Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-06-26T23:09:15Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) laura_roberta_sa_ferreira.pdf: 1184127 bytes, checksum: 423bdfb7f8d380519ba2c16211b2795b (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-07-18T12:50:54Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) laura_roberta_sa_ferreira.pdf: 1184127 bytes, checksum: 423bdfb7f8d380519ba2c16211b2795b (MD5) / Made available in DSpace on 2018-07-18T12:50:54Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) laura_roberta_sa_ferreira.pdf: 1184127 bytes, checksum: 423bdfb7f8d380519ba2c16211b2795b (MD5) Previous issue date: 2017 / Os erros envolvendo medicamentos podem ocorrer em qualquer fase do processo hospitalar, ou seja, na prescri??o, dispensa??o ou na administra??o. O in?cio do ciclo da medica??o ? a prescri??o, o m?dico deve especificar a terapia e condutas mais adequadas por escrito, levando em considera??o principalmente o uso racional de medicamentos. Quando a prescri??o n?o ? executada de maneira adequada pode contribuir de forma direta com os problemas relacionados a erros de medica??o. O presente trabalho foi realizado em uma Institui??o de sa?de em Diamantina com objetivo de avaliar a efetividade do servi?o realizado pela farm?cia cl?nica; identificar o perfil dos pacientes atendidos pelas cl?nicas m?dica e neurol?gica; os tipos e as frequ?ncias de erros que ocorrem na etapa da prescri??o e identificar os tipos de intera??es medicamentosas e suas frequ?ncias. Ap?s a implanta??o do servi?o de farm?cia cl?nica, em um ano o servi?o de an?lise de prescri??o proporcionou uma queda de +/- 40% das inadequa??es nas prescri??es. O perfil dos pacientes internados nas cl?nicas m?dica e neurol?gica da Institui??o em Diamantina foi de homens idosos que fazem uso de polifarm?cia. E devido ao grande n?mero de medicamentos nas prescri??es, as mesmas apresentaram 66,46% de intera??es medicamentosas, e as intera??es medicamentosas mais frequentes foram do tipo moderada (presentes em 59,76% das prescri??es) e menor (presentes em 20.12% das prescri??es). A inadequa??o mais frequente foi relacionada ao hor?rio de administra??o dos medicamentos. Tamb?m foi verificado que as prescri??es dos pacientes idosos, em sua maioria, apresentaram medicamentos da lista de Beers. Portanto, a realiza??o deste trabalho foi importante para promo??o do uso racional de medicamentos na Institui??o, al?m disso, mostrou a efetividade do servi?o que foi implantado na Institui??o. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ci?ncias Farmac?uticas, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / Mistakes involving medications can occur at any stage of the hospital process, that is, during prescription, dispensing, or administration. The beginning of the medication cycle is the prescription, when physicians must specify the most appropriate therapy and conduct in writing, taking into account the rational use of medications. When prescription is not performed properly, it may contribute directly to problems related to medication errors. The present study was carried out in a health institution in Diamantina, with the objective of: identifying the profile of patients attended by the medical and neurological clinics; The types and frequencies of medication errors that occur in the prescription step; To identify the types of drug interactions and their frequencies; Evaluate the impact of polypharmacy on patient?s health and use the results of the research to analyze the effectiveness of the institution's clinical pharmacy service. The profile of the patients hospitalized in the medical and neurological clinics of the institution in Diamantina was of elderly men who use the polypharmacy, and also, due to the large number of medications in the prescriptions, the most frequent inadequacies were moderate and minor drug interactions. It was also verified that the prescriptions of these patients had, in their majority, medicines found in the list of Beers. After the implementation of the clinical pharmacy service, in one year of the prescription analysis service, a fall of +/- 40% of the inadequacies in the prescriptions of the medical and neurological clinics was observed. Therefore, the accomplishment of this work was important to promote the rational use of drugs in the institution, and in addition, it showed the effectiveness of the service implanted in the institution.

