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RESUMO Este estudo avaliou a implantação da reconciliação de medicamentos em um hospital multibloco, filantrópico e de ensino com a utilização de um sistema eletrônico para realizar o registro da atividade com atuação multiprofissional. Foram capacitados 438 profissionais da enfermagem sobre a reconciliação de medicamentos. De outubro de 2017 a março de 2018, foram registradas pelo enfermeiro, no prontuário eletrônico, a informação sobre uso prévio de medicamentos para 1.379 pacientes. Foram reconciliados pelo farmacêutico apenas 347 destes registros, sendo que 106 precisaram de intervenção com médico prescritor. O número de pacientes que tiveram o medicamento informado como de uso prévio prescrito sem nenhuma alteração foi de 180, os que tiveram o medicamento prescrito com alguma alteração foram 47, e os que não possuíam os medicamentos informados prescritos foram 106. A utilização de sistemas informatizados pode ser útil para as equipes executarem a reconciliação medicamentosa, mas depende da correta utilização do sistema e treinamento das equipes. O acompanhamento diário do farmacêutico clínico aumenta a segurança do paciente quanto ao uso de medicamentos dentro dos hospitais, entretanto, para executar a atividade, é necessário realizar algumas medidas de melhoria para obter o cumprimento da reconciliação de medicamentos dos pacientes na sua totalidade.

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Objective: to quantify and describe the discrepancies found in medication reconciliation (MR) in patients at hospital admission. Methods: Retrospective study performed from September to November 2018, based on data from the MR of patients at hospital admission of a large hospital in the city of Porto Alegre / RS. MR was shared with nursing (collection of patient’s medication history) and pharmacy (comparison of medication list before and during hospitalization). The referred drugs were classify according to the Anatomic Therapeutic Chemical (ATC) classification in their first level and the discrepancies were classify according to intentionality (intentional and unintentional). Results: 81 patients submitted to MR, and 80% of them had some discrepancy. Of the 328 drugs evaluated, 44.8% presented discrepancies, totaling 147 discrepancies, being intentional (n= 97) and unintentional (n= 50). The omission of medication was the most frequent discrepancies (48.3%). After identify unintencional discrepancies 50% of drug were included in prescription. Cardiovascular drugs and digestive and metabolism drugs were the groups with the highest frequency of discrepancy. Conclusion: Since 80% of prescriptions on hospital admission had some discrepancy regarding the use of medication by patients before hospital admission, it is understood the importance of performing MR as a pharmaceutical service and with the objective of increasing patient safety regarding drug therapy.

Introduction: Electronic dispensers of drugs and materials are automated dispensing systems that allow the control and maintenance of decentralized stocks contributing to patient safety. Objective: To describe the process of implantation of an electronic dispensary in an intensive care unit (ICU), to estimate the costs of implantation and time of return of investment, comparing pre and post implantation data. Methodology: data collection regarding cost, consumption and return of medicines and health products (PPS), as well as estimate of the cost of labor before and after the implementation of the dispensary and estimation of the time of return of investment. Results: comparing the pre and post periods, the value of drug consumption and PPS had an average reduction of 5.15% per month. Regarding the return of medicines in monetary terms, the average reduction was 91.49% per month. The return on investment occurs in 20.1 months. Conclusion: the implementation of the electronic dispensary showed a reduction of the items consumed and the return of medicines, contributing to cost reduction. Despite the initial investment cost the dispensary has a short / medium term return on investment.