AUDITORIA HOSPITALAR COMO INSTRUMENTO NA PREVENÇÃO DE ERROS MEDICAMENTOSOS

Abstract

Listen

Translate article

The process performance of drug administration in a hospital environment erroneously has direct implications in the quality and the safety of care. The identification of these errors has been analyzed in audit processes to improve clinical practice, involving from the analysis of medical records, the monitoring of prescriptions by electronic systems or administrative databases. Reclamations regarding errors and adverse events related to associated medications are used directly in monitoring safety. The audit process has great influence on clinical practice and hospital management, promoting changes in the provision of health care, appreciating guidelines and protocols described and developing a sense of clinical responsibility, interprofessional understanding, and sensitivity to patients' needs. In this sense, the aim of this study is to evaluate the role of hospital auditing in the prevention of errors related to to improve care and greater safety. Thus, a systematic search of the literature the SCIELO platform was carried out using the terms patient safety, medication and audit. Medication errors and drug-related adverse events have important implications, from increased hospital stay and costs to undue discomfort and disability or increased mortality. Auditing is a process that allows quality improvement that seeks to improve care and results through systematization review of care in relation to explicit criteria and the implementation of changes, assisting in promoting quality care by offering a