Situational Analysis of the Medication Practices in Brazilian Hospitals: A Multicenter Study.

IF 1.7 3区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of Patient Safety Pub Date : 2025-01-20 DOI:10.1097/PTS.0000000000001314

Pedro Henrique Guimarães, Mário Borges Rosa, Adriano Max Moreira Reis, Kirla Barbosa Detoni, Gabriela de Paula Guimarães Rodrigues, Mariana Martins Gonzaga Nascimento

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Abstract

Objective: To carry out a situational analysis of the medication practices in Brazilian hospitals through the Medication Safety Self-Assessment for Hospitals and the factors associated with better performance in the evaluation.

Methods: This is a multicenter cross-sectional study in which the results of the application of the Medication Safety Self-Assessment for Hospitals, between 2015 and 2020, in 30 Brazilian hospitals were described. In addition, whether the institutional profile was associated with higher self-assessment scores (better performance in the evaluation) was also evaluated.

Results: An average proportion of points obtained of 36.7±10.9% was identified (minimum=11.5%; maximum=59.7%), from a score ranging from 0 to 1826 points. The need to improve the use of devices for the preparation and administration of drug solutions, professional development, and patient education was highlighted. A positive association was identified between higher scores and the large or very large size of the hospitals (P=0.026) and having accreditation certification (P=0.007).

Conclusions: The study made it possible to identify the main weak points and opportunities for improvement of the medication system in the evaluated hospitals, bringing important reflection to national institutions.

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巴西医院用药情况分析：一项多中心研究

目的：通过《医院用药安全自我评价》对巴西医院的用药实践进行情景分析，并分析评价中与较好绩效相关的因素。方法：这是一项多中心横断面研究，其中描述了2015年至2020年在30家巴西医院中应用医院用药安全自我评估的结果。此外，还评估了机构概况是否与更高的自我评估分数（评估中更好的表现）相关。结果：平均识别出36.7±10.9%的分值(最小=11.5%；最大值=59.7%)，从0到1826分。强调需要改进设备的使用，以制备和管理药物溶液，专业发展和患者教育。得分越高，医院规模越大或越大（P=0.026），获得认可认证的医院越高（P=0.007）。结论：本研究发现了被评价医院用药制度的主要短板和改进机会，对国家机构具有重要的借鉴意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Patient Safety HEALTH CARE SCIENCES & SERVICES-

CiteScore

4.60

自引率

13.60%

发文量

302

期刊介绍： Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. While Journal of Patient Safety has a research emphasis, it also publishes articles describing near-miss opportunities, system modifications that are barriers to error, and the impact of regulatory changes on healthcare delivery. This mix of research and real-world findings makes Journal of Patient Safety a valuable resource across the breadth of health professions and from bench to bedside.