Patient safety best practices related to medication management in two public hospitals

Authors

  • Clarice Chemello
  • Renata Gonçalves Diniz
  • Mariana Gonzaga Do Nascimento

DOI:

https://doi.org/10.30968/rbfhss.2019.101.0388

Keywords:

Hospital Pharmacy Service, Indicators of Health Services, Patient Safety, Safety Management

Abstract

Objectives: This study aims to analyze the compliance with the ISEP-Brazil patient safety good practice indicators related to medication management. It also aims to evaluate the applicability and limitations of these indicators in these hospitals.

Methods: This is a cross-sectional study conducted in two large hospitals (H1 e H2) of the Minas Gerais public hospital network. The Group 5 indicators (medication management) and additional information on the safety profile were collected in both hospitals in February 2018, through an on-site visit. The difference between the proportions of the items met at H1 and H2 was evaluated using the Pearson chi-square test at a level of statistical significance of 5%.

Results: Both hospitals satisfactorily meet more than 65% of the items evaluated (H1=71.2%, H2=66.7%), with H1 meeting three more items (n=42) than H2 (n=39). There was no statistically significant difference between the proportions of items in compliance at H1 and H2 (p = 0.69). However, through additional collection, activities that were not evaluated by the ISEP-Brazil indicators which may contribute to patient safety were detected, especially in H1. Examples are clinical activities, computerization of the dispensing and emergency carts, daily check of dispensing errors.

Conclusion: A considerable proportion of sub-items followed the ISEP-Brazil indicators in hospitals. Although there was no statistically significant difference between these proportions, the additional on-site diagnosis allowed identification of a safer medication system in H1.

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Published

2020-02-24

How to Cite

1.
Chemello C, Gonçalves Diniz R, Gonzaga Do Nascimento M. Patient safety best practices related to medication management in two public hospitals. Rev Bras Farm Hosp Serv Saude [Internet]. 2020Feb.24 [cited 2021Nov.29];10(1):388. Available from: https://rbfhss.org.br/sbrafh/article/view/388

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