Discrepâncias Entre Os Registros De Prontuários Acerca Da Farmacoterapia De Pacientes Pediátricos Com Fibrose Cística

Tonello, Monica Lopes; Alves, Stella Pegoraro; Frank, Márcia de Azevedo; Bueno, Denise

doi:10.4322/2357-9730.73121

Cited by 1 publication

(1 citation statement)

References 11 publications

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“…When the health service understands the importance of performing MR in order to promote rational use and reduce errors related to medications, the recording of discrepancies in relation to the drug therapy can become an important indicator for the service 15 . When we analyze data from hospitals in European countries like Portugal and Spain, or the United States, we find that the performance of the clinical pharmacist, as well as the MR, is consolidated in most of the hospitals 3, 5,10,14,18 .…”

Section: Discussionmentioning

confidence: 99%

Medication reconciliation in admission hospitalization: retrospective study

Dorneles¹,

Santos²,

Lima³

et al. 2020

Rev Bras Farm Hosp Serv Saude

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Objective: to quantify and describe the discrepancies found in medication reconciliation (MR) in patients at hospital admission. Methods: Retrospective study performed from September to November 2018, based on data from the MR of patients at hospital admission of a large hospital in the city of Porto Alegre / RS. MR was shared with nursing (collection of patient’s medication history) and pharmacy (comparison of medication list before and during hospitalization). The referred drugs were classify according to the Anatomic Therapeutic Chemical (ATC) classification in their first level and the discrepancies were classify according to intentionality (intentional and unintentional). Results: 81 patients submitted to MR, and 80% of them had some discrepancy. Of the 328 drugs evaluated, 44.8% presented discrepancies, totaling 147 discrepancies, being intentional (n= 97) and unintentional (n= 50). The omission of medication was the most frequent discrepancies (48.3%). After identify unintencional discrepancies 50% of drug were included in prescription. Cardiovascular drugs and digestive and metabolism drugs were the groups with the highest frequency of discrepancy. Conclusion: Since 80% of prescriptions on hospital admission had some discrepancy regarding the use of medication by patients before hospital admission, it is understood the importance of performing MR as a pharmaceutical service and with the objective of increasing patient safety regarding drug therapy.

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