Adverse effects from drugs in a public hospital: pilot study.

Autor: Rozenfeld S; Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil. rozenfel@ensp.fiocruz.br, Chaves SM, Reis LG, Martins M, Travassos C, Mendes W, Esteves DP, César FG, Almeida RL, Oliveira SS, Silva CM, Massafera RC
Jazyk: English; Portuguese
Zdroj: Revista de saude publica [Rev Saude Publica] 2009 Oct; Vol. 43 (5), pp. 887-90. Date of Electronic Publication: 2009 Sep 11.
DOI: 10.1590/s0034-89102009005000051
Abstrakt: The results from implementing a strategy for monitoring adverse effects from drugs in a public hospital in the municipality of Rio de Janeiro, Southeastern Brazil, in 2007, were analyzed. Based on retrospective analysis of 32 medical files, adverse effects were found in 16%. To identify these effects, 38 tracking criteria were needed. Among these, the main ones were the use of antiemetics, abrupt cessation of medication and over-sedation. Despite the difficulties, especially in relation to access to information and the record quality, application of these tracking criteria seems to be viable. To improve the implementation of the method, it is suggested that the data collection should be computerized and risk adjustment indicators should be sought.
Databáze: MEDLINE