Percepção da equipe multiprofissional de saúde em relação às conciliações de medicamentos no contexto hospitalar
Article Sidebar
Main Article Content
Abstract
This study aimed to evaluate the perception of the multiprofessional health team in a university hospital in relation to the reconciliation of medications. This research was observational, descriptive and qualitative, being carried out at the University Hospital Mário Araújo, linked to the University Center of the Campanha Region-URCAMP (Bagé-RS). The hospital's health professionals were coded with the first letter of the profession followed by numerical order, as an example: doctors (M1, M2) and so on. Guiding questions were launched through semi-structured interviews, with recording and recording of the interviewees' speech, for later analysis of Bardin's content. It was possible to study the variables referring to the knowledge of the multidisciplinary team on medication reconciliation; evaluation of the practice of medication reconciliations in the hospital context; moment when the practice of reconciling medicines becomes more important; perception of the multidisciplinary team in relation to pharmaceutical services and assessment of the pharmacist's perception of the process of implementing the drug reconciliation service. Of the 21 professionals interviewed, it was possible to include 15 interviews in the study, in which, after analyzing the responses, the following categories emerged: “understanding about medication reconciliation”, “the practice of reconciling medications” and “multidisciplinary team vision”. It was observed that the implementation of drug reconciliations in the hospital under study advanced in front of other realities and is a practice that requires constant training of the team for patient safety. It was noticed that the pharmacist has been recognized by the health team and gaining space for the exercise of his clinical functions. It was observed that the implementation of drug reconciliations in the hospital under study has advanced in the face of other realities and is a practice that requires constant training of the team for patient safety. It was noticed that the pharmacist has been recognized by the health team that has been gaining space for the exercise of its clinical functions.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
• The author (s) warrant that the contribution is original and unpublished and that it is not in the process of being evaluated in other journal (s);
• The journal is not responsible for the opinions, ideas and concepts issued in the texts, as they are the sole responsibility of the author (s);
• Publishers have the right to make textual adjustments and to adapt the article to the rules of publication.
Authors retain the copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License, which allows the sharing of work with acknowledgment of authorship and initial publication in this journal.
Authors are authorized to take additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg publish in institutional repository or as book chapter), with acknowledgment of authorship and initial publication in this journal.
Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes as well as increase the impact and citation of the published work (See The Effect of Free Access) at http://opcit.eprints.org/oacitation-biblio.html
References
AFONSO, R. Reconciliação de terapêutica. Rev.Clínica do Hospital Prof. Doutor Fernando Fonseca, v. 3, n. 1, p. 35-36, 2015.
AL-RASHOUD, I. et al. Medication discrepancies identified during medication reconciliation among medical patients at tertiary care hospital. Saudi Pharmaceutical Journal, v. 25, n. 7, p. 1082-1085, 2017.
ANACLETO, T. A. et al. Erros de medicação – Farmácia hospitalar. Pharmacia Brasileira. 2010.
ANGONESI, D. Dispensação farmacêutica: uma análise de diferentes conceitos e modelos. Ciência e Saúde Coletiva, Rio de Janeiro, v. 13, p. 629-640, 2008.
BARDIN, L. Análise de conteúdo. 6ª edição. São Paulo: Autores Associados, 2011. 96 pág. 6. ed.
BILBÃO, et al. Conciliación de la medicación en atención primaria tras el alta hospitalaria. Revista de Calidad Asistencial, v. 29, p. 158-164, 2014.
BRASIL. Conselho Nacional de Saúde. Resolução n° 466, de 12 de dezembro de 2012. Aprova normas regulamentadoras de pesquisas envolvendo seres Humanos, Diário Oficial da União. Brasília, 2013. Disponível em: <https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html> Acesso em: 18 de maio de 2019.
BRASIL. Ministério da Saúde. Portaria Nº 4.283, de 30 de dezembro de 2010. Aprova as diretrizes e estratégias para organização, fortalecimento e aprimoramento das ações e serviços de farmácia no âmbito dos hospitais. Brasília, 2010. Disponível em: <https://bvsms.saude.gov.br/bvs/saudelegis/gm/2010/prt4283_30_12_2010.html> Acesso em: 18 de maio de 2019.
BRASIL. Ministério da Saúde. Portaria nº 529 de 1º de abril de 2013. Diário Oficial da União de 02 de abril de 2013. Disponível em: <https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html> Acesso em: 18 de maio de 2019.
