O sistema de medicação em um hospital regional do estado do Rio Grande do Norte: descrição e proposta de intervenção

• Ano de defesa: 2021
• Autor(a) principal: Brandão, Maria Clarissa Gil de Medeiros
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Rio Grande do Norte; Brasil; UFRN; PROGRAMA DE PÓS-GRADUAÇÃO EM EDUCAÇÃO, TRABALHO E INOVAÇÃO EM MEDICINA
• Palavras-chave em Português: Segurança do paciente; Sistema de medicação; Erros de medicação
• Link de acesso: https://repositorio.ufrn.br/handle/123456789/33105

Introduction: Medication errors are among the main events that affect patients and have serious individual and institutional consequences. These events can be related to any phase of the medication process, from prescription, storage, dispensing, preparation and administration. Objective: Describe the organization of the medication system of a regional hospital in the state of Rio Grande do Norte, in its aspects that may favor the occurrence of errors. Methodology: This is a descriptive-exploratory study with a quantitative approach, where data were collected between the months of December 2019 and February 2020, after approval by the Research Ethics Committee, through a structured interview script with one of the professionals responsible for the medication system and through a second script used to analyze the medical records of patients admitted to the surgical clinic sector of the hospital. The information collected was organized in a database built from the IBM SPSS software program, and presented in a descriptive manner and in tables containing absolute and relative frequencies. Results and discussion: The main results found were: most prescriptions written manually and with carbon copies (99.3%), illegibility in their spelling (90%), use of acronyms, abbreviations and commercial names (100%) , dispensing by individual dose (80%), absence of clinical activity by the pharmacist, absence of the Drug Standardization Commission and electronic stocking system, storage and unsafe dispensing of drugs, absence of records of the occurrence of adverse events and errors related to medication. Conclusions: Assessing the organization of the hospital's medication system allowed the identification of some potential flaws for the occurrence of adverse events and medication-related errors and enabled the construction of an intervention proposal that could be used to improve the system's organization and thus promote safer care.