Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados
Ano de defesa: | 2018 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Goiás
|
Programa de Pós-Graduação: |
Programa de Pós-graduação em Assistência e Avaliação em Saúde (FF)
|
Departamento: |
Faculdade Farmácia - FF (RG)
|
País: |
Brasil
|
Palavras-chave em Português: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.bc.ufg.br/tede/handle/tede/8458 |
Resumo: | Theoretical Background: The adverse drug event (ADE) may occur due to adverse reaction and medication error. Damage caused by adverse events (AD) can lead to increased hospitalization time, rehospitalization, greater morbidity, the need for diagnostic and therapeutic interventions, irreversible consequences such as death and great economic impact. Objective: This study aims to analyze the costs of adverse drug events in hospitalized patients. Methods: This is a retrospective study carried out in a public hospital in the state of Goiás, Brazil, with patients admitted to the adult hospitalization clinics in the year 2016 and who suffered ADE. The colection of data occurred between May and October 2017. The data were collected through a nursing record and patient records. Additional hospitalization time, hours worked by the health professional, therapeutic and diagnostic procedures, and resources used by these users related to ADE were analyzed. In case of death, the average annual salary was calculated by the years of lost work lives for the society. The costs of the materials were obtained through a bidding system and the cost accounting unit of the hospital itself, the Federal Government Price Panel, and procedures through the SIGTAP Table. The data was typed in the Excel worksheet and analyzed by simple statistics. The present study was submitted and approved in the ethics committee with protocol in GEP / HC / UFG nº 030/2017 and was followed what is recommended by Resolution 466/2012. Results: We identified 164 cases of medication errors and adverse reactions in the nursing records. However, only the cases of patients in which the medical record was reported and that additional intervention were included in the study, which totaled 80 cases, 25 of which could have been avoided. The total costs due to EAM identified in the study were R $ 96,877.90. There were direct costs totaling R $ 26,463.90, of which R $ 20,430.36 was obtained from the hospital's perspective and R $ 6,033.54 from the SUS perspective. And of this amount R $ 14,380.13 was due to non-preventable EAM and R $ 12,083.77 due to preventable EAM. In the perspective of society, there were indirect costs of R $ 70,414.00, due to the death due to medication failure. Conclusion: It is concluded that the financial impact requires attention of managers, in the sense that avoiding such costs, it opens up possibilities for new investments. |
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Itria, Alexanderhttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4777764P2Itria, AlexanderLemos, Lucimeire FerminoCardoso, Larissa Barbosahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4336190H0Nascimento, Lais Cardoso do2018-05-10T13:11:48Z2018-04-05NASCIMENTO, L. C. Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados. 2018. 118 f. Dissertação (Mestrado em Assistência e Avaliação em Saúde) - Universidade Federal de Goiás, Goiânia, 2018.http://repositorio.bc.ufg.br/tede/handle/tede/8458Theoretical Background: The adverse drug event (ADE) may occur due to adverse reaction and medication error. Damage caused by adverse events (AD) can lead to increased hospitalization time, rehospitalization, greater morbidity, the need for diagnostic and therapeutic interventions, irreversible consequences such as death and great economic impact. Objective: This study aims to analyze the costs of adverse drug events in hospitalized patients. Methods: This is a retrospective study carried out in a public hospital in the state of Goiás, Brazil, with patients admitted to the adult hospitalization clinics in the year 2016 and who suffered ADE. The colection of data occurred between May and October 2017. The data were collected through a nursing record and patient records. Additional hospitalization time, hours worked by the health professional, therapeutic and diagnostic procedures, and resources used by these users related to ADE were analyzed. In case of death, the average annual salary was calculated by the years of lost work lives for the society. The costs of the materials were obtained through a bidding system and the cost accounting unit of the hospital itself, the Federal Government Price Panel, and procedures through the SIGTAP Table. The data was typed in the Excel worksheet and analyzed by simple statistics. The present study was submitted and approved in the ethics committee with protocol in GEP / HC / UFG nº 030/2017 and was followed what is recommended by Resolution 466/2012. Results: We identified 164 cases of medication errors and adverse reactions in the nursing records. However, only the cases of patients in which the medical record was reported and that additional intervention were included in the study, which totaled 80 cases, 25 of which could have been avoided. The total costs due to EAM identified in the study were R $ 96,877.90. There were direct costs totaling R $ 26,463.90, of which R $ 20,430.36 was obtained from the hospital's perspective and R $ 6,033.54 from the SUS perspective. And of this amount R $ 14,380.13 was due to non-preventable EAM and R $ 12,083.77 due