Analysis of antimicrobial prescriptions for hematological patients in relation to the safe medication protocol in a teaching hospital

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DOI:

https://doi.org/10.30968/rbfhss.2022.134.0834

Abstract

Objective: To analyze the adequacy of the antimicrobial prescription in relation to the safety protocol in the prescription, use and administration of medicines from Ministry of Health. Method: This is a cross-sectional study that evaluated prescriptions from patients admitted to the medical clinic of a teaching hospital between January 1, 2017 and December 31, 2018. The data collection form was prepared according to the requirements of safe medication prescription protocol. Data were entered into the RedCap software. Descriptive data analysis was performed using Stata 14.1 software, in order to obtain relative and absolute frequencies. Results: In total, 57 patients had their prescriptions evaluated. In the analysis of the items referring to the prescriptions, 9,70% was in compliance as recommended in the protocol. However, patient weight and drug allergy records were absent in 87.7% and 91.2% of prescriptions, respectively. Of the prescriptions analyzed, 115 antimicrobial prescriptions were identified, and 91.3% of these prescriptions contained at least one inadequacy in relation to what was recommended in the protocol. In total, 178 inadequacies were identified and the most frequent were medication prescribed by trade name (21.9%), absence of treatment duration (19.7%), similar names (18.5%), absence and inadequacy of time or infusion rate (both with 14.0%). Conclusion: Most antimicrobials were inappropriately prescribed in relation to the protocol, which can compromise patient safety, facilitate bacterial resistance, and increase health costs.

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Published

2022-12-20

How to Cite

1.
FARIAS LT, MOREIRA PR, FERREIRA TM, SILVA LT, MAGALHÃES JC, SOUSA PC, MODESTO AC. Analysis of antimicrobial prescriptions for hematological patients in relation to the safe medication protocol in a teaching hospital. Rev Bras Farm Hosp Serv Saude [Internet]. 2022Dec.20 [cited 2023Feb.8];13(4):834. Available from: https://rbfhss.org.br/sbrafh/article/view/834

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