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Instrumentos de avaliação da segurança do sistema de medicação hospitalar: revisão integrativa da literatura
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Os erros de medicação são um problema que afeta a segurança dos doentes a nível mundial. No contexto hospitalar, o sistema de medicação é altamente complexo, envolve vários processos interdisciplinares, com circuitos dinâmicos, o que pode potenciar a ocorrência de erros. Desenvolveu-se uma revisão integrativa da literatura que teve como objetivo identificar quais os instrumentos existentes para avaliação dos sistemas de medicação hospitalar. A pesquisa foi realizada nas bases de dados: PubMed/MEDLINE, CINAHL, Cochrane, Cochrane/DARE, MedicLatina, NHS Economic Evaluation Database/Cochrane, Health Technology Assessments, LILACS e IBECS, com recurso aos descritores: sistema de medicação hospitalar; erros de medicação; autoavaliação e avaliação. Foi realizada também a pesquisa em agências e instituições de segurança do doente e segurança da medicação: U. S. Food and Drug Administration (FDA); Agency for Healthcare Research and Quality (AHRQ); Institute of Safety Medication Practices (ISMP); National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP). Incluíram-se todos os artigos obtidos, sem limite temporal, com texto completo ou resumo disponível, que se relacionassem com o contexto hospitalar. A amostra desta revisão constituiu-se de sete artigos, que apresentaram três instrumentos diferentes. Pode concluir-se que o instrumento mais utilizado e referenciado na literatura foi o THE MEDICATION SAFETY SELF ASSESSMENT (MSSA), utilizado nos sete artigos selecionados. Verifica-se também que não existe nenhum instrumento em português e validado para a população portuguesa que permita a avaliação da segurança dos sistemas de medicação hospitalar.
Medication errors affect patient safety worldwide. At the hospital level, the medication system is highly complex, involving several interdisciplinary processes, with dynamic circuits, which can potentiate the occurrence of errors. An integrative literature review was developed to identify the existing instruments to evaluate hospital medication systems. The research was carried out in different databases: PubMed/MEDLINE, CINAHL, Cochrane, Cochrane/DARE, MedicLatina, NHS Economic Evaluation Database/Cochrane, Health Technology Assessments, LILACS and IBECS, using the descriptors: hospital medication system; medication errors; self-assessment and evaluation. We also conducted research on websites of agencies and institutions for patient safety and medication safety: U. S. Food and Drug Administration (FDA); Agency for Healthcare Research and Quality (AHRQ); Institute of Safety Medication Practices (ISMP); National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP). We included all articles obtained, without temporal limit, with full text or abstract available and related to the hospital context. This review included seven articles, which presented three different instruments. We concluded that the most used and referenced instrument in the literature was THE MEDICATION SAFETY SELF ASSESSMENT (MSSA), used in the seven articles selected. In addition, there is no instrument in Portuguese, and validated for the Portuguese population, to evaluate the safety of hospital medication systems.
Medication errors affect patient safety worldwide. At the hospital level, the medication system is highly complex, involving several interdisciplinary processes, with dynamic circuits, which can potentiate the occurrence of errors. An integrative literature review was developed to identify the existing instruments to evaluate hospital medication systems. The research was carried out in different databases: PubMed/MEDLINE, CINAHL, Cochrane, Cochrane/DARE, MedicLatina, NHS Economic Evaluation Database/Cochrane, Health Technology Assessments, LILACS and IBECS, using the descriptors: hospital medication system; medication errors; self-assessment and evaluation. We also conducted research on websites of agencies and institutions for patient safety and medication safety: U. S. Food and Drug Administration (FDA); Agency for Healthcare Research and Quality (AHRQ); Institute of Safety Medication Practices (ISMP); National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP). We included all articles obtained, without temporal limit, with full text or abstract available and related to the hospital context. This review included seven articles, which presented three different instruments. We concluded that the most used and referenced instrument in the literature was THE MEDICATION SAFETY SELF ASSESSMENT (MSSA), used in the seven articles selected. In addition, there is no instrument in Portuguese, and validated for the Portuguese population, to evaluate the safety of hospital medication systems.
Descrição
Palavras-chave
Assessment Autoavaliação Avaliação Erros de medicação Hospital medication system Medication errors Self-assessment Sistemas de medicação hospitalar
Contexto Educativo
Citação
Sales, L., Araújo, B., & Jesus, É. (2018). Instrumentos de avaliação da segurança do sistema de medicação hospitalar: revisão integrativa da literatura. Salutis scientia, 10, 31-39.
Editora
Licença CC
Sem licença CC