Banca de DEFESA: Renata da Nobrega Souza de Castro

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : Renata da Nobrega Souza de Castro
DATE: 08/12/2023
TIME: 09:00
LOCAL: PLATAFORMA TEAMS
TITLE:

Safe use of medicines, medication errors and hospital costs in an intensive care unit of a public hospital in the Federal District

KEY WORDS:

medication errors; patient safety;hospital costs; cost and cost analysis

PAGES: 60
BIG AREA: Outra
AREA: Multidisciplinar
SUMMARY:

Introduction: The promotion of safe practices for the use of medicines in hospital environments is part of one of the protocols established by the National Health Surveillance Agency (ANVISA) for patient safety in the country. In this context, the investigation of medication errors has gained notoriety among pharmacovigilance studies, as they are included among preventable adverse events (AEs), the most common causes of which are associated with unsafe and inefficient processes within the health services. Objective: Identify the number of medication errors and verify their association with the costs of hospitalization of patients admitted to the Intensive Care Unit (ICU). Method: This is a retrospective crosssectional cohort study of hospitalizations that occurred in the years 2018 to 2019 in the ICU. The information was obtained from medical records and the hospital's electronic system. The independent variables were related to health and sociodemographic conditions; and the dependent variables were: days of hospitalization, cost of hospitalization and medication errors. The outcomes were discharge and death. Hospitalizations lasting less than 24 hours, incomplete medical records and those under 18 years of age were excluded. The Statistical Package for Social Sciences, version 20, was used for statistical analyzes that included calculation of medication error rates, descriptive analysis and simple and multivariate regression. The project was approved by the Research Ethics Committee of the Faculty of Ceilândia of the University of Brasília with opinion No. 4,055,318. Results: 50 medical records were analyzed and 14,248 doses of medication were identified, of which 15,123 errors were made. The rate of errors due to omission presented the highest number of errors per dose of medication (59.8%) and total errors observed in the sample (55.31%), followed by the rate of errors per time (26.97%; 24. 95%). The omission error had the highest average when analyzing the entire hospitalization (170.40) and day of hospitalization (13.79). Hospitalization costs were significantly and positively correlated with scheduling errors, with an increase of R$ 121.92 (95% CI 43.09; 200.74), and with prescriptions, with an increase of R$ 63.51 (95% CI 29.93; 97.09). Conclusion: The results suggest a positive association between two types of error (scheduling error and prescription error) and the increased costs of patient hospitalization in the Adult ICU.

COMMITTEE MEMBERS:
Externa à Instituição - MÁRCIA OTERO SANHES
Externo ao Programa - 2536430 - LUCIANO RAMOS DE LIMA - nullExterno à Instituição - Linconl Agudo Oliveira Benito - CEUB
Interna - 1707017 - MANI INDIANA FUNEZ
Presidente - 1710591 - SILVANA SCHWERZ FUNGHETTO