THE MEDICATION SYSTEM IN A REGIONAL HOSPITAL IN THE STATE OF RIO GRANDE DO NORTE: EVALUATION AND INTERVENTION PROPOSAL
Patient safety; Medication system; Medication errors.
Introduction: Medication errors are among the main events that affect patients and have serious individual and institutional consequences. These events can be related to any phase of the medication process, from prescription, storage, dispensing, preparation and administration. Objective: To evaluate the organization of the medication system of a regional hospital in the state of Rio Grande do Norte, in its aspects that may favor the occurrence of errors. Methodology: This is a descriptive-exploratory study with a quantitative approach, where data were collected between the months of December 2019 and February 2020, after approval by the Research Ethics Committee, through a structured interview script with one of the professionals responsible for the medication system and through a second script used to analyze the medical records of patients admitted to the surgical clinic sector of the hospital. The information collected was organized in a database built from the IBM SPSS software program, and presented in a descriptive manner and in tables containing absolute and relative frequencies. Results and discussion: The main results found were: most prescriptions written manually and with carbon copies (99.3%), illegibility in their spelling (90%), use of acronyms, abbreviations and commercial names (100%) , dispensing by individual dose (80%), absence of clinical activity by the pharmacist, absence of the Drug Standardization Commission and electronic stocking system, storage and unsafe dispensing of drugs, absence of records of the occurrence of adverse events and errors related to medication. Conclusions: Assessing the organization of the hospital's medication system allowed the identification of some potential flaws for the occurrence of adverse events and medication-related errors and enabled the construction of an intervention proposal that could be used to improve the system's organization and thus promote safer care.