Atuação do farmacêutico na equipe de terapia infusional em um hospital de ensino.

Abstract

Patient Safety can be defined as minimizing the risk of unnecessary harm or avoiding and preventing adverse events occurring associated with health care. As medications are heavily used, they are also one of the most common sources of errors and adverse events in health care. The preparation and administration of intravenous drugs is the responsibility of the nursing team. Pharmacists are considered effective in reducing medication errors and adverse events, reducing the causes of these events through decision making in pharmacotherapy and support to monitoring, and this action is called pharmaceutical intervention. Phlebitis, an adverse event of intravenous therapy, arises from inflammation formed in the inner layer of the vascular wall. The main causes of phlebitis are related to the chemical irritations of the administered antibiotics, causing chemical phlebitis. The purpose was to highlight the role of the pharmaceutical professional in the infusional therapy of patients' medicines to be recognized as essential in the healthcare team. The present study aimed to analyze the impact of professional pharmacist failure on the infusion therapy team. It was an observational cross-sectional study that was carried out in an inpatient unit of non-deprived adult patients of a teaching hospital, from January to March, 2019, to determine the time and manner of preparation, speed and time of administration with the intention of establishing a relationship between the drugs used and the occurrence of phlebitis. We observed that the incidence density of phlebitis was 31.23% and the incidence was 35.67%. The occurrence of phlebitis was related to the 60-91 age group and the female gender. The types of antibiotics related to the occurrence of infusional phlebitis were amoxicillin + clavulanate, ampicillin + sulbactam, cefazolin, clindamycin, levofloxacin, meropenem, oxacillin and polymyxin B. In the classification of types of medication errors, there were errors related to the preparation and the administration. The acceptable phlebitis rate for a given population is up to 5%. Studies indicate that two of the risk factors are associated with age over 60 and female. Studies have shown that antibiotics are associated with phlebitis. Medication errors are: Any incidents where there has been an error in the prescription, dispensing, preparation, administration, monitoring, or counseling process for medications. The results of this study allow the development of pharmaceutical interventions to improve the process of preparation and administration of the study site.