6 results

Pharmacotherapeutic follow-up in a respiratory intensive care unit: description and analysis of results

Ana Carolina de Souza e Silva, Domingos Sávio de Carvalho Sousa, Eunice Bobô de Carvalho Perraud, Fátima Rosane de Almeida Oliveira, Bruna Cristina Cardoso Martins

DOI: 10.1590/S1679-45082018AO4112

ABSTRACT Objective: To describe and evaluate the pharmacotherapeutic follow-up by a clinical pharmacist in an intensive care unit. Methods: A descriptive and cross-sectional study carried out from August to October 2016. The data were collected through a form, and pharmacotherapeutic follow-up conducted by a clinical pharmacist at the respiratory intensive care unit of a tertiary hospital. The problems recorded in the prescriptions were quantified, classified and evaluated according to severity; the recommendations made by the pharmacist were analyzed considering the […]

Patient safety and the value of pharmaceutical intervention in a cancer hospital

Karina da Silva Aguiar, Jamile Machado dos Santos, Mônica Cristina Cambrussi, Solane Picolotto, Marcela Bechara Carneiro

DOI: 10.1590/S1679-45082018AO4122

ABSTRACT Objective To demonstrate economic impact of pharmaceutical evaluation in detection and prevention of errors in antineoplastic prescriptions. Methods This was an observational and retrospective study performed in a cancer hospital. From July to August 2016 pharmacists checked prescriptions of antineoplastic and adjuvant drugs. Drug-related problems observed were classified and analyzed concerning drug, pharmaceutical intervention, acceptability and characteristic of the error. In case of problem related to dose, we calculated a deviation percentage related with correct dose and value spent […]

Implementing a clinical pharmacy service in hematology

Tatiane Fernandes Farias, Karina da Silva Aguiar, Inajara Rotta, Klezia Morais da Silva Belletti, Juliane Carlotto

DOI: 10.1590/S1679-45082016AO3667

ABSTRACTObjective:To implement a clinical pharmacy service focused on the comprehensive review of antineoplastic drugs used in therapy of hematological diseases.Methods:An interventional study was conducted in a Brazilian tertiary teaching hospital in two different periods, with and without a clinical pharmacy service, respectively. This service consisted of an antineoplastic prescription validation (analysis of patients’ characteristics, laboratory tests, compliance with the therapeutic protocol and with pharmacotechnical parameters). When problems were detected, the pharmacist intervened with the physician or another health professional responsible […]

Analysis of clinical pharmacist interventions in a tertiary teaching hospital in Brazil

Wálleri Christini Torelli Reis, Carolinne Thays Scopel, Cassyano Januário Correr, Vânia Mari Salvi Andrzejevski

DOI: 10.1590/S1679-45082013000200010

Objective:To analyze the clinical pharmacist interventions performed during the review of prescription orders of the Adult Intensive Care, Cardiologic Intensive Care, and Clinical Cardiology Units of a large tertiary teaching hospital in Brazil.METHODS:The analysis took place daily with the following parameters: dose, rate of administration, presentation and/or dosage form, presence of inappropriate/unnecessary drugs, necessity of additional medication, more proper alternative therapies, presence of relevant drug interactions, inconsistencies in prescription orders, physical-chemical incompatibilities/solution stability. From this evaluation, the drug therapy problems […]

Potentially inappropriate medication prescribed to elderly outpatients at a general medicine unit

Christine Grützmann Faustino, Milton de Arruda Martins, Wilson Jacob Filho

DOI: 10.1590/S1679-45082011AO1844

ABSTRACT Objective: To establish the prevalence of potentially inappropriate medications prescribed for elderly patients, to identify the most commonly involved drugs, and to investigate whether age, sex and number of medications were related with the prescription of these drugs. Methods: Prescriptions for 1,800 elderly patients (≥ 60 years) were gathered from a database. These prescriptions were written by general physicians at a tertiary level university hospital in the city of Sao Paulo, Brazil, from February to May 2008. Only one […]

Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription

José Marcelo Farfel, Tarso Augusto Duenhas Accorsi, Marcelo Franken, Sueli Pinto Doudement, Mariane Moran, Mauro Iervolino, [...]

DOI: 10.1590/s1679-45082010ao1473

ABSTRACTObjective:Adverse drug reactions are more incident among the elderly and are frequently associated to inappropriate prescription for this group. The objective of the current study was to investigate the incidence and the characteristics of emergency department visits, related to inappropriate prescription, at the Hospital Israelita Albert Einstein.Methods:Patients aged 60 years or older, admitted to the emergency department at Unidade Avançada Ibirapuera of Hospital Israelita Albert Einstein, were included in the study. Potentially inappropriate medication for the elderly was evaluated using […]