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This aim of the research was to explore pharmacist prescribing (PP) with a focus on antimicrobials, in hospitals in Scotland. A mixed-methods approach was used to collect, generate and synthesise data. A systematic review of peer-reviewed published literature on evidence-based roles for the pharmacist as part of an antimicrobial multidisciplinary team, identified roles for pharmacists within the teams but limited evidence relating to outcomes associated with these roles. Six qualitative focus groups, with 37 hospital pharmacists in 5 Scottish Health Boards, contextualised perceptions of barriers to, and facilitators of, implementation of PP in hospitals. Key themes were: perceived lack of pharmacy management support to take on a prescribing role and little strategic attention paid to PP implementation and sustainability. These issues were discussed in relation to PP in general and not only for antimicrobials. Participants perceived successful implementation of PP to be associated with factors including ward type and patient’s clinical condition. None of the pharmacists were prescribing antimicrobials and consequently further studies focused on PP in general. A scoping exercise, utilising various sources of information, reinforced findings from Phase 1; it highlighted the absence of any national or Health Board frameworks to support implementation of PP in secondary care in Scotland. Consensus-based research was undertaken, therefore, to provide guidance to facilitate service redesign involving PP in secondary care in Scotland. A Delphi approach undertaken with 40 experts, mainly in strategic posts, resulted in a high level of agreement in areas relating to succession planning, rather than role development; more variability was obtained in areas relating to future orientation of service, competencies required by prescribers and potential development of non-medical prescribing teams. The guidance was developed into a self-assessment toolkit providing an analytical strategy for implementation and role development of PP in secondary care. While the results and conclusions generated through this research need to be interpreted with caution, the data generated is an original contribution to the evidence base relating to PP.

Magister Pharmaceuticae - MPharm / Background In recent years the focus of pharmacy practice has changed from being primarily ‘drugcentred to’ one which is ‘patient-centred’ (El-Awady et al., 2006, p.1). Developments in pharmacy curricula worldwide are reflecting this change. Pharmacy courses no longer concentrate primarily on theoretical content, but increasingly on the ability of students to apply their theoretical knowledge in practice.The South African Pharmacy Council (SAPC) requires that pharmacy education and training in South Africa equips pharmacists for the roles they will take on in practice. In order to accomplish this, the SAPC has prescribed competency unit standards for entry level pharmacists which may serve as a guide for pharmacy educators. A significant challenge in pharmacy education is the application of theory in practice settings(Bucciarelli et al., 2007), which possibly affects the ability of entry-level pharmacists to meet the SAPC unit standard competencies. The dire shortage of pharmacists in public sector health settings further emphasizes the need for a level of competency of entry level pharmacists so that they may enter the workplace ready to serve the medicine related needs of society.Service-learning is defined as experiential learning in which students engage in structured activities that address community needs and promote learning. The purpose of this study was to design, implement and evaluate a Service-learning in Pharmacy (SLIP) intervention which is intended to serve as a generic model which can be used in tertiary hospital pharmacies. The SLIP intervention aimed to promote student learning by providing opportunities for students to engage in structured activities, while simultaneously alleviating pharmacy workload.Methods: The study was directed to UWC final year pharmacy students and pharmacists employed at a hospital pharmacy. Qualitative and quantitative research methods were used in evaluating this pre- and post-intervention enquiry. Qualitative evaluation methods included pre- and post- focus group discussions with students to assess student knowledge and expectations of SLIP. Covert observation of pharmacists was used to assess current views and receptivity toward student activities during the SLIP course. Quantitative evaluation methods included pre- and post-intervention student competency assessments in areas of hospital pharmacy practice (compounding, dispensing and clinic/ward pharmacy), and pre- and post-intervention questionnaires which assessed pharmacists’ views and receptivity toward SLIP. Results Students (n=16) and pharmacists (n=9) who were involved in the intervention comprised the study cohort.Qualitative: Pre-intervention, students indicated a lack of confidence and apprehension toward SLIP. Pharmacy managers were anxious about lack of time and space and the additional burden of training students. Post- intervention, students experienced a sense of professionalism and could connect with varied theoretical knowledge. They were both enthusiastic about this style of learning (“saw the pharmacy profession with new eyes”) and realized the need for more skills development in clinical pharmacy. Pharmacists’ receptivity to SLIP increased once student contribution to service delivery became evident.Quantitative: Student competency in areas of hospital pharmacy practice increased as a result of their participation in the Tygerberg SLIP model. Students also made a valuable contribution to service delivery at Tygerberg hospital pharmacy. This was quantified as the total number of services in compounding (n= 807), dispensing (n=2090) and clinic/ward services (n= 37). Conclusion:The SLIP intervention resulted in improved perceptions and receptivity of pharmacists to service learning initiatives. Students’ level of competency increased in hospital pharmacy practice and they contributed to service delivery at Tygerberg hospital pharmacy. Further studies are needed to evaluate the impact of the SLIP model on patient care and health outcomes.