to preventable EAM. In the perspective of society, there were indirect costs of R $ 70,414.00, due to the death due to medication failure. Conclusion: It is concluded that the financial impact requires attention of managers, in the sense that avoiding such costs, it opens up possibilities for new investments.Referencial Teórico: O evento adverso a medicamento (EAM) pode ocorrer devido à reação adversa e ao erro de medicação. Os danos causados pelos eventos adversos (EA) podem acarretar ao paciente o aumento do tempo de internação hospitalar, reinternação, maior morbidade, necessidade de intervenções diagnósticas e terapêuticas, consequências irreversíveis como a morte e grande impacto econômico. Objetivo: Este estudo tem por objetivo analisar os custos decorrentes de eventos adversos a medicamentos em pacientes hospitalizados. Métodos: Trata-se de um estudo retrospectivo, realizado em um hospital público do estado de Goiás com pacientes admitidos nas clínicas de internação adulto no ano de 2016 e que sofreram EAM. A coleta de dados ocorreu entre os meses maio e outubro de 2017. Os dados foram coletados através de caderno de registro de enfermagem e de prontuários dos pacientes. Foram analisados tempo adicional de internação, horas trabalhadas pelo profissional de saúde, procedimentos terapêuticos e diagnósticos, e recursos utilizados por esses usuários relacionados ao EAM. Em caso de óbito, foi calculado o salário médio anual pelos anos de vidas de trabalho para a sociedade perdidos. Os custos dos materiais foram obtidos através de um sistema de licitação e da unidade de contabilidade de custos do próprio hospital, do Painel de Preços do Governo Federal, e dos procedimentos através da Tabela SIGTAP. Os dados foram digitados na planilha Excel e analisados por estatística simples. O presente estudo foi submetido e aprovado no comitê de ética com protocolo na GEP/HC/UFG nº 030/2017 e foi seguido o que é preconizado pela Resolução 466/2012. Resultados: Foram identificados 164 casos de erros de medicação e de reação adversa nos registros de enfermagem. Porém fizeram parte do estudo apenas os casos de pacientes em que havia relato no prontuário e que foi feita intervenção adicional, o que totalizou em 80 casos, sendo que 25 desses incidentes poderiam ter sido evitados. Os custos totais devido a EAM identificado no estudo foram de R$ 96.877,90. Houveram custos diretos que se totalizaram em R$ 26.463,90, tendo R$ 20.430,36 obtidos pela perspectiva do hospital e R$ 6.033,54 pela perspectiva do SUS. E desse montante R$ 14.380,13 foi devido a EAM não evitáveis e R$ 12.083,77 devido a EAM evitáveis. Na perspectiva da sociedade, houve custos indiretos de R$ 70.414,00, devido ao óbito por falhas de medicação. Conclusão: Conclui-se que o impacto financeiro requer atenção dos gestores, no sentido de que evitando tais custos, abre-se possibilidades a novos investimentos.Submitted by Liliane Ferreira (ljuvencia30@gmail.com) on 2018-05-09T11:37:59Z No. of bitstreams: 2 Dissertação - Lais Cardoso do Nascimento - 2018.pdf: 1732309 bytes, checksum: aa8d0ac31f28b07c459cf9ba66805e61 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2018-05-10T13:11:48Z (GMT) No. of bitstreams: 2 Dissertação - Lais Cardoso do Nascimento - 2018.pdf: 1732309 bytes, checksum: aa8d0ac31f28b07c459cf9ba66805e61 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2018-05-10T13:11:48Z (GMT). No. of bitstreams: 2 Dissertação - Lais Cardoso do Nascimento - 2018.pdf: 1732309 bytes, checksum: aa8d0ac31f28b07c459cf9ba66805e61 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-04-05Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Assistência e Avaliação em Saúde (FF)UFGBrasilFaculdade Farmácia - FF (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEconomia da saúdeSegurança do pacienteEfeitos colateraisReações adversas relacionados a medicamentosEconomicsMedicalPatient safetyDrug-related side effectsAdverse reactionsCIENCIAS DA SAUDE::FARMACIACustos decorrentes de eventos adversos a medicamento em pacientes hospitalizadosCosts arising from adverse events to medicinal products in hospitalized patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-22108878560902819600600600600601028116152420937569976364134497549962075167498588264571reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.eng.fl_str_mv |
Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados |
dc.title.alternative.eng.fl_str_mv |
Costs arising from adverse events to medicinal products in hospitalized patients |
title |
Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados |
spellingShingle |
Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados Nascimento, Lais Cardoso do Economia da saúde Segurança do paciente Efeitos colaterais Reações adversas relacionados a medicamentos Economics Medical Patient safety Drug-related side effects Adverse reactions CIENCIAS DA SAUDE::FARMACIA |
title_short |
Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados |
title_full |
Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados |
title_fullStr |
Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados |
title_full_unstemmed |
Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados |
title_sort |
Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados |
author |
Nascimento, Lais Cardoso do |
author_facet |
Nascimento, Lais Cardoso do |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Itria, Alexander |
dc.contributor.advisor1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4777764P2 |
dc.contributor.referee1.fl_str_mv |