BRASIL. Resolução n. 585 de 29 de agosto de 2013. Regulamenta as atribuições clínicas do farmacêutico e dá outras providências. Disponível em: <http://www.cff.org.br>. Acesso em: 18 de maio de 2019.
CAMPOS, P.L., REIS, A.M.M., MARTINS. Conciliação medicamentosa em idosos: uma revisão de literatura. Rev. Geriatr Gerontol Aging, v. 7, n. 2, p. 146-151, 2013.
Conselho Regional de Farmácia do Estado de São Paulo (CRF-SP). Farmácia Hospitalar. / Conselho Regional de Farmácia do Estado de São Paulo. – São Paulo: CRF-SP, e. 3, 60p, 2017.
CORNU, Pieter. et al. Effect of medication reconciliation at hospital admission on patients. Annals Pharmacotherapy. v. 46, n. 4, p. 484-94, Abr. 2012.
FERRAZ, C. L. A. A Importância da Reconciliação Medicamentosa na Internação Hospitalar. Rev. Especialize On-line, v. 1, e. 9, 2015.
Institute for Healthcare Improvement. How-to Guide: Prevent Adverse Drug Events by Implementing Medication Reconciliation. Cambridge, MA: Institute for Healthcare Improvement; 2011. Disponível em: Acesso em: 08 de Junho de 2019.
KNEZ, L. et al. The need for medication reconciliation: A cross-sectional observational study in adult patients. Respir. Med, v. 105, n. 1, p. 60-66, 2011.
LEOTSAKOS, A. et al. Standardization in patient safety: the WHO High 5s project. International Journal for Quality in Health Care, v. 26, n. 2, p. 109-116, 2014.
MARQUES, L. F. G., FURTADO, I. C., DI MONACO, L.C.R., Alta hospitalar: um enfoque farmacêutico. 72f. Trabalho de Conclusão de Curso (Especialização) – Instituto Racine. São Paulo, 2010.
MATIAS, M.R. Reconciliação da medicação no pós-operatório da cirurgia ortopédica. 2011. 69f. Dissertação (Ciências Farmacêuticas) - Universidade da Beira Interior. Covilhã, 2011.
MELO, N.O. et al. Avaliação do serviço de conciliação medicamentosa na admissão hospitalar. In: PESSOA, D.L.R. Farmácia na atenção e assistência à saúde 3. Ponta Grossa: Atena Editora, 2021, vol. 3, cap. 4, pág. 59-69.
MUELLER, S.K. et al. Hospital-based medication reconciliation practices: a systematic review. Archives of Internal Medicine, v. 172, n. 14, p. 1057-1069, 2012.
NASCIMENTO, A.A. Avaliação da conciliação medicamentosa em um hospital universitário. 2017. 64f. Monografia (Graduação). Ciências Farmacêuticas. Universidade Federal da Paraíba. João Pessoa, 2017.
NOGUEIRA, R.P. Capital e trabalho nos serviços de saúde: Introdução e o conceito de serviços, determinação geral. Rio de Janeiro: Fiocruz, 1989.
NUNES, P.H.C. et al. Intervenção farmacêutica e prevenção de eventos adversos. Revista Brasileira de Ciências Farmacêuticas, v.44, n.4, p.692-99, 2008.
RODEHAVER, C., FEARING, D., Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. The Joint Commission Journal on Quality and Patient Safety, v. 31, n. 7, p. 406-413, 2005.
ROZICH, J. D; RESAR, R. K. Medication safety: one organization's approach to the challenge. Journal of Clinical Outcomes Management Abstract, v. 8, p.27-34, 2001.
SILVA, B. C.; OLIVEIRA, J. V. A importância da atuação permanente do farmacêutico na equipe multidisciplinar da uti em benefício da saúde do paciente e redução de custos para um hospital no município de Imperatriz-MA. 2012. 15f. Monografia de conclusão do curso de farmácia (Graduação em Farmácia), Faculdade Imperatriz. Imperatriz. 2012.
SILVESTRE, C. C. Conciliação de medicamentos: fatores de risco, documentação da prática e desenvolvimento de instrumento de avaliação. Tese (Pós-graduação) – Universidade Federal de Sergipe. Aracaju, p.135. 2018.
SOCIEDADE BRASILEIRA DE FARMÁCIA HOSPITALAR – SBRAFH. Padrões mínimos para farmácia hospitalar. Goiana - Belo Horizonte: SBRAFH, 2007.
YOUNG, B. Medication reconciliation matters. MEDSURG Nursing. 2008.