Submitted by Biblioteca da Faculdade de Farmácia (bff@ndc.uff.br) on 2017-03-22T17:40:52Z No. of bitstreams: 1 Santos, Ana Izabel Bezerra [Dissertação, 2014].pdf: 14837704 bytes, checksum: 251d1b7592c1fd8d834033af111ff9b3 (MD5) / Made available in DSpace on 2017-03-22T17:40:52Z (GMT). No. of bitstreams: 1 Santos, Ana Izabel Bezerra [Dissertação, 2014].pdf: 14837704 bytes, checksum: 251d1b7592c1fd8d834033af111ff9b3 (MD5) / O Instituto para Práticas Seguras no Uso de Medicamentos (ISMP) define uma lista de Medicamentos Potencialmente Perigosos (MPP) a ser utilizada pelos hospitais para fundamentar a elaboração de listas próprias das instituições hospitalares. Dificuldades podem ser encontradas pelas instituições ao incluir medicamentos na sua lista, devido ao grande número de MPP na lista do ISMP e a tendência de número de itens limitado pelos procedimentos de segurança adicionais que em geral acompanham a entrada desse tipo de medicamentos na lista. Esse trabalho objetiva desenvolver de uma ferramenta que avalie critérios relacionados aos riscos na utilização de medicamentos no âmbito hospitalar, promovendo uma escolha mais segura dos medicamentos a fazer parte da lista de MPP da instituição. Para isso, uma revisão de literatura foi realizada e foram incluídos questionamentos referentes aos riscos intrínsecos ao medicamento e riscos extrínsecos referentes ao processo de utilização hospitalar. Por se tratar de área multidisciplinar, a ferramenta foi validada através do método de consenso de especialistas, que além de determinar a inclusão e exclusão de itens, também determinou os valores atribuídos às respostas dos questionamentos. Após a validação, a ferramenta mostrou ser de fácil utilização, apresentando após sua utilização uma classificação de risco dos medicamentos da instituição, que possibilitará estabelecer prioridades de inclusão na lista de MPP, sendo os de maior risco os primeiros a serem incluídos. A utilização da ferramenta pode auxiliar a inclusão de medicamentos na lista de MPP da instituição de maneira mais criteriosa, contribuindo para o aumento da segurança dos pacientes / The Institute for Safe Practices in the Use of Medicines (ISMP) defines a list of High-Alert Medication (HAM) to be used by hospitals to support the development of their own lists. Difficulties may be encountered by institutions to include medications in their own list, due to the large number of HAM in ISMP’s list and the trend of the number of items limited by the additional security procedures that usually accompany the entry of such drugs on the institutional list. This work aims to develop a tool to assess risks related to the use of medicines in hospitals, promoting a safer choice of drugs to be part of the HAM institutional list. For this, a literature review was conducted and questions related to intrinsic and extrinsic drug risks related to the use of hospital process risks were included. As it is a multidisciplinary area, the tool has been validated by the method of expert consensus, which in addition to determine the inclusion and exclusion items, also determined the values assigned to answers the questions. After validation, the tool proved to be easy to use, with its use after a risk rating of the institution of the drugs, which allow to set priorities for listing of HAM, the highest risk being the first to be included. The use of the tool can aid the inclusion of medicines on the list of HAM to implementing more rigorous way, contributing to increased patient safety

The need for a positive safety culture in healthcare is essential. It not only advances the prevention and reduction of possible medical errors and threats to patient safety, but also enhances the overall quality of healthcare services provided, especially in respect of medication safety. While the evolution and surge in hospital pharmacies has bolstered treatment possibilities, the risk of harm to patients has also increased as errors in the provision of medication by pharmacists create a threat to patient safety. The increasing need to deploy a protective measure to enhance patient safety culture in the healthcare is imperative suggesting the necessity for the inclusion of new knowledge through the process of organizational learning. Safety culture and organizational learning are complex constructs which may be measured, to some extent, by validated instruments. The current study seeks to assess the reliability and validity of a translated Arabic version of the learning organization survey short-form (LOS-27), and the pharmacy survey on patient safety culture (PSOPSC) through the evaluation of pharmacy staff’s knowledge about organizational learning and patient safety culture in public and private hospital pharmacies of Kuwait. The aim is to explore the relationship between organizational learning and patient safety culture in hospital pharmacy settings through the LOS-27 and PSPOSC instruments. In addition, the relationship between the different dimensions of organizational learning and pharmacy patient safety