Segurança do paciente : avaliação da qualidade de prescrições médicas em um hospital do sul do Brasil.

Abstract

Patient safety is a much-discussed subject, and in many hospitals is still being implemented, with the National Safety Patient (PNSP). It was established by Ordinance No. 529/2013, which contributes to qualification of health care in all health facilities in the territory national. One of the six attributes of quality of care is patient safety. In view of this highly important theme, the objective of the present study was to to evaluate the quality of manual medical prescriptions in a hospital in the South country, aiming at patient safety. The quality of the prescriptions was evaluated manuals, checked and quantified the prescription errors and determined the types of prescription errors, most common. The study was characterized by a observational, quantitative, retrospective and descriptive. The data was collected in a A philanthropic hospital in a city in the southern region of Brazil. Were evaluated 200 manual medical prescriptions of the Medical Clinic sector. It was requested and authorized the research to the head of the Hospital and the technical responsible for the Pharmacy, as well as submitted to the Research Ethics Committee (CEP) of the University of Santa Cruz do Sul. In the evaluation of the results it was possible to verify that the majority of the indicators evaluated presented quality, and the that the majority of the indicators evaluated presented quality, and the patient data and posology were present in (100%) of the prescriptions. There were good readability of the prescriptions (91.5%) and (98%) of the medicines belonged to the standardization of the hospital. Regarding injectables (96.5%) of the prescribed injectables. As it was possible to verify that more than half of the prescriptions (54%) contained antibiotics, and only (62.5%) prescribing data, (61.5%) of the drugs were prescribed by the generic name, since the treatment time was absent in (100%) of prescriptions. Concluding, therefore, that in general the prescriptions presented good quality indicators in most of the indicators evaluated, with appropriate training and awareness-raising for prescribing professionals so that the prescriptions further improve its quality and consequently patient safety.