Made available in DSpace on 2014-12-17T14:13:51Z (GMT). No. of bitstreams: 1 RodrigoSD_DISSERT_partes.pdf: 44411 bytes, checksum: 62fe7b929c3d90fda22ce22c688f7e52 (MD5) Previous issue date: 2011-02-04 / Prescription errors are the most serious type of medication errors found in the health system. The main purpose of this study was to evaluate the quality of clonazepam prescriptions. A descriptive and observational study with retrospective data collection was conducted at 30 community pharmacies in Natal/RN, Brazil, after informed consent was obtained from the pharmacists. A sample of 313 prescription notifications was randomly collected in October 2009. They were analyzed for legible handwriting and completeness. During the study, one researcher, two pharmacists, and one pharmacy undergraduate student evaluated patient and purchaser identification, pharmaceutical form, dosing regimen, administration route, and prescription by generic name. This research was approved by the institutional Ethics Committee. Among the 313 collected notifications, only 44.1% were legible. A total of 55.91% (175/313) had at least one illegible item, 100% contained incomplete information, and 97.12% (304/313) contained one or more abbreviations. The proportion of illegible handwriting related to the patient s identification (p=0.0001) was statistically significantly greater than that related to the drug purchaser s identification (p=0.0004). Contrary to legal requirements, prescriptions with the generic name accounted for 13.42% (42/313) of the total. All the examined notifications were handwritten. Prescription errors, which potentially can have serious consequences, have been evaluated worldwide, although little is known about this subject as it relates to community pharmacies. This study showed high percentages of prescribing problems, which justifies the development of future research about medication errors in community pharmacies and education activities for prescribers / Os erros de prescri??o s?o os mais s?rios tipos de erros de medica??o encontrados no sistema de sa?de. Sendo assim, o principal objetivo desse estudo foi avaliar a qualidade das notifica??es de receita de clonazepam. Um estudo descritivo e observacional, com coleta retrospectiva de dados, foi conduzido em 30 farm?cias comunit?rias no munic?pio de Natal/RN, Brasil. Ap?s a obten??o do termo de consentimento livre e esclarecido por parte dos farmac?uticos comunit?rios, uma amostra de 313 notifica??es de receita de clonazepam foi aleatoriamente coletada em Outubro de 2009. As notifica??es foram analisadas quanto ? legibilidade e completude de informa??es. Durante o estudo, uma comiss?o, constitu?da por um dos pesquisadores, dois farmac?uticos e um estudante de gradua??o em farm?cia, avaliou os seguintes par?metros: identifica??o do paciente e comprador do medicamento, forma farmac?utica, posologia, via de administra??o e prescri??o pela denomina??o gen?rica. A pesquisa foi aprovada pelo Comit? de ?tica em pesquisa da Universidade Federal do Rio Grande do Norte. Dentre 313 notifica??es de receita de clonazepam coletadas, apenas 44,1% apresentaram-se leg?veis. Um total de 55,91% (175/313) demonstrou pelo menos um dado ileg?vel, 100% continham informa??es incompletas e 97,12% (304/313) possu?am uma ou mais abreviaturas. A propor??o de ilegibilidade relacionada ? caligrafia da identifica??o do paciente (p=0,0001) foi estatisticamente mais significante que a relacionada ? caligrafia da identifica??o do comprador do medicamento (p=0,0004). Contrariando dispositivos legais, a prescri??o pela denomina??o gen?rica ocorreu em apenas 13,42% (42/313) do total. Todas as notifica??es de receita examinadas estavam escritas ? m?o. Os erros de prescri??o, que potencialmente podem levar a s?rias consequ?ncias, t?m sido mundialmente estudados, embora pouco seja conhecido no ?mbito da farm?cia comunit?ria. Esse estudo mostrou elevados percentuais de problemas relacionados ? prescri??o, o que justifica o desenvolvimento de pesquisas futuras sobre erros de medica??o em farm?cias comunit?rias e de atividades de ensino para os prescritores