culture is explored. The results highlighted the adequacy of the Arabic translation of the LOS-27 and PSOPSC questionnaires as they depicted the reliability and validity consistent with the original surveys results. It was also found that in the context of Kuwaiti pharmacies, organizational learning was positively related to performance of the staff in creating a positive patient safety culture. Several dimensions of the organizational learning showed association with various elements of patient safety culture in pharmacy settings, specifically: training, management that reinforces learning, and a supportive learning environment had the strongest effects on the pharmacy patient safety culture dimensions. The contribution of this thesis is in three areas. First, it is the first research that links organizational learning with patient safety culture in a hospital pharmacy setting (theoretical contribution). Second, the research is useful for research scholars as it combines the two questionnaires, LOS-27 and PSOPSC, on the same participants using a single form to explore the relationship between organizational learning and patient safety culture in a hospital pharmacy setting and their dimensions (method contribution). Third, this research contributed to the currently limited literature that examines patient safety culture and organizational learning by considering the context of Kuwait (Contextual Contribution).

Made available in DSpace on 2016-08-10T10:29:28Z (GMT). No. of bitstreams: 1 CARLOS ROBERTO CESSEL PEREIRA.pdf: 842792 bytes, checksum: 96c8aac58118444975fd00fb76640143 (MD5) Previous issue date: 2008-05-14 / The scenario of this work are the University Hospitals, maintained by the Ministries of Education and Health, and the object is the planned deployment of the environment of hospital pharmacy. The practice of contracting Brazilian eases the management of government resources in University Hospitals (HU's) and exits of managing the financial goals and objectives and be based on decisions by quality and physical targets. The HU's institutions are to support education in the health field, and are belonging to the Federal Universities, have not for profit, which prevents analysis of the financial management of the "return on investment." This paper proposes to review the alternative service in HU's pharmacy, taking into account the assumption the evaluation of performance of hospitals from contracting, focusing on the decision by qualitative analysis. The tool, among others studied, chosen for the qualitative assessment is the model for decisionmaking with multiple criteria called Analytic Hierarchy Process (AHP), therefore, involves the decision multivariate multipessoal and observation. It is proposed to bring the AHP to the environment of technological product, considering the hospital pharmacy as a tool, a technological product to be used, where to fit the criteria of quality proposes to use the standard NBR ISO / IEC 9126 -- 1:2003. A scenario of real HU is used to display the real application of the method, and its results are a validation of the method AHP to the process, the reliability and efficiency criteria being determined as the most important in choosing alternative and produce the drugs in HU itself, with all the necessary biosafety has been chosen. / O cenário deste trabalho são os Hospitais Universitários, mantidos pelos Ministérios da Educação e da Saúde, e, o objeto é a implantação planejada do ambiente de farmácia hospitalar. A prática brasileira de contratualização flexibiliza a gestão de recursos governamentais em Hospitais Universitários (HU s) e permite sair da gestão orientada aos objetivos e metas financeiras e apoiar-se em decisões por qualidade e metas físicas. Os HU s são instituições de apoio ao ensino da área da saúde, e, são pertencentes às Universidades Federais, não possuem fins lucrativos, o que impede análises financeiras da gestão do tipo retorno sobre o investimento . Neste trabalho propõe-se avaliar alternativas do serviço de farmácia em HU s, levando em conta o pressuposto a avaliação de desempenho dos hospitais a partir da contratualização, focando na decisão por análise qualitativa. A ferramenta, dentre outras estudadas, escolhida para a avaliação qualitativa é o modelo para tomada de decisão com múltiplos critérios denominados Analytic Hierarchy Process (AHP), pois, envolve a decisão multivariada e a observação multipessoal. Propõe-se adequar o AHP ao ambiente do produto tecnológico, por considerar a farmácia hospitalar, enquanto ferramenta, um produto tecnológico a ser utilizado, sendo que, para a adequação dos critérios de qualidade propõe-se utilizar a norma NBR ISO/IEC 9126-1:2003. Um cenário real de HU é utilizado para apresentar a aplicação real do método, e, seus resultados são: a validação do método AHP para o processo, os critérios confiabilidade e eficiência sendo determinado como os mais importantes na escolha e a alternativa produzir os fármacos, no próprio HU, com toda a biossegurança necessária foi a escolhida.

