PHARMACEUTICAL CARE IN HOSPITAL HIGH OF ONCOLOGICAL PATIENTS
DOI:
https://doi.org/10.51208/saudeinovacao.v2i1.34Keywords:
Atenção Farmacêutica, Alta hospitalar, Alta do paciente, Oncologia, Serviço hospitalar de oncologiaAbstract
Introduction: The Global Patient Safety Challenge aims to identify areas of significant risk to patient safety and foster the development of harm prevention tools and strategies. Thus, the National Patient Safety Program (PNSP), aims to reduce the risk of unnecessary harm associated with health care. In this scenario, the pharmacist is an important professional, since his actions are aimed at identifying and solving Drug-Related Problems (PRM), improving adherence and increasing treatment safety. Objective: To analyze pharmaceutical care at hospital discharge of cancer patients admitted to a tertiary hospital in the Federal District. Methods: Retrospective, observational study with a quantitative methodological approach. Data were collected from electronic medical records regarding patients who were discharged between January and August 2020. Results: 638 hospital discharges were registered in the oncology inpatient unit. Of these, 107 patients were treated with pharmaceutical services at hospital discharge (18%). Among the services, the following stand out: dispensing medication for discharge (38.6%), education of the patient / companion at discharge (34%), pharmaceutical referral at the counter reference (27%) and medication reconciliation at discharge (0.4 %). Conclusion: Pharmaceutical care during hospital discharge can lead to increased access to medications for post-discharge use and continued care. The pharmaceutical services that occurred most frequently are related to the promotion of the rational use of medicines, since it leaves the patient informed about the risks of drug therapy and promotes better adherence to it.
References
Ministério da Saúde (Brasil). Portaria nº 529, de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP).
World Health Organization. WHO launches global effort to halve medication- related errors in 5 years. Geneva: World Health Organization, 2017.
World Health Organization. Medication Without Harm - Global Patient Safety Challenge on Medication Safety. Geneva: World Health Organization, 2017.
Alves NMC, Ceballos AGC. Polifarmácia em idosos do programa universidade aberta à terceira idade. Journal of Health & Biological Sciences, v. 6, n. 4, p. 412-418, 2018.
Sheikh A, et al. The third global patient safety challenge: tackling medication-related harm. [Internet]. Bull World Health Organ. 2017; 95: 546–546A.
World Health Organization. Transitions of Care: Technical Series on Safer Primary Care. World Health Organization 2016.
Kripalani S, et al. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. Journal of hospital medicine: an official publication of the Society of Hospital Medicine, v. 2, n. 5, p. 314-323, 2007.
MCGAW J, et al. A multidisciplinary approach to transition care: a patient safety innovation study. The Permanente Journal, v. 11, n. 4, p. 4, 2007.
Barnsteiner JH. Medication Reconciliation: Transfer of medication information across settings keeping it free from error. AJN The American Journal of Nursing, v. 105, n. 3, p. 31-36, 2005.
Marques LFG, Romano-Lieber NS. Estratégias para a segurança do paciente no processo de uso de medicamentos após alta hospitalar. Physis: Revista de Saúde Coletiva, v. 24, p. 401-420, 2014.
Costa JM, et al. Otimização dos cuidados farmacêuticos na alta hospitalar: implantação de um serviço de orientação e referenciamento farmacoterapêutico. Revista Brasileira de Farmácia Hospitalar e Serviços de Saúde, v. 5, n. 1, 2014.
Griffith NL, Schommer JC, Wirsching RG. Survey of inpatient counseling by hospital pharmacists. American Journal of Health-System Pharmacy, v. 55, n. 11, p. 1127-1133, 1998.
Lima LF, et al. Pharmaceutical orientation at hospital discharge of transplant patients: strategy for patient safety. Einstein (São Paulo), v. 14, n. 3, p. 359-365, 2016.
Saunders SM, et al. Implementing a pharmacist-provided discharge counseling service. American journal of health-system pharmacy, v. 60, n. 11, p. 1101-1101, 2003.
Conselho Federal de Farmácia (Brasil). Resolução nº 585 de 29 de agosto de 2013. Regulamenta as atribuições clíncias do farmacêutico e dá outras providências.
Arbaje AI, et al. The geriatric floating interdisciplinary transition team. Journal of the American Geriatrics Society, v. 58, n. 2, p. 364-370, 2010.
Santos H, et al. Atribuições do farmacêutico em unidade de assistência de alta complexidade em oncologia. Infarma-Ciências Farmacêuticas, v. 25, n. 1, p. 37-42, 2013.
Vieira C, Brás M, Fragoso M. Opióides na Dor Oncológica e o seu Uso em Circunstâncias Particulares: Uma Revisão Narrativa. Acta Medica Portuguesa, v. 32, n. 5, 2019.
Silva MJS, Osorio-De-Castro CGS. Organização e práticas da assistência farmacêutica em oncologia no âmbito do Sistema Único de Saúde. Interface-Comunicação, Saúde, Educação, v. 23, p. e180297, 2019.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Weverson Reis

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Os autores declaram aceitar a política de direito autoral praticada pela revista. A submissão de originais para a Revista Saúde e Inovação implica na transferência, pelos autores, dos direitos de publicação impressa e digital. Os direitos autorais para os artigos publicados nesta revista são do autor, com direitos da revista sobre a primeira publicação. Os autores somente poderão utilizar os mesmos resultados em outras publicações indicando claramente a Revista Saúde e Inovação como o meio da publicação original. Em virtude de tratar-se de um periódico de acesso aberto, é permitido o uso gratuito dos artigos, principalmente em aplicações educacionais e científicas, desde que citada a fonte. A Revista Saúde e Inovação adota a licença Creative Commons Atribuição 4.0 Internacional (CC BY 4.0): https://creativecommons.org/licenses/by/4.0/deed.pt_BR