Implant and structuring of the clinical pharmacy service in a psychiatric hospital of the public health system

Abstract

Objective: To analyze the results of the Implant process of the Clinical Pharmacy in a psychiatric hospital. Methods: A retrospective experience report of clinical pharmacy services implant in a psychiatric hospital in the public health network of the Federal District from August 2018 to March 2019. A descriptive analysis of the data recorded in indicator spreadsheets of activities clinical Pharmacy in the hospital was performed. Results: The mean age of patients was 34.0 (±11.6) years and 87 (63.0%) were female. The main problems types in pharmacotherapy identified were quantitative ineffectiveness (34.8%), non-quantitative insecurity (32.6%) and non-quantitative ineffectiveness (12.3%). The main interventions performed were change in dosage/administration times (26.8%), recommendation for non-laboratory monitoring (20.3%) and other signs and alerts (10.1%).  Among the 138 interventions registered in the clinical pharmacy service implanted, 130 (94.2%) were accepted. When we compared the accepted interventions with those that were not accepted, we found that there was a statistically significant difference for types of interventions performed(p=0.05) and a non-significant difference for the patient’s gender (p=0.710), pharmacotherapy involved (p=0.800), problems related to medication (p=0.289) and the period in which the interventions were made (p=0.850). Conclusion: the study demonstrated that the implanted clinical pharmacy service enabled, through the acceptance of pharmaceutical interventions, a better adequacy of medical prescriptions, avoiding risks to hospitalized patients.