Este trabalho teve por objetivo a avaliação da atuação dos farmacêuticos que trabalham na Divisão de Farmácia do HCFMRP-USP mediante o estudo de suas práticas em benefício da Assistência Farmacêutica, bem como caracterizar a Farmácia Hospitalar (FH) e seus farmacêuticos, comparando as atividades por eles desenvolvidas com aquelas recomendadas pela literatura. Foram aplicados dois questionários aos 19 farmacêuticos participantes sendo que um deles visava traçar um perfil dos participantes e o segundo verificar quais atividades são desenvolvidas pela Divisão de Farmácia e o grau de participação destes.Um terceiro questionário destinado à caracterização da Farmácia Hospitalar foi aplicado apenas à diretora técnica. Como resultados obtivemos que apesar da Farmácia possuir uma função definida dentro da estrutura organizacional do hospital bem como em relação às atividades desenvolvidas, esta ainda possui um perfil centralizado no medicamento com poucas atividades direcionadas ao paciente.Em relação às atividades essenciais a serem oferecidas pela FH, obtivemos uma atuação satisfatória com ausência de alguns segmentos como o Serviço de Informação de Medicamentos e Seguimento Farmacoterapêutico.Os farmacêuticos em geral possuem uma boa formação profissional com relação à capacitação técnica, no entanto em relação ao ano pesquisado não houve o desenvolvimento de nenhuma produção científica.Estes se encontram insatisfeitos em diversos aspectos como o dimensionamento dos recursos humanos e estrutura física e 68% se auto-avaliam relação à atuação dentro da Assistência Farmacêutica como pouco atuantes, sendo que uma boa auto-avaliação está indiretamente relacionada ao tempo de serviço.Os resultados deste estudo permitiram um maior conhecimento sobre o desempenho tanto da FH quanto de seus profissionais farmacêuticos, além de fornecer dados que podem ser utilizados como referência para a elaboração de prioridades e estratégias para o desenvolvimento e aprimoramento da Divisão de Farmácia. / The aim of this study was to assess the pharmacists performance who work in the Pharmacy Division of HCFMRP-USP by studying their practices regarding Pharmaceutical Assistance, and to characterize the Hospital Pharmacy and its pharmacists, comparing their activities to those recommended by the literature. Two questionnaires were applied to the 19 participating pharmacists, one of them used to trace the profile of the participants and the other used to determine the activities developed by the Pharmacy Division and the extent of participation of the pharmacists. A third questionnaire devoted to the characterization of the Hospital Pharmacy was applied only to the technical director of this service. The results showed that, even though the Pharmacy has a defined function within the organizational structure of the hospital and also regarding the activities performed, it still has a profile centered on medication, with few activities directed at the patient. Regarding the essential activities to be offered by the Hospital Pharmacy, we detected a satisfactory performance, with the absence of some segments such as the Service of Information about Medications and Pharmacotherapeutic Follow-up. In general, the pharmacists have a good professional training regarding technical habilitation, although no scientific production occurred during the year studied. These professionals are dissatisfied regarding several aspects such as the dimensioning of human resources and the physical structure of the premises and 68% evaluated themselves as having reduced performance within Pharmaceutical Assistance, with a good self-evaluation being related to time of service. The results of the present study provided a better knowledge of the performance of the Hospital Pharmacy and of its personnel, as well as data that could be used as reference for the elaboration of priorities and strategies for the development and improvement of the Pharmacy Division.

