Abstract The hospital pharmacy aims, in the context of patient safety, to collaborate in the process of health care and well-being, ensuring that the patient uses the prescribed medication, in the appropriate presentation, time, dose, dosage and routes, avoiding errors associated with medications. As an important measure to reduce the risk of…
Healthcare Mindset Haven't you felt in recent years the sensation of being overtaken by events? You probably blamed a lack of resources, equipment, or personnel. But have you ever thought that you needed to change the way you look at reality? Changing paradigm, or mindset? Not that it is outdated in its…
In 2018, Klaus Schwab, professor, engineer and economist, cited the digitalization of healthcare as the Fourth Industrial Revolution. The various technological innovations in information and data control applied to the production of goods and services involve hospital technologies. Unified electronic medical records, different forms of monitoring and care of…
Introduction In April 2013, ANVISA published Ordinance No. 529, which introduces the concern for Patient Safety into Brazilian healthcare. The ordinance was of great value even 14 years after the publication of the report “To Err is Human”, considered the first milestone in Patient Safety…
Concern about human error and organizational accident risk management is relatively recent. For at least two decades, several studies in different countries have evaluated patient safety in hospitals, but more attention is needed to system failures in order to measure and evaluate what happened in order to…
In 2017, the WHO launched a global challenge to reduce serious and preventable harm related to medicines by 2022% by 50. To help in this journey, hospital administration will need more robust monitoring systems. Some available tools are: Global Trigger Tool (GTT) Medication Safety Thermometer (MST) They…
The Patient Safety Movement Foundation - PSMF is a global, non-profit foundation with a mission to eliminate preventable medical errors. According to the PSMF, Adverse Events (AEs) are responsible for approximately 4,8 million deaths per year worldwide, a number equivalent to…
In 400 BC, the Greek physician Hippocrates said: “First, do no harm” – the quote shows the importance of managing actions related to patients, so that events that cause harm are avoided. In other words, there is always a “quid pro quo” (something for…
Adverse Events (AEs) caused by medications are those that present the greatest individual risk of harm to patients in hospitals. The medication chain involves several sectors of the hospital: Standardization Receipt Distribution Unitarization Prescription Clinical Pharmacology Medication administration Medication return. In all these steps, it is essential to…