IFDP`16 -Systems & Design:Beyond Processes and Thinking medicaç ã o: estudio em uma realidade brasileira. Farmá cia hospitalar como oportunidade para a gestã o de design no trabalho de prevenç ã o do erro de AbstractMedication error is a potential risk in any hospital. Preventing medication error must therefore be a continuous work, aiming the safety of the patients. The creation of a safety culture throughout all the hospital medication system is an important step to reduce probability of error. (Werner, Nelson e Boehm-Davis, 2012; Anvisa, 2010; Otero López et al., 2008b;Schneider, 2007; among others). Thus, design management may act in order to contribute solving problems in an ordered and logic way (Borja de Mozota, Klöpsch and Xavier da Costa, 2011) and to collaborate with the strategic efficiency of interrelations (Best, 2012