A prática de medicação em uma organização hospitalar pode ser vista como um sistema definido como uma combinação de processos interdependentes, envolvendo a prescrição, dispensação e administração dos medicamentos. O serviço de farmácia, preocupa-se com os resultados da assistência prestada aos pacientes, em conjunto com os demais profissionais de saúde. Além de, executar ações de farmácia clínica e atenção farmacêutica, a farmácia deve garantir que os medicamentos sejam adquiridos, distribuídos e dispensados aos pacientes de forma eficiente, assumindo um papel central nos sistemas de medicação. O objetivo principal deste trabalho foi avaliar a percepção dos farmacêuticos quanto à eficiência dos processos envolvidos em ciclo de assistência farmacêutica. Para isso, foi realizado um estudo descritivo, que consistiu inicialmente na avaliação da implantação do modelo de gestão por processos no Hospital das Clínicas de Ribeirão Preto. A série histórica do indicador da taxa de falta de medicamentos correspondente ao período de março de 2004 a dezembro de 2013 foi avaliada pelo ajuste de um modelo de regressão Bayesiano para dados em série, com base na distribuição normal, e um ponto de mudança. O modelo estatístico detectou um ponto de mudança no 10º mês a partir do mês de novembro de 2005, quando foi implantado o modelo de gestão por processos na farmácia. Porém, esse foi o único ponto de mudança detectado. Posteriormente, foi aplicado um questionário aos farmacêuticos, o qual foi divido em três partes: a primeira relacionou-se a características pessoais do farmacêutico; a segunda consistiu em uma escala de frequência verbal ou de avaliação de frequência para verificar as atividades atualmente desenvolvidas pelos farmacêuticos; e a terceira foi composta por questões, com escala de resposta do tipo Likert para verificar o nível de satisfação dos farmacêuticos e a sua percepção quanto à eficiência administrativa da farmácia. Os resultados foram analisados pelo teste exato de Fisher. Apenas 7 (30%) farmacêuticos consideraram eficientes os processos da farmácia em estudo. Doze farmacêuticos disseram estar satisfeitos com a sua participação nas atividades desenvolvidas na farmácia, sendo que a supervisão do trabalho dos auxiliares farmacêuticos associou-se com esse nível de satisfação (valor-p = 0,0226). O teste estatístico indicou associação entre a percepção de ineficiência e as atividades administrativas (valor-p = 0,0021), e entre atividades relacionadas ao atendimento e avaliação da prescrição médica (valor-p = 0,0443). Porém, a percepção de eficiência e o nível de satisfação com as atividades desenvolvidas parecem não estar associados (valor-p = 0,0584). Os resultados deste trabalho mostram que é necessário rever as atividades essenciais da farmácia hospitalar. A inclusão do farmacêutico e sua participação de forma ativa nas comissões hospitalares, principalmente a Comissão de Farmácia e Terapêutica, associadas à expansão da farmácia clínica, pode ser uma forma eficiente de controle de tecnologia no âmbito hospitalar / In a hospital organization, medication practice may be seen as a system, defined as a combination of interdependent processes, including drug prescription, dispensation and administrationThe pharmacy service is concerned about the results of health care delivered to patients in conjunction with other health professionals. The pharmacy has a central role in hospital medication systems; in addition to perform clinical pharmacy and pharmaceutical care activities, the pharmacy should also ensure that all medications are efficiently obtained, distributed and dispensed. The main objective of this study was to evaluate pharmacists\' perception of the processes involved in the pharmaceutical care cycle. We performed a descriptive study, which first evaluated the model of management by processes implemented in the Ribeirão Preto General Hospital. Time series of indicators of lack of medicines during the period from March 2004 to December 2013 were evaluated by the Bayesian regression model for serial data, based on the normal distribution of data and one change point. The statistical model identified one change point at ten month from November 2005, when the management by processes\' model was implemented in the pharmacy. This was the only change point detected by the model. Then, a questionnaire was administered to the pharmacists, which was divided into three parts: the first part was related to the pharmacists\' personal data; the second part consisted of a verbal frequency scale or the frequency assessment scale to assess the activities currently performed by the pharmacists; and the third part consisted of a Likert-type scale to assess the level of satisfaction of the pharmacists and their perception of the pharmacy management efficiency. Results were analyzed by the Fisher\'s exact test. Only 7 (30%) pharmacists considered the pharmacy processes as efficient. Twelve reported to be satisfied with their participation in the pharmacy activities, which was associated with the supervision of the work of pharmacy assistants (p=0.0226). The statistical test indicated associations between perception of inefficiency and administrative activities (p = 0.0021), and between pharmacy care activities and evaluation of medical prescription (p = 0.0443). However, the perception of efficiency seem no to be related to the level of satisfaction with the activities performed (p=0.0584). These findings reveal the necessity to reevaluate the essential activities of the hospital pharmacy. The inclusion and active participation of pharmacists in hospital committees, specially the Pharmacy and Therapeutics Committee, in conjunction with the expansion of clinical pharmacy, may be efficient to control the technology implemented in the hospital