Itria, Alexander |
dc.contributor.referee2.fl_str_mv |
Lemos, Lucimeire Fermino |
dc.contributor.referee3.fl_str_mv |
Cardoso, Larissa Barbosa |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4336190H0 |
dc.contributor.author.fl_str_mv |
Nascimento, Lais Cardoso do |
contributor_str_mv |
Itria, Alexander Itria, Alexander Lemos, Lucimeire Fermino Cardoso, Larissa Barbosa |
dc.subject.por.fl_str_mv |
Economia da saúde Segurança do paciente Efeitos colaterais Reações adversas relacionados a medicamentos Economics Medical Patient safety Drug-related side effects Adverse reactions |
topic |
Economia da saúde Segurança do paciente Efeitos colaterais Reações adversas relacionados a medicamentos Economics Medical Patient safety Drug-related side effects Adverse reactions CIENCIAS DA SAUDE::FARMACIA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::FARMACIA |
description |
Theoretical Background: The adverse drug event (ADE) may occur due to adverse reaction and medication error. Damage caused by adverse events (AD) can lead to increased hospitalization time, rehospitalization, greater morbidity, the need for diagnostic and therapeutic interventions, irreversible consequences such as death and great economic impact. Objective: This study aims to analyze the costs of adverse drug events in hospitalized patients. Methods: This is a retrospective study carried out in a public hospital in the state of Goiás, Brazil, with patients admitted to the adult hospitalization clinics in the year 2016 and who suffered ADE. The colection of data occurred between May and October 2017. The data were collected through a nursing record and patient records. Additional hospitalization time, hours worked by the health professional, therapeutic and diagnostic procedures, and resources used by these users related to ADE were analyzed. In case of death, the average annual salary was calculated by the years of lost work lives for the society. The costs of the materials were obtained through a bidding system and the cost accounting unit of the hospital itself, the Federal Government Price Panel, and procedures through the SIGTAP Table. The data was typed in the Excel worksheet and analyzed by simple statistics. The present study was submitted and approved in the ethics committee with protocol in GEP / HC / UFG nº 030/2017 and was followed what is recommended by Resolution 466/2012. Results: We identified 164 cases of medication errors and adverse reactions in the nursing records. However, only the cases of patients in which the medical record was reported and that additional intervention were included in the study, which totaled 80 cases, 25 of which could have been avoided. The total costs due to EAM identified in the study were R $ 96,877.90. There were direct costs totaling R $ 26,463.90, of which R $ 20,430.36 was obtained from the hospital's perspective and R $ 6,033.54 from the SUS perspective. And of this amount R $ 14,380.13 was due to non-preventable EAM and R $ 12,083.77 due to preventable EAM. In the perspective of society, there were indirect costs of R $ 70,414.00, due to the death due to medication failure. Conclusion: It is concluded that the financial impact requires attention of managers, in the sense that avoiding such costs, it opens up possibilities for new investments. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-05-10T13:11:48Z |
dc.date.issued.fl_str_mv |
2018-04-05 |
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.citation.fl_str_mv |
NASCIMENTO, L. C. Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados. 2018. 118 f. Dissertação (Mestrado em Assistência e Avaliação em Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/8458 |
identifier_str_mv |
NASCIMENTO, L. C. Custos decorrentes de eventos adversos a medicamento em pacientes hospitalizados. 2018. 118 f. Dissertação (Mestrado em Assistência e Avaliação em Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/8458 |
dc.language.iso.fl_str_mv |
por |
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por |
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600 600 600 600 |
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6010281161524209375 |
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6997636413449754996 |
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2075167498588264571 |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Assistência e Avaliação em Saúde (FF) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade Farmácia - FF (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
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Universidade Federal de Goiás (UFG) |
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UFG |
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UFG |
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Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/4296f061-b34f-483e-b0da-cb33b0eea766/download http://repositorio.bc.ufg.br/tede/bitstreams/76973a22-bca3-4192-b81c-1cf4de9c1f1e/download http://repositorio.bc.ufg.br/tede/bitstreams/d0b604e1-42a6-4dc2-a0ba-35aa6ff00f01/download http://repositorio.bc.ufg.br/tede/bitstreams/8cccdbac-fefe-4faf-8765-4af5168aa8d0/download http://repositorio.bc.ufg.br/tede/bitstreams/63343b6a-bb02-46cf-b85a-8a943c8be5a1/download |
bitstream.checksum.fl_str_mv |
bd3efa91386c1718a7f26a329fdcb468 4afdbb8c545fd630ea7db775da747b2f d41d8cd98f00b204e9800998ecf8427e d41d8cd98f00b204e9800998ecf8427e aa8d0ac31f28b07c459cf9ba66805e61 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1793965703425949696 |