Evaluation of a drug reconciliation service in private hospital in Fortaleza-CE: quality indicators

Abstract

Objective: Analyze the registered results of this drug conciliation service on hospital admission to a private hospital in Fortaleza-CE, based on quality indicators, such as the reconciliation rate and operations performed. Methods: A cross-sectional retrospective study in which anamnesis data was collected in the medication reconciliation service of a private hospital in Fortaleza-CE, and with the registration of patients, data such as name, responsible physician, age, pharmaceutical intervention carried out, highlighting its impact on the quality of service for increasing patient safety, and with these records an analysis of the indicators was made in relation to the doctors’ acceptance and the monitoring in relation to the validation of the prescribed drugs and classes, in July to December 2018. 833 patients (divided into Clinical and surgical ones) with more than 48 hours of hospitalization were included, in whom medication reconciliation was performed at the time of admission to the 7 hospitalization stations present at the hospital. Results: 119 patients were reconciled in the study and that among the patients 294 interventions were performed, of which 228 were accepted, showing high performance in terms of acceptance, efficiency and quality of service. In addition, there was a result of high acceptance in the month following the implantation, in August, with 29.4%, falling in October to 9.3%, suggesting that the service improved the prescription culture, requiring fewer interventions and promoting a increasing patient safety. The main intervention was the addition of medications, evidencing the communication to the medical team of the existence of comorbidities that were not being treated. Conclusion: The medication reconciliation in the hospital environment identified the need to add medications, as the most common intervention. In addition to the need to communicate patients’ comorbidities to the medical team, because of this intervention presenting itself as a great tool with the participation of the pharmacist in the clinical care of the patient in order to promote patient safety, increasing the quality of the prescription at the time of hospitalization.