Elaboração de estratégias para o gerenciamento seguro de medicamentos potencialmente perigosos em um hospital municipal do estado do Ceará

Abstract

The process of medication use is marked by the presence of several stages and the complexity of each one of them. High-alert medications (HAM) are recognized for their ability to increase the chance of damage into patients and have high risk related in the first place to failures in the process of use. The purpose of this paper was to elaborate strategies to contribute to the safe management of High-alert medications (HAM) in a municipal hospital in the state of Ceará, located in Maracanaú. This is an interventionist study with a quantitative approach, conducted from April to December 2018 and from April to October 2019. The study began with a literature search on MPP-related issues. Following meetings with an institution's pharmaceutical professional, this was followed by a comparative analysis of the institution's standardized drug list and the MPP official list released by the Institute for Safe Medication Practices (ISMP). Then, sequential visits were made to the hospital's inpatient units to form a situational diagnosis about the routine use of these medicines. From the analysis performed strategies were developed involving the stages of prescription, dispensing, administration and storage of such medicines. Such strategies included the elaboration of a MPP utilization flow, the construction of an MPP utilization assistance protocol and an informative assistance manual about standardized MPPs. The routine use of MPP was demonstrated in a flowchart format in order to assist health professionals in mapping their activities. The care protocol was built in order to standardize the conduct of health professionals in the process of using MPP. The informative care manual sought to provide information on each standardized MPP, as well as information on medicine calculations. All the elaborated instruments were evaluated by pharmaceutical professionals who work in the institution and have expertise in this subject and, so that they could make their contributions of improvement and adaptation to the reality of the hospital. The instruments elaborated in this work consist of useful tools for the qualification of care in the use of MPP, helping in the care and promoting patient safety in the institution.