Submitted by Jorge Silva (jorgelmsilva@ufrrj.br) on 2017-10-03T19:02:53Z No. of bitstreams: 1 2016 - Maria de Lourdes Ferraz Heleodoro.pdf: 2348920 bytes, checksum: 9f9b539401e282d82a8a6510055eac7e (MD5) / Made available in DSpace on 2017-10-03T19:02:53Z (GMT). No. of bitstreams: 1 2016 - Maria de Lourdes Ferraz Heleodoro.pdf: 2348920 bytes, checksum: 9f9b539401e282d82a8a6510055eac7e (MD5) Previous issue date: 2016-04-15 / The research aims to identify the health effects perceived by the population benefited from the Popular Pharmacy Model I Program, located in the Baixada Fluminense region at Rio de Janeiro State, city of Nova Igua?u. The theoretical scope is based on Minayo, Milton Santos, Zaoual, Langdon and Wiik, Castoriadis, among others, in consideration that health should be understood and treated in of a social, culture, symbolic dimension, taking into account the effects that the territorial environment plays in their narratives about life and health. The study turns also to the historical-critical examination of public policies, particularly health policies, with contributions from Farah, Fadul and Souza, Viana and Baptista Marques, Arretche, Secchi, Fonseca, Fleury and Ouverney , Hochman, among others. Discuss the impact of new public management reflected in health policies observed in the critical perspective that considers health policy and social policy, on the border of the various forms of social protection, which vision is to understand health as a right. To give enterprise account is employed hermeneutic-dialectic qualitative methodology proposed by Minayo (2014), based on the ideas of Schleiermacher (1999) and Gadamer (1999). The reports obtained through the twelve interviews with men and women, conducted through semi-structured script, point to the full acceptance from the point of view of the program of access to medicines. Most treatments are established and followed up at the local health care centers, next to the user's residence. In some cases, treatments and laboratory tests are carried out in other health care units, either public or private. Important to note the comment and care that this individuals have with food, medical care, the times when you should take the medicines and even concern for physical activity. Finally, consider that the care of health is closely linked to the care of the spirit. Respondents express their understanding about health as a force of representation, involving youth, vitality, willingness to work, movement, social interaction, physical emotional and spiritual well-being. Conversely, the idea of disease is related to paralysis, to old age, dependence, sadness and loneliness. The study provides relevant information to improve practices related to health management actions, resulting from the development of public health policies. / A pesquisa se prop?e a identificar os efeitos na sa?de percebidos pela popula??o beneficiada pelo programa Farm?cia Popular Modelo I, localizada na Baixada Fluminense do Estado do Rio de Janeiro, Munic?pio de Nova Igua?u. O escopo te?rico tem base em Minayo, Milton Santos, Zaoual, Langdon e Wiik, Castoriadis, entre outros, na considera??o de que a sa?de deve ser entendida e tratada na dimens?o do social, da cultura, do simb?lico, levando-se em conta os efeitos que o ambiente territorial desempenha em suas narrativas sobre a vida e a sa?de. O estudo volta-se, tamb?m, para o exame hist?rico-cr?tico das pol?ticas p?blicas, em especial as pol?ticas de sa?de, com as contribui??es de Farah, Fadul e Souza, Viana e Baptista, Marques, Arretche, Secchi, Fonseca, Fleury e Ouverney, Hochman, entre outros. Discutem-se os impactos da nova gest?o p?blica refletidos nas pol?ticas de sa?de, observados na perspectiva cr?tica que considera as pol?ticas de sa?de como pol?ticas sociais, na fronteira das diversas formas de prote??o social, cuja vis?o ? entender a sa?de como um direito. Para dar conta do empreendimento emprega-se metodologia qualitativa hermen?utico-dial?tica, proposta por Minayo (2014), apoiada nas ideias de Schleiermacher (1999) e Gadamer (1999). Os relatos obtidos atrav?s das doze entrevistas realizadas com homens e mulheres, conduzidas por meio de roteiro semiestruturado, apontam a plena aceita??o do Programa do ponto de vista do acesso aos medicamentos. Em sua grande maioria os tratamentos s?o estabelecidos e acompanhados no posto de sa?de local, pr?ximo ? resid?ncia do usu?rio. Em alguns casos, os tratamentos e exames laboratoriais s?o realizados em outros servi?os de sa?de municipais, estaduais e mesmo particulares. Chama a aten??o o cuidado com que conduz a alimenta??o, o acompanhamento m?dico, os hor?rios em que deve tomar os medicamentos e at? a preocupa??o com a atividade f?sica. Finalmente, consideram que o cuidado com a sa?de est? intimamente vinculado ao cuidado do esp?rito. Os entrevistados manifestam o seu entendimento quanto a sa?de como uma representa??o de for?a, envolvendo juventude, vitalidade, disposi??o para o trabalho, movimento, conv?vio social, bem-estar f?sico emocional e espiritual. Inversamente, a ideia de doen?a ? relacionada ? paralisia, ? velhice, ? depend?ncia, ? tristeza e ? solid?o. O estudo proporciona indica??es relevantes para a melhoria das pr?ticas relacionadas ?s a??es de gest?o da sa?de, resultantes da elabora??o de pol?ticas p?blicas de sa?de.