Pharmaceutical Interventions in an Adult Intensive Care Unit at a Federal Hospital in Rio de Janeiro

Intervenções Farmacêuticas em Unidade de Terapia Intensiva Adulto de Hospital Federal do Rio de Janeiro

Keywords: Pharmaceutical Services, Intensive Care Units, Pharmaceutical Interventions

Abstract

The objective of the study was to identify the profile of Pharmaceutical Intervention in the ICU of a Federal Hospital in Rio de Janeiro between September 2018 and September 2019. The study design is descriptive and observational. Form development and ntervention data collection were carried out using Google FormsⓇ. The study obtained 354 interventions, increasing from 38 in 2018 to 309 in 2019. The multiprofessional team's acceptance rate increased from 78.9% to 83.5%. In 2018, the most prevalent drug was omeprazole (13%) and the ATC group that stood out was A (24.1%). In 2019, the most prevalent drug was meropenem (8.6%) and the highlighted ATC group was J (39.4%.) The main types of intervention were drug interactions in 2018 (46.9%) and dose adjustments in 2019 (31.6%). In this way, the study promoted the development of indicators to assess the quality and efficiency of the pharmaceutical service.

References

Conselho Federal de Farmácia. Resolução nº 585 de 29 de agosto de 2013. Regulamenta as atribuições clínicas do farmacêutico e dá outras providências. Diário Oficial da União da República Federativa do Brasil, Brasília, DF, 2013.[Acesso em: 10 jun. 2019.]Disponível em <http://www.cff.org.br/userfiles/file/resolucoes/585.pdf>.

Day RL, Goyan JE, Herfindal ET, Sorby DL. The Origins of the Clinical Pharmacy Program at the University of California, San Francisco. DICP. 1991;25(3):308-314. doi: https://doi.org/10.1177/106002809102500318.

Comité de Consenso. Tercer Consenso de Granada sobre problemas relacionados con medicamentos (PRM) y resultados negativos asociados a la medicación (RNM). Ars Pharmaceutica, Granada. 2007[Acesso em 16 jun. 2019.]; 48, 1:5-7. Disponível em: <http://www.saude.sp.gov.br/resources/ipgg/assistencia-farmaceutica/tercerconsensodegranadasobreproblemasrelacionadosconmedicamentosprmyresultado snegativosasociadosalamedicacionrnm.pdf>.

Berthelsen PG, Cronqvist M. The first intensive care unit in the world: Copenhagen 1953. Acta Anaesthesiol Scand. 2003;47(10):1190-1195. doi: https://doi.org/10.1046/j.1399-6576.2003.00256.x.

Marshall JC, Bosco L, Adhikari NK, Connolly B, Diaz JV, Dorman T, Fowler RA, Meyfroidt G, Nakagawa S, Pelosi P, Vincent JL, Vollman K, Zimmerman J. What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine. J Crit Care. 2017;37:270-276. doi: https://doi.org/10.1016/j.jcrc.2016.07.015.

Leape LL, Cullen DJ, Clapp MD, Burdick E, Demonaco HJ, Erickson JI, Bates DW. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA. 1999; 21;282(3):267-70. doi: https://doi.org/10.1001/jama.282.3.267.

Beccaria LM, Pereira RAM, Contrin LM, Lobo SMA, Trajano DHL. Eventos adversos na assistência de enfermagem em uma unidade de terapia intensiva. Rev bras ter intensiva [Internet]. 2009;21(3):276–82. doi: https://doi.org/10.1590/S0103-507X2009000300007.

De Medeiros RDA, Moraes JP. Intervenções farmacêuticas em prescrições médicas na unidade de terapia intensiva. Rev. Bras. Farm. Hosp. Serv. Saúde, São Paulo. 2014; 5, 2:26-29.

Kane-Gill SL, Kirisci L, Verrico MM, Rothschild JM. Analysis of risk factors for adverse drug events in critically ill patients*. Crit Care Med. 2012;40(3):823-828. doi: https://doi.org/10.1097/CCM.0b013e318236f473.

Malfará M, Pernassi M, Aragon D, Carlotti A. Impact of the clinical pharmacist interventions on prevention of pharmacotherapy related problems in the paediatric intensive care unit. Int J Clin Pharm. 2018;40(3):513-519. doi: https://doi.org/ 10.1007/s11096-018-0632-x.

de Deus CJ, de Araújo XL, Pereira SPP, Pontes OD, Almeida FMR, Tavares SPP, Souza GA. Autoavaliação dos Núcleos de Segurança do Paciente em um estado do norte do Brasil. Saud Pesq. 2023;16(2):e-11100 - e-ISSN 2176-9206. doi: https://doi.org/10.17765/2176-9206.2023v16n2.e11100.

Fideles GMA, Alcântara-Neto JM de, Peixoto Júnior AA, Souza-Neto PJ de, Tonete TL, Silva JEG da, et al. Recomendações farmacêuticas em unidade de terapia intensiva: três anos de atividades clínicas. Rev bras ter intensiva [Internet]. 2015;27(2):149–54. doi: https://doi.org/10.5935/0103-507X.20150026.

Ribeiro VF, Sapucaia KCG, Aragão LAO, Bispo ICDS, Oliveira VF, Alves, BJ. Realização de intervenções farmacêuticas por meio de uma experiência em farmácia clínica. Revista Brasileira de Farmácia Hospitalar e Serviços de Saúde, São Paulo. 2015; 6:4.

Reis WCT, Scopel CT, Correr CJ, Andrzejevski VMS. Analysis of clinical pharmacist interventions in a tertiary teaching hospital in Brazil. einstein (São Paulo) [Internet]. 2013;11(2):190–6. doi: https://doi.org/10.1590/S1679-45082013000200010

Cardinal L, Fernandes C. Intervenção farmacêutica no processo da validação da prescrição médica. Rev. Bras. Farm. Hosp. Serv. Saúde, São Paulo. 2014;5,2:14-19.

Rudall N, McKenzie C, Landa J, Bourne RS, Bates I, Shulman R. PROTECTED-UK - Clinical pharmacist interventions in the UK critical care unit: exploration of relationship between intervention, service characteristics and experience level. Int J Pharm Pract. 2017;25(4):311-319. doi: https://doi.org/10.1111/ijpp.12304.

Published
2024-06-30
Section
Artigos Originais