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Advisor(s)
Abstract(s)
A Reconciliação Medicamentosa envolve toda a medicação do cliente, medicamentos sujeitos a receita médica e não sujeitos a receita. Trata-se de uma responsabilidade multidisciplinar dos profissionais de saúde, que deve ser centrada no cliente e/ ou cuidadores promovendo o envolvimento no processo. As transições entre cuidados são momentos críticos no que confere à ocorrência de discrepâncias medicamentosas, podendo estas originar eventos adversos, como problemas de saúde, reinternamentos, e, por conseguinte, o aumento dos custos relacionados com a saúde. Objetivo: mapear a evidência científica sobre a Reconciliação Medicamentosa e as discrepâncias com ela relacionadas, reconhecer as lacunas existentes na evidência e contribuir para a clarificação do papel dos enfermeiros no processo.
Método: A metodologia adotada para a realização do presente relatório foi a Scoping Review com base nos princípios preconizados pelo Joanna Briggs Institute. Resultado: obtiveram-se para análise integral 34 artigos, na sua maioria relacionados com a definição de protocolos operacionais para implementar o processo, por forma a garantir a segurança nos momentos de transição. Foram ainda abordados a identificação e redução das discrepâncias medicamentosas, a identificação e minimização dos erros de medicação, a atribuição de responsabilidades aos diferentes intervenientes da equipa de saúde, a definição do papel desses profissionais na prática clínica e ainda as considerações relativas ao processo e à prática clínica do enfermeiro especialista. Conclusões: A elaboração da revisão contribuiu para um pensamento crítico-reflexivo e uma praxis clínica especializada com base em sólidos padrões de conhecimento sobre a reconciliação medicamentosa, verificando-se a necessidade de serem realizados mais estudos randomizados para confirmar as evidências.
Drug Reconciliation involves all client medication, prescription and non-prescription drugs. This is a multidisciplinary responsibility of health professionals, which should be client-centered and/ or caregivers promoting the involvement in the process. Transitions between care stages are critical moments where drug discrepancies occur, potentially leading to adverse events such as health problems, rehospitalization, and, as a consequence, increased health-related costs. Objective: to map the scientific evidence on Drug Reconciliation and related discrepancies, to recognize the gaps in the evidence and to contribute to the clarification of the nurses’ role in the process. Method: The methodology used to carry out this report was the Scoping Review based on the principles advocated by the Joanna Briggs Institute. The result: 34 articles were reviewed for the entire analysis, mostly related to the definition of operational protocols to implement the process, in order to guarantee security during transition times. The identification and reduction of drug discrepancies, identification and minimization of medication errors, attribution of responsibilities to different health team participants, definition of the role of these professionals in clinical practice, and considerations regarding the process and practice of the specialist nurse were also studied. Conclusions: This review contributed to critical-reflexive thinking and specialized clinical praxis based on solid knowledge of drug reconciliation, having detected the need for further randomized trials to confirm the evidence.
Drug Reconciliation involves all client medication, prescription and non-prescription drugs. This is a multidisciplinary responsibility of health professionals, which should be client-centered and/ or caregivers promoting the involvement in the process. Transitions between care stages are critical moments where drug discrepancies occur, potentially leading to adverse events such as health problems, rehospitalization, and, as a consequence, increased health-related costs. Objective: to map the scientific evidence on Drug Reconciliation and related discrepancies, to recognize the gaps in the evidence and to contribute to the clarification of the nurses’ role in the process. Method: The methodology used to carry out this report was the Scoping Review based on the principles advocated by the Joanna Briggs Institute. The result: 34 articles were reviewed for the entire analysis, mostly related to the definition of operational protocols to implement the process, in order to guarantee security during transition times. The identification and reduction of drug discrepancies, identification and minimization of medication errors, attribution of responsibilities to different health team participants, definition of the role of these professionals in clinical practice, and considerations regarding the process and practice of the specialist nurse were also studied. Conclusions: This review contributed to critical-reflexive thinking and specialized clinical praxis based on solid knowledge of drug reconciliation, having detected the need for further randomized trials to confirm the evidence.
Description
Keywords
Medicação Reconciliação Reconciliação medicamentosa Medication Reconciliation Medication reconciliation