A Farmácia Hospitalar tem por finalidade promover o uso racional do medicamento, pesquisando e gerenciando produtos com qualidade, desenvolvendo profissionais e prestando assistência integrada ao paciente e à equipe da saúde, com responsabilidade socioambiental. Dessa forma, o desenvolvimento de um modelo de construção e aplicação de um conjunto de indicadores de desempenho na Farmácia Hospitalar com foco na comparabilidade é imprescindível para o monitoramento dos resultados e o estabelecimento da melhoria contínua dos serviços prestados aos pacientes e à equipe da saúde, de forma alinhada às diretrizes institucionais. Objetivo: Desenvolver um modelo de construção e aplicação de um conjunto de indicadores de desempenho na Farmácia Hospitalar com foco na comparabilidade. Método: Utilizou-se do método qualitativo Pesquisa-ação, sendo que na fase exploratória se fez o diagnóstico da amostra do estudo; na realização dos seminários se fez a sensibilização dos sujeitos da pesquisa, análise, seleção, construção, aplicação em campo e validação da ficha técnica e especificações para construção, e do conjunto de indicadores de desempenho. Realizou-se 22 seminários presenciais de forma estruturada. A amostra foi intencional de seis hospitais (3 públicos e 3 privados) e os sujeitos da pesquisa os farmacêuticos especialistas tomadores de decisão na Farmácia Hospitalar. A coleta de dados foi realizada no período de setembro de 2006 a abril de 2008, foram aplicados dois questionários e sete formulários (manual ou eletrônico). Os dados coletados foram tratados em forma de quadros, tabelas, figuras, gráficos, cálculos de somatório, porcentagem, freqüência, média aritmética e mediana, como também, compilação por semelhança e agrupamento por categorias-chave, e apresentados de forma consolidada, para obtenção de consenso quando necessário. Resultados: Apresentou-se a caracterização do Hospital e da Farmácia Hospitalar; obteve-se o aprimoramento da ficha técnica e especificações para construção de indicadores; foi selecionado, construído, aplicado em campo e validado um conjunto com 12 indicadores de desempenho passíveis de comparação. Verificouse o grau de dificuldade e vantagens obtidas da aplicação de indicadores. Apresentou-se a estrutura para o desenvolvimento do modelo de construção e aplicação de um conjunto de indicadores de desempenho na Farmácia Hospitalar com foco na comparabilidade. Conclusão: Os resultados obtidos na pesquisa evidenciam a hipótese formulada de que, o desenvolvimento de um modelo de construção e aplicação de um conjunto de indicadores de desempenho sistematizado e passível de comparação, é factível na Farmácia Hospitalar, assim como, busca contribuir com a disseminação da cultura de utilização de indicadores de desempenho, possibilitando a Farmácia Hospitalar se comparar com referenciais internos e externos, promovendo as melhores práticas embasadas em evidências objetivas / The Hospital Pharmacy has as objective to promote the rational drug use, by researching and managing products with quality, creating professionals and providing integrated assistance to the patient and the health team, with socialenvironmental responsibility. For this, the development of a construction model and application of a set of performance indicators in the Hospital Pharmacy with focus on the comparability is absolutely necessary for monitoring results and setting up the continuous improvement of the services provided to patients and to the health team, aligned with the institutional guidelines. Objective: To develop a construction model and application of a set of performance indicators in the Hospital Pharmacy with focus on the comparability. Method: The action-research qualitative method was used and in the exploratory stage was made the diagnosis of the study sample; the awareness of the research people arose from the seminars, the analysis, selection, construction, field application and validation of the data sheet and specifications for construction, and of the set of performance indicators as well. Twenty-two seminars in situ took place in a structured way. The sample was intentional and designed by six hospitals (three public and three private hospitals) and the people of the research were the decision-makers specialist pharmacists in the Hospital Pharmacy. The collection of data was carried out from September, 2006, to April, 2008; two questionnaires and seven forms were applied (manually or electronically). The collected data were arranged in the form of pictures, tables, figures, graphs, total sum calculations, percentage, frequency, arithmetic and medium average, as well as, compilation by similarity and grouping by key-categories, and presented in a consolidated way for consensus building if necessary. Results: The improvement of the data sheet and specifications for construction of indicators was achieved; a set with twelve performance indicators subject to comparison was selected, constructed, applied in field and validated. It was verified the degree of difficulty and advantages obtained in the application of the indicators. The structure for the development of the construction model and the application of a set of performance indicators in the Hospital Pharmacy with focus on the comparability was presented. Conclusion: The results achieved in the research show clearly the formulated hypothesis, which the development of a construction model and the application of a systemized set of performance indicators and subject to comparison, is tangible in the Hospital Pharmacy, as well as, seeks to cooperate with the dissemination of the culture of the performance indicators use, enabling the Hospital Pharmacy to be compared with internal and external references, by fomenting the best practices based on objective evidences