Pharmaceutical interventions in an emergency department
AbstractDescribe medication-related problems (MRPs) evidencing the importance of clinical pharmacist in emergency room (ER). Retrospective study in which we quantified and analyzed pharmacy resident interventions on medical prescriptions on emergency room at Hospital Regional de Mato Grosso do Sul. During the study, we accompanied 136 patients. Among these patients, about 30,1% required at least one intervention at some moment of their hospitalization, comprising 159 MRPs related to 42 medications in 22 workdays and representing 7,22 problems per day. There was necessity to adjust dosage in 17,1% of the cases, 5% of the MRPs were unnecessary medications, 6,3% the therapeutic alternative was not the most adequate or the non-standardized medication prescription, 48,4% were potentially dangerous drug-drug or drug-food interactions and 24,2% were incompatibilities or physical chemistry instabilities. The analysis of the obtained results suggests that pharmaceutical interventions in emergency department is an effective and necessary tool to detect and prevent avoidable MRPs and may collaborate to improve medication usage quality and patients safety in this clinical unity.
The authors hereby transfer, assign, or otherwise convey to RBFHSS: (1) the right to grant permission to republish or reprint the stated material, in whole or in part, without a fee; (2) the right to print republish copies for free distribution or sale; and (3) the right to republish the stated material in any format (electronic or printed). In addition, the undersigned affirms that the article described above has not previously been published, in whole or part, is not subject to copyright or other rights except by the author(s), and has not been submitted for publication elsewhere, except as communicated in writing to RHFHSS with this document.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-ND) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.