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Introduction: The World Health Organization (WHO) is concerned with ensuring patient safety in all health services. Thousands of people suffer from errors and adverse events related to medications2. Hospitals lack financial conditions, human resources, infrastructure, and computerized support systems for the implementation of clinical pharmacy, pharmacovigilance and medication reconciliation services. The introduction of systems that help the rational use of medicines (RMU), which is one of the pillars of safety in health services, is very relevant, especially for patients and pharmacists. Objective: To develop and apply a computerized pharmaceutical decision support system for the medication reconciliation in a general hospital. Method: Study of the development and application of a digital tool, with a cross-sectional design, for the comparison between manual medication reconciliation performed by the pharmacist and medication reconciliation performed with a computerized support system. Results: In the medication reconciliation process, the computerized system reduced the time for analyzing prescriptions by eight minutes per patient. Of the 392 patients who were part of the sample, 97.7% used continuous medication at home. Among the list of home medications that were not prescribed in hospital prescriptions and identified through the system are: losartan (9.1%), levothyroxine (4.4%), metformin (3.6%), and medication for mental disorders. depression and anxiety such as: sertraline (2.9%), clonazepam (2.4%) fluoxetine (1.6%). Conclusion: The developed computerized system proved to be superior to the pharmacist's manual search during medication reconciliation and clinical pharmacy and can be a valuable tool in pharmaceutical care.
Introduction: The World Health Organization (WHO) is concerned with ensuring patient safety in all health services. Thousands of people suffer from errors and adverse events related to medications2. Hospitals lack financial conditions, human resources, infrastructure, and computerized support systems for the implementation of clinical pharmacy, pharmacovigilance and medication reconciliation services. The introduction of systems that help the rational use of medicines (RMU), which is one of the pillars of safety in health services, is very relevant, especially for patients and pharmacists. Objective: To develop and apply a computerized pharmaceutical decision support system for the medication reconciliation in a general hospital. Method: Study of the development and application of a digital tool, with a cross-sectional design, for the comparison between manual medication reconciliation performed by the pharmacist and medication reconciliation performed with a computerized support system. Results: In the medication reconciliation process, the computerized system reduced the time for analyzing prescriptions by eight minutes per patient. Of the 392 patients who were part of the sample, 97.7% used continuous medication at home. Among the list of home medications that were not prescribed in hospital prescriptions and identified through the system are: losartan (9.1%), levothyroxine (4.4%), metformin (3.6%), and medication for mental disorders. depression and anxiety such as: sertraline (2.9%), clonazepam (2.4%) fluoxetine (1.6%). Conclusion: The developed computerized system proved to be superior to the pharmacist's manual search during medication reconciliation and clinical pharmacy and can be a valuable tool in pharmaceutical care.
A mamoplastia de aumento é a segunda cirurgia mais realizada, porém como qualquer intervenção cirúrgica, envolve riscos significativos, em particular às complicações anestésicas. Por isso os cirurgiões plásticos estão cada vez mais interessados em utilizar técnicas que levam menos tempo no centro cirúrgico, que minimizem os riscos e diminuam os custos para as pacientes. Tem como objetivo verificar a eficácia e segurança da técnica Fast and low risk que é um conceito de implementação de implantes mamários. Foi desenvolvido um estudo prospectivo através de dados de pacientes submetidas a implantes mamários sob anestesia local com sedação no plano subfascial. Foram registrados dados demográficos, técnica anestésica, características do procedimento cirúrgico e complicações advindas do procedimento. Foram analisadas 182 cirurgias realizadas no período de fevereiro de 2020 a março de 2024 onde a maioria das pacientes eram mulheres cis e tinham idade entre 18 e 30 anos (94%). O tempo cirúrgico médio foi de 40 minutos, não há registros de alteração na saturação de oxigênio, depressão respiratória, náuses e/ou vômitos e nem arritmias. Foram registradas cinco complicações pós-opertórias onde duas pacientes tiveram seroma, duas tiveram contratura capsular e uma teve infecção e destas houve duas reoperações. Os resultados indicam que a técnica Fast and low é segura e eficaz para realização de mamoplastias de aumento no plano subfascial sob anestesia local e sedação.
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