ANÁLISE DE PRESCRIÇÕES DE UMA UNIDADE BÁSICA DE SAÚDE DO DISTRITO FEDERAL SOB A ÓTICA DA SEGURANÇA DO PACIENTE
Autores
Dyana Lemes Radinz
Universidade de Brasília
Rodrigo Fonseca Lima
Universidade de Brasília
Alexandre Vaz Machado
Universidade de Brasília
Palavras-chave:
Assistência Farmacêutica, Atenção Primária à Saúde, Prescrições de Medicamentos, Segurança do Paciente
Resumo
Introdução: A Unidade Básica de Saúde (UBS) é um dos principais acessos do usuário ao SUS apresentando certas delimitações, entre elas dificuldades em relação a segurança do paciente. Fazendo-se necessário conhecer e analisar as principais causas de erros relacionados a prescrições na atenção primária à saúde, garantindo maior segurança ao paciente. Objetivo: Analisar prescrições em UBS do Distrito Federal sob a ótica da segurança do paciente. Metodologia: Pesquisa transversal de cunho avaliativo envolvendo análise de prescrições realizada em uma UBS de Santa Maria - DF. Foram analisadas 431 prescrições arquivadas no serviço referentes ao período de fevereiro a julho de 2019 partindo da média local de demanda de atendimento na farmácia da UBS considerando nível de confiança de 95% (margem de erro de 5%). Resultados: Dentre as prescrições analisadas, a maioria foram prescritas para mulheres (n=300; 69,6%) na faixa etária de 20 a 59 anos (n=230; 53,4%). A maior parte das prescrições foi elaborada por médico (n=378; 87,7%), era do tipo manual (n=340; 78,9%) e com origem no serviço público (n=418; 96,7%). Foram prescritos 1208 medicamentos no total, dos quais 1014 (83,9%) foram efetivamente dispensados; 68,0% (n=293) das prescrições foram atendidas na íntegra. A maior parte das prescrições era legível (n=409; 94,9%), dez (6,1%) prescrições continham rasura e 311 (72,2%) prescrições continham todos os itens obrigatórios considerados. Apenas 72,9% (n=881) continham as informações completas de concentração, dose, forma farmacêutica, posologia, tempo de tratamento e via de administração. Conclusões: A partir dos resultados obtidos, consegue-se perceber que há dificuldades em garantir a segurança do paciente no que se refere à prescrição de medicamentos, desde aspectos relacionados a informações sobre os medicamentos até a falta de orientação quanto ao uso, evidenciando necessidade de reajustes de práticas, especialmente as farmacêuticas, as quais devem se voltar também para sua vertente assistencial.
Publicado
2020-04-01
Como Citar
Radinz, D. L. ., Fonseca Lima, R., & Vaz Machado, A. . (2020). ANÁLISE DE PRESCRIÇÕES DE UMA UNIDADE BÁSICA DE SAÚDE DO DISTRITO FEDERAL SOB A ÓTICA DA SEGURANÇA DO PACIENTE. Revista Multidisciplinar Em Saúde, 1(1), 10. Recuperado de http://editoraime.com.br/revistas/rems/article/view/95
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content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line 123, file: smarty_template_resource_base.php
Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line 114, file: smarty_template_compiled.php
Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line 216, file: smarty_internal_template.php
Smarty_Internal_Template.render(false, 1) % line 232, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line 134, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line 924, file: PKPTemplateManager.inc.php
PKPTemplateManager.display(frontend/pages/article.tpl) % line 292, file: ArticleHandler.inc.php
ArticleHandler.view(Array[1], Object:Request) % line 391, file: PKPRouter.inc.php
PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line 231, file: PKPPageRouter.inc.php
PKPPageRouter.route(Object:Request) % line 143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line 281, file: PKPApplication.inc.php
PKPApplication.execute() % line 68, file: index.php
ADOConnection.CacheExecute(3600, SELECT o.submission_id, MAX(s.context_id) AS journal_id, MAX(i.date_published) AS i_pub, MAX(p.date_published) A..., Array[2]) % line 132, file: DAO.inc.php
DAO.retrieveCached(SELECT o.submission_id, MAX(s.context_id) AS journal_id, MAX(i.date_published) AS i_pub, MAX(p.date_published) A..., Array[2], 3600) % line 91, file: ArticleSearchDAO.inc.php
ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line 201, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line 146, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line 194, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line 146, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line 132, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line 263, file: SubmissionSearch.inc.php
SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line 92, file: RecommendBySimilarityPlugin.inc.php
RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line 107, file: HookRegistry.inc.php
HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line 43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line 123, file: smarty_template_resource_base.php
Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line 114, file: smarty_template_compiled.php
Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line 216, file: smarty_internal_template.php
Smarty_Internal_Template.render(false, 1) % line 232, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line 134, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line 924, file: PKPTemplateManager.inc.php
PKPTemplateManager.display(frontend/pages/article.tpl) % line 292, file: ArticleHandler.inc.php
ArticleHandler.view(Array[1], Object:Request) % line 391, file: PKPRouter.inc.php
PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line 231, file: PKPPageRouter.inc.php
PKPPageRouter.route(Object:Request) % line 143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line 281, file: PKPApplication.inc.php
PKPApplication.execute() % line 68, file: index.php
Notice: Deprecated call to Smarty2 function get_template_vars in /home/editoraime/public_html/revistas/lib/pkp/classes/template/PKPTemplateManager.inc.php on line 1930
Notice: Deprecated call to Smarty2 function get_template_vars in /home/editoraime/public_html/revistas/lib/pkp/classes/template/PKPTemplateManager.inc.php on line 1930
Notice: Deprecated call to Smarty2 function get_template_vars in /home/editoraime/public_html/revistas/lib/pkp/classes/template/PKPTemplateManager.inc.php on line 1930