The utility of the records medical: factors associated with the medication errors in chronic disease

Abstract

Objective:This study describes the development of the medication history of the medical records to measure factors associated with medication errors among chronic diseases patients in Diamantina, Minas Gerais. Methods:retrospective, descriptive observational study of secondary data, through the review of medical records of hypertensive and diabetic patients, from March to October 2016. Results:The patients the mean age of patient was 62.1 ± 14.3 years. The number of basic nursing care (95.5%) prevailed and physician consultations were 82.6%. Polypharmacy was recorded in 54% of sample, and review of the medication lists by a pharmacist revealed that 67.0% drug included at least one risk. The most common risks were: drug-drug interaction (57.8%), renal risk (29.8%), risk of falling (12.9%) and duplicate therapies (11.9%). Factors associated with medications errors history were chronic diseases and polypharmacy, that persisted in multivariate analysis, with adjusted RP chronic diseases, diabetes RP 1.55 (95%IC 1.04-1.94), diabetes/hypertension RP 1.6 (95%CI 1.09-1.23) and polypharmacy RP 1.61 (95%IC 1.41-1.85), respectively. Conclusion:Medication errors are known to compromise patient safety. This has led to the suggestion that medication reconciliation an entry point into the systems health, ongoing care coordination and a person focused approach for people and their families.

Patient safety in primary health care and polypharmacy: cross-sectional survey among patients with chronic diseases

“…The present study emphasizes the importance of periodic cross-sectional studies as generated data on drug use, thus evaluate health conditions and municipal health service performance. In this sense, the results found are in line with the study describes the development of the medication history of the medical records ( 41 ) . The pharmacoepidemiology is an important tool for the pharmacist to develop indicators for the rational use of drugs.…”

Erros De Prescrição De Medicamentos Na Atenção Primária Frente Ao Programa Nacional De Segurança Do Paciente

“…Ainda em dois prontuários foram identifi cadas combinações contraindicadas, no caso, tioridazina com fl uoxetina e metoclopramida com fl uoxetina. Foram encontradas interações medicamentosas potencialmente graves em 23,4% dos prontuários médicos (17).…”

“…É comum a ocorrência de erros de medicamentos em pacientes com doenças crônicas, portanto, os serviços de atenção primária devem preocupar-se com ações que intensifi quem os cuidados de saúde integrados e centrados nas pessoas, com equipe multiprofi ssional que acompanhe individualmente cada paciente atendido nas UBS. Para se avaliar e monitorar a qualidade do serviço, foi aprovada a Portaria nº 221/2008, a qual contém lista de agravos à saúde denominada Internações por Condições Sensíveis à Atenção Primária (ICSAP), que serve para diminuir o risco de hospitalização, consequentemente, gastos com internação, além de avaliar impactos das intervenções na assistência a saúde prestada na atenção primária (17,28).…”

A Mobile Solution to Drug Prescription and Dispensation with Privacy Protection for Developing Economies

“…According to Ameh (2005), many of the contributing factors are ethnic and cultural; and exacerbated by poverty, ignorance, lack of resources and health facilities, and bad leadership. Many of the factors, issues, consequences, disparities, and solutions in healthcare delivery in developing economies are discussed in da Cruz et al (2017); WHO (2005); Robertson, DeHart, Tolle, and Heckerman (2015); and Peters et al (2008). Based on the findings of Tam et al (2005) on the frequency of medical errors in medication prescription, the authors (da Cruz et al, 2017) presented the development of a medication history from the medical records to measure the factors associated with medication errors and concluded that medication errors are known to compromise patient safety.…”