Analysis of the preparation and administration of medications in the hospital context based on Lean thinking

Costa, Diovane Ghignatti da; Pasin, Simone Silveira; Magalhães, Ana María Müller de; Moura, Gisela Maria Schebella Souto de; Rosso, Caroline Brum; Saurin, Tarcísio Abreu

doi:10.1590/2177-9465-ean-2017-0402

Cited by 13 publications

(9 citation statements)

References 14 publications

(21 reference statements)

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“…Regarding the involvement of patients in safety actions, it was found that co-production for patient safety is still incipient, when the participation in the One study, which sought feedback from patients on safety, found that 35% of the reports were classified as a patient safety incident, with the most frequent incident being the medication error, which was present in the speeches of one in 10 interviewed patients (11) . Research that analyzed the preparation and administration of drugs in the same field in which this research was developed found that one of the current problems concerns the verification of patient identification at the time of administration, since it is performed only with the visual resource of the professional, not counting with technology support, such as bar code reader (26) .…”

Section: Results Of Research That Assessed the Impact Ofmentioning

confidence: 99%

Patient experience in co-production of care: perceptions about patient safety protocols

Costa

Moura

Pasin

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to analyze the experience of the patient during hospitalization, focusing on the co-production of care related to patient safety protocols. Method: qualitative study, whose data were collected through the triangulation of multiple sources: document analysis, observation of 10 professionals in the provision of care and 24 interviews with patient-families from 12 clinical and surgical inpatient units of a hospital. Thematic analysis was carried out, based on the concept of co-production. Results: safety protocols according to the experience of the patient portrayed the role of patient-families as co-producers of safe care. It was found an alignment between perceptions of the patients, institutional definitions and basic national and international patient safety protocols. However, these protocols are not always followed by professionals. Conclusion: co-production was perceived in the protocols for safe surgery and prevention of injuries resulting from falls. In patient identification, hand hygiene and medication process, it was found that co-production depends on the proactive behavior of patient-families, as it is not encouraged by professionals. The research contributes with subsidies to leverage the participation of the patient as an agent of their safety, highlighting the co-production of health care as a valuable resource for advancing patient safety.

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Section: Results Of Research That Assessed the Impact Ofmentioning

confidence: 99%

Patient experience in co-production of care: perceptions about patient safety protocols

Costa

Moura

Pasin

et al. 2020

Rev. Latino-Am. Enfermagem

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“…Given this fact, it is extremely important that analytical laboratories have more sensitive analysis techniques for detecting low concentration of microorganisms in sterile products, especially in cases of large outbreaks. 16,17 The samples belonging to Group 3 (Table 1), exemplify issues addressed here. The samples had a satisfactory analytical report and the company declared that it identified the contaminating bacteria.…”

Section: Discussionmentioning

confidence: 99%

Nutrição parenteral: panorama das amostras analisadas no Instituto Nacional de Controle de Qualidade em Saúde

Benitez

Vieira

Romão

2020

RECI

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Background and objectives: Total parenteral nutrition (TPN) has great clinical importance in malnutrition treatment and prevention in patients with digestive problems. Although good practices for handling TPN are well established, contamination of these products still occurs, and this product remains listed as a higher risk drug by the Institute for Safe Medication Practices. The present study aimed to obtain an overview of the documentary data of the parenteral nutrition samples sent to the National Institute for Quality Control in Health (INCQS) of Fundação Oswaldo Cruz. Methods: This is a qualitative descriptive and quantitative study carried out based on a cross-section of TPN samples analyzed from 2000 to 2016. Results: A total of TPN 134 samples were sent during the study period. 11.20% of the samples were sent in 2001, 0.80% in 2005, 8.20% in 2006, 16.40% in 2007, 63.40% in 2013. Six samples (4.5%) were canceled and 113 submitted to sterility testing, resulting in 13.3% unsatisfactory samples. Conclusion: During the study period, four suspected events of enterobacterial contamination in TPNs administered to patients were reported, three of which have not yet been described in the scientific literature. For the safety of patients using TPN to be guaranteed, it is suggested that the norms that regulate TPN therapy be reviewed and updated, and programs to monitor the quality of these preparations should be established.

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“…A survey concluded that not all actions are carried out in the medication administration process, making it necessary to train nursing professionals with a view to promoting patient safety in the hospital environment. The predominant actions in that study were: installs medication or serotherapy according to the prescription (93.9%), properly disposes of the materials used (89.3%), and records it in the medical record immediately after administering medication (86.8%) (21) .…”

Section: Ofmentioning

confidence: 99%

Nursing training on the administration of medication in pediatrics: an assessment of observed and self-reported behavior

et al. 2021

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Objectives: to evaluate the effect of a training program on the administration of intravenous drugs in pediatric patients on the observed and self-reported behavior of the nursing team. Methods: evaluation study carried out with 38 professionals during three phases: Assessment of the behavior observed in the actions performed before training; Training implementation; and Assessment of observed and self-reported behaviors (immediately and six months after training). Results: in the observed behavior, there was an improvement in six (6/12) hand hygiene actions; five (5/14) pertaining to environment Organization, selection, and preparation of materials; and in seven (7/10) referring to the Orientation of the procedure, administration and monitoring of the patient’s reactions. In self-reported behavior, there was an improvement in two (2/8) actions. Conclusions: the training resulted in an improvement in the actions of nursing professionals related to the administration of intravenous medications, both in observed and in self-reported behavior.

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Analysis of the preparation and administration of medications in the hospital context based on Lean thinking

Cited by 13 publications

References 14 publications

Patient experience in co-production of care: perceptions about patient safety protocols

Patient experience in co-production of care: perceptions about patient safety protocols

Nutrição parenteral: panorama das amostras analisadas no Instituto Nacional de Controle de Qualidade em Saúde

Nursing training on the administration of medication in pediatrics: an assessment of observed and self-reported behavior

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