Estabelecimento de indicadores de qualidade associados à segurança do paciente para aplicação em farmácia hospitalar, em hospital psiquiátrico

Abstract

The continuous search for patient safety linked to improvements in the quality of processes, in the health sector, is a reality in Brazil and around the world. However, psychiatric patients are a vulnerable public both due to the aspect of their mental condition and the peculiarities of pharmacological treatment, mostly involving psychopharmaceuticals, which act on the central nervous system. To establish quality indicators in the hospital pharmacy service, covering the processes that evaluate the quality/safety of medical prescriptions by determining the Prevalence Rate of Clinically Significant Prescription Errors (TPEP) and the process of dispensing medications supplied by the pharmacy to the units hospitalization, using the Medication Dispensing Error Rate (TEDM). In addition to establishing the Prescription Process Safety Rate (TSPP). This is a retrospective cross-sectional study. The study setting was a psychiatric hospital, located in the city of Rio de Janeiro. Data production involved a population made up of medical prescriptions in electronic format from hospitalized patients, in the months of March, April and May 2023. The sample consisted of 1,340 prescriptions and 13,161 medications dispensed by the hospital pharmacy. For data collection, two Excel® spreadsheets were used to record errors related to the prescription and dispensing of medications. After analyzing the 1,340 prescriptions and 13,161 medications dispensed, a 22,47% Prescrip-tion Error Prevalence Rate (TPEP) was obtained, a 0.87% Medication Dispensing Error Rate (TEDM) and 77,53 % Prescription Process Safety Rate (TSPP). The average number of prescriptions per month was 446.6, while the monthly average number of medications prescribed and dispensed was 4,387. The study demonstrated that medication errors are more present in the prescription than in the dispensing of the medication, which may sug-gest the existence of gaps that need to be considered by managers and that are closely re-lated to the need for planning and implementing investigation actions. scientific approach to mitigating errors and increasing psychiatric patient safety.