EFFECTS OF A QUALITY IMPROVEMENT CYCLE IN DRUGSTORE HEALTH INSPECTION
pharmacy; health inspection; health surveillance; quality improvement.
Introduction: Given the need to ensure the population's safe and quality access to
health products and services of interest to health, as well as to prevent the emergence of
health problems, the Health Surveillance (VISA) was conceptualized by Law
8.080/1990, together with the creation of the SUS. In the context of VISA's activities,
medicines also require special care. With the milestone of Law 13.021/2014, which
elevated pharmacies and drugstores to the status of health establishments and due to the
increase in the number of these establishments throughout the national territory.
Objective: To analyze the impact of a quality improvement cycle on health inspections
of drugstores in a municipality in northeastern Brazil. Methods: This is a multi-method
study that aims to develop a Quality Improvement Cycle in health surveillance in the
municipality of Paulista. The study was carried out in two stages. The first stage, of a
cross-sectional and quantitative nature, aimed to identify the critical points and
opportunities for improvement in health inspections, guiding the definition of
intervention actions. The second stage, a quasi-experimental study, without a control
group of the before and after type, aimed to evaluate the effectiveness of these
implemented actions, comparing the results obtained before and after the intervention.
Results: The implemented improvement cycle resulted in: Significant reduction in
deadlines; the average waiting time for the first inspection and for the issuance of the
health license decreased considerably. Improvement in the quality of inspections: There
was a 20% reduction in nonconformities found in inspections, indicating an increase in
the quality of the services provided by drugstores. Increase in the supply of certain
services: There was a 2.5% increase in the number of establishments selling controlled
drugs and a significant 45% increase in the supply of EAC 1 type laboratory tests.
Stability in other services: The services of measuring clinical and biochemical
parameters, administering injectable drugs and earlobe piercing remained stable.
Reduction in a specific service: There was an 18.27% reduction in the supply of rapid
tests for Covid-19. Conclusion: The improvement cycle proved to be a fundamental
tool for ensuring the quality and safety of health inspections in drugstores, standardizing
processes and reducing variability.