?? 70.5) months. Two diseases were diagnosed in 34.8% of patients evaluated and, 2.4 drugs per patient were prescribed on average. In this study 97 (46.8%) of patients has forgotten to take the drugs prescribed at least once. Analgesics and antinflammatory were the most used drugs in this research. Seventy-six patients (36.7%) failed to comply with medication administration at the pre-established schedule and, 49 (23.7%) patients did not fully adhere to the recommended dosing. In the study population, 25 (12%) reported having had a drug-related adverse event. Furthermore, in 129 (62,3%) preventable drug-related adverse events were associated with errors in patient compliance. In conclusion, the questionnaire applied at multidisciplinary clinic brought sensitive information regarding medication in outclinic setting. We emphasize the importance of disseminate knowledge on medication to health professionals and patients contributing to the broadened view of appropriate practices to improve treatment adherence, to reduce adverse events related to medication and to promote better quality of life of patients. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-11-05T20:58:41Z |
dc.date.issued.fl_str_mv |
2019-09-30 |
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dc.identifier.citation.fl_str_mv |
Soares, V??vian Elaine Alflen. Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos. 2019. 122 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2128 |
identifier_str_mv |
Soares, V??vian Elaine Alflen. Aplica????es de instrumentos para avalia????o da seguran??a do paciente ambulatorial quanto ao uso de medicamentos. 2019. 122 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/2128 |
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