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Abstract(s)
A Distribuição Individual Diária em Dose Unitária deve assegurar o maior rigor no Processo de Distribuição de Medicamentos, o que nem sempre se verificou no Hospital Pedro Hispano, dado que as Doses Unitárias devolvidas pelos Serviços de Internamento, nem sempre seguiam os Parâmetros de Qualidade.
Assim, desenvolveu-se um estudo quasi-experimental, longitudinal, prospetivo e analítico, entre 1 de Março a 30 de Junho de 2012, no qual se analisaram as Doses Unitárias, devolvidas pelos Serviços de Internamento da Unidade Local de Saúde de Matosinhos a funcionam com Distribuição Individual Diária em Dose Unitária, tendo-se recolhido as não conformes relativamente aos Parâmetros de Qualidade instituídos.
Na 1.ª fase do estudo (Recolha de amostras), foram contabilizadas 337 amostras, correspondentes a uma perda de 471 €. Na 2.ª fase do estudo (Implementação de acções correctivas às amostras previamente recolhidas), foram rejeitadas definitivamente 129 amostras, correspondentes a uma perda de 198 €. Na 4.ª fase do estudo (Segunda recolha de amostras), foram contabilizadas 228 amostras, correspondentes a uma perda de 199 €. A 3.ª fase do estudo incluiu a divulgação dos resultados às enfermeiras chefes dos serviços envolvidos no estudo e a 5.ª fase a comparação dos resultados obtidos na 1.ª, 2.ª e 4.ª fase do estudo. As amostras foram recolhidas em 16 serviços de internamento, sendo os valores monetários mais relevantes associados ao Espessante para alimentos líquidos e ao Imipeno + Cilastatina.
A prática observada e sujeita a estudo aumenta os riscos associados ao consumo do medicamento e os custos relativos ao Processo, sendo de eliminar. A sua monitorização deve constituir uma rotina, uma vez que houve mudança de comportamentos. A redução/eliminação desta prática não conforme conduz à integração de novas tarefas com valor acrescentado, com aumento da fiabilidade do Processo.
Distribution in Single Daily Dose Unit should ensure greater accuracy in Drug Distribution Process, which was not always found at the Hospital Pedro Hispano, because returned Unitarian Doses by Inpatient Services, not always followed the Quality Parameters. Therefore, was develop an almost-experimental study, longitudinal, prospective, and analytical, between March1 and June 30, 2012, that analyzed Unit Doses, returned by Inpatient Services of Local Health Unit of Matosinhos that works with Single Daily Dose Unit, having collected the non-compliant in relation to Quality Parameters instituted. In the 1.st phase of the study (Sampling), 337 samples were recorded, corresponding to a loss of 471 €. In the 2.nd phase of the study (Implementing corrective actions to samples previously collected), 129 samples were definitively rejected, corresponding to a loss of 198 €. In the 4.th phase of the study (second sampling) were recorded 228 samples corresponding to a loss of 199 €. The 3.rd phase of the study included the disclosure of the results to head nurses of the services involved in the study. In the 5.th phase was accomplish the comparison of the results obtained in 1.st, 2.nd and 4.th phases of the study. The samples were collected in 16 inpatient services, and monetary values most relevant were associated with thickener for liquid food and Imipeno+cilastatin. The practice followed and subject to study increases the risks associated with the consumption of medicines and the cost of the process, has to be eliminated. Process Monitoring should be a routine, since there was a change in behavior. Reduction/elimination of this practice leads to the integration of new tasks added value, increasing the reliability of the process
Distribution in Single Daily Dose Unit should ensure greater accuracy in Drug Distribution Process, which was not always found at the Hospital Pedro Hispano, because returned Unitarian Doses by Inpatient Services, not always followed the Quality Parameters. Therefore, was develop an almost-experimental study, longitudinal, prospective, and analytical, between March1 and June 30, 2012, that analyzed Unit Doses, returned by Inpatient Services of Local Health Unit of Matosinhos that works with Single Daily Dose Unit, having collected the non-compliant in relation to Quality Parameters instituted. In the 1.st phase of the study (Sampling), 337 samples were recorded, corresponding to a loss of 471 €. In the 2.nd phase of the study (Implementing corrective actions to samples previously collected), 129 samples were definitively rejected, corresponding to a loss of 198 €. In the 4.th phase of the study (second sampling) were recorded 228 samples corresponding to a loss of 199 €. The 3.rd phase of the study included the disclosure of the results to head nurses of the services involved in the study. In the 5.th phase was accomplish the comparison of the results obtained in 1.st, 2.nd and 4.th phases of the study. The samples were collected in 16 inpatient services, and monetary values most relevant were associated with thickener for liquid food and Imipeno+cilastatin. The practice followed and subject to study increases the risks associated with the consumption of medicines and the cost of the process, has to be eliminated. Process Monitoring should be a routine, since there was a change in behavior. Reduction/elimination of this practice leads to the integration of new tasks added value, increasing the reliability of the process
Description
Keywords
Erro(s) de medicação/dispensa Dose unitária Embalagem em dose unitária Rotulagem/etiquetagem dose(s) unitária Devolução/reintegração de dose(s) unitárias Medication/dispensing error(s) Unit dose Unit dose packages Unit dose label Return/reuse unit doses
Citation
Publisher
Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto