MEDICATION RECONCILIATION IN THE CARE UNIT IN A PUBLIC HOSPITAL IN THE SOUTH OF BRAZIL

Authors

  • Thamires Barboza da Silva Faculdade de Farmácia - Universidade Luterana do Brasil – ULBRA Avenida Farroupilha, 8001 – Bairro São José - CEP 92425-020 – Canoas, Rio Grande do Sul, Brasil
  • Stella Pegoraro Alves-Zarpelon Programa de Pós Graduação em Assistência Farmacêutica (PPGASFAR) Universidade Federal do Rio Grande do Sul - UFRGS Rua São Luís, 150 – Bairro Santana – CEP 90620-1700 - Porto Alegre, Rio Grande do Sul, Brasil
  • João Victor Laureano Faculdade de Farmácia - Universidade Luterana do Brasil – ULBRA Avenida Farroupilha, 8001 – Bairro São José - CEP 92425-020 – Canoas, Rio Grande do Sul, Brasil

DOI:

https://doi.org/10.14450/2318-9312.v33.e2.a2021.pp158-166

Keywords:

patient safety, medication reconciliation, medication errors, drug interactions

Abstract

One of the strategies used to improve the patient’s safety, mainly in identifying and preventing adverse events related to medicines, is  medication reconciliation. Identifying discrepancies between the drugs in use by the patient before hospital admission and the drugs prescription during  the hospitalization avoid damages that could be permanent, promoting the  patient’s safety. The study aimed to identify, through medication  reconciliation, discrepancies, and interactions on patients hospitalized in a  public hospital in the South of Brazil. A cross-sectional and descriptive study  was performed, based on patients’ interviews concerning the drugs in use  before the hospitalization and the drug prescriptions in the hospital. Most of  the patients were men, elderly, and with cardiovascular diseases as base  pathology. Out of 50 interviewees, 94% have presented at least one  discrepancy. Out of 153 discrepant drugs, 66.7% were classified as intentional discrepancies and 33.3% as non-intentional discrepancies. The  drugs impacting the cardiovascular system were the most frequent among  the discrepancies and possible drug interactions. This study portrays a significant number of discrepancies, whether intentional or not, after the  medication reconciliation. The patients with polypharmacy were the ones  who presented the highest number of possible drug interactions. Identifying  those discrepancies showed the importance of the demonstration of the medication reconciliation and the pharmacist intervention in the prevention  of adverse events related to drugs.

Downloads

Published

2021-06-30

How to Cite

Barboza da Silva, T., Pegoraro Alves-Zarpelon, S., & Laureano, J. V. (2021). MEDICATION RECONCILIATION IN THE CARE UNIT IN A PUBLIC HOSPITAL IN THE SOUTH OF BRAZIL. Infarma - Pharmaceutical Sciences, 33(2), 158–166. https://doi.org/10.14450/2318-9312.v33.e2.a2021.pp158-166

Issue

Vol. 33 No. 2 (2021)

Section

Original article

License

Authors who publish in this journal agree to the following terms:

 

  1. Authors retain the copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Licença Creative Commons Attribution which allows the sharing of work with acknowledgment of authorship and initial publication in this journal.
  2. Authors are authorized to take additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (e.g. publish in institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
  3. Authors are allowed and encouraged to publish and distribute their work online (e.g. 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 published work (See O Efeito do Acesso Livre ).