Navegando por Palavras-chave "Prescrição de Medicamentos"
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- ItemAcesso aberto (Open Access)Evaluation of drug prescription quality indicators in a primary care unit with different models of healthcare(Ministerio Da Saude, 2016) de Melo, Daniela Oliveira [UNIFESP]; Ansaldi da Silva, Silvia Regina; Cardozo de Castro, Lia LusitanaObjective: to describe drug prescription indicators in a primary care unit with different models of health care. Methods: this was a descriptive study using secondary data of prescriptions with regard to quality indicators in a health facility that has three health care models: Outpatient Medical Care (OMC), Primary Health Unit (PHU) and Family Health Strategy (FHS) in Vila Nova Jaguar OMC/PHU in Sao Paulo-SP, Brazil, from July to October 2011. Results: 16,720 prescriptions were studied; the proportion of drugs provided through the Municipal Essential Medication List was higher for FHS prescriptions (98.9%), compared to PHU (95.6%) and OMC (95.7%); similarly, both the use of the generic name of the drugs and the proportion of drugs provided was higher among ESF prescriptions (98.9% and 96.1%, respectively), compared with PHU (94.4 % and 92.9%) and OMC (94.0% and 92.7 %). Conclusion: all the prescription indicators show better results for FHS.
- ItemAcesso aberto (Open Access)Patients' knowledge about medication prescription in the emergency service(Assoc Brasileira Enfermagem, 2018) Carvalho, Thaynara Paola de [UNIFESP]; Okuno, Meiry Fernanda Pinto [UNIFESP]; Campanharo, Cassia Regina Vancini [UNIFESP]; Lopes, Maria Carolina Barbosa Teixeira [UNIFESP]; Batista, Ruth Ester Assayag [UNIFESP]Objective: To identify which orientations were received by the patient about the medication prescription and which professional performed it
- ItemAcesso aberto (Open Access)Prescrição de terapias baseadas em evidências para pacientes de alto risco cardiovascular: estudo REACT(Sociedade Brasileira de Cardiologia - SBC, 2013-03-01) Berwanger, Otávio [UNIFESP]; Mattos, Luiz Alberto Piva e; Martin, José Fernando Vilela; Lopes, Renato Delascio [UNIFESP]; Figueiredo, Estevão Lanna; Magnoni, Daniel; Precoma, Dalton Bertolim; Machado, Carlos Alberto; Guimarães, Jorge Ilha; Andrade, Jadelson Pinheiro de; Hospital do Coração; Sociedade Brasileira de Cardiologia; Instituto Dante Pazzanese de Cardiologia; Rede D'Or Unidades de Hemodinâmica e Intervenção Cardiovascular; Hospital de Base; Universidade Federal de São Paulo (UNIFESP); Hospital Lifecenter; Sociedade Hospitalar Angelina Caron; Ambulatório Médico de Especialidades Maria Zélia; Hospital da BahiaBACKGROUND: Data on outpatient care provided to patients at high cardiovascular risk in Brazil are insufficient. OBJECTIVE: To describe the profile and document the clinical practice of outpatient care in patients at high cardiovascular risk in Brazil, regarding the prescription of evidence-based therapies. METHODS: Prospective registry that documented the ambulatory clinical practice in individuals at high cardiovascular risk, which was defined as the presence of the following factors: coronary artery disease, cerebrovascular and peripheral vascular diseases, diabetes, or those with at least three of the following factors: hypertension, smoking, dyslipidemia, age > 70 years, family history of coronary artery disease, chronic kidney disease or asymptomatic carotid artery disease. Basal characteristics were assessed and the rate of prescription of pharmacological and non-pharmacological interventions was analyzed. RESULTS: A total of 2364 consecutive patients were included, of which 52.2% were males, with a mean age of 66.0 years (± 10.1). Of these, 78.3% used antiplatelet agents, 77.0% used statins and of patients with a history of myocardial infarction, 58.0% received beta-blockers. Concomitant use of these three classes of drugs was 34%; 50.9% of hypertensive, 67% of diabetic and 25.7% of dyslipidemic patients did not achieve the goals recommended by guidelines. The main predictors of prescription therapies with proven benefit were centers with a cardiologist and history of coronary artery disease. CONCLUSION: This national and representative registry identified important gaps in the incorporation of therapies with proven benefit, offering a realistic outlook of patients at high cardiovascular risk.
- ItemAcesso aberto (Open Access)A prescrição medicamentosa ambulatorial no internato: formação e prática(Associação Brasileira de Educação Médica, 2010-06-01) Wanderley, Vicentina Esteves; Maia, José Antonio [UNIFESP]; Vilela, Rosana Quintella Brandão; Universidade Federal de Alagoas; Universidade Federal de São Paulo (UNIFESP)Appropriate medical prescription is extremely important for solving health problems. Given wides pread problems with medical prescriptions, the World Health Organization's objectives now include improving the teaching of pharmacotherapy in medical schools. Within this context, the current study analyzes outpatient prescriptions by medical interns at the Federal University in Alagoas, as well as the related training process. This was a cross-sectional and descriptive study including a document analysis of 133 drug prescriptions in simulated situations and 67 questionnaires. The study con cluded that the subject is not explicitly included in the formal medical school curriculum, and that the flaws identified were similar to those reported in the literature for medical school graduates. The students' conduct highlighted their concern with patient adherence, the priority in the use of generic drugs, product selection in keeping with patients' socioeconomic status, and interest and dedication in the prescription process. The study showed the relevance of proper teaching of drug prescription during undergraduate medical training.
- ItemAcesso aberto (Open Access)Prescription errors in Brazilian hospitals: a multi-centre exploratory survey(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2009-02-01) Miasso, Adriana Inocenti; Oliveira, Regina Célia de; Silva, Ana Elisa Bauer de Camargo; Lyra Junior, Divaldo Pereira de; Gimenes, Fernanda Raphael Escobar; Fakih, Flávio Trevisan [UNIFESP]; Cassiani, Sílvia Helena de Bortoli; Universidade de São Paulo (USP); Universidade de Pernambuco Faculdade de Enfermagem Nossa Senhora das Graças; Universidade Federal de Goiás Faculdade de Enfermagem; Universidade Federal de Sergipe Faculdade de Farmácia; Universidade Camilo Castelo Branco; Universidade Federal de São Paulo (UNIFESP)In Brazil, millions of prescriptions do not follow the legal requirements necessary to guarantee the correct dispensing and administration of medication. This multi-centre exploratory study aimed to analyze the appropriateness of prescriptions at four Brazilian hospitals and to identify possible errors caused by inadequacies. The sample consisted of 864 prescriptions obtained at hospital medical clinics in January 2003. Data was collected by three nurse researchers during one week using a standard data sheet that included items about: the type of prescription; legibility; completeness; use of abbreviations; existence of changes and erasures. There were statistically significant differences between incomplete electronic prescriptions at hospital A, and handwritten ones from hospitals C (Ç2 = 12.703 and p < 0.001) and D (Ç2 = 14.074 and p < 0.001). Abbreviations were used in more than 80% of prescriptions at hospitals B, C and D. Changes were found in prescriptions at all hospitals, with higher levels at hospitals B (35.2%) and A (25.3%). This study identified a range of vulnerable points in the prescription phase of the medication system at the hospitals. Physicians, pharmacists and nurses should therefore jointly propose strategies to avoid these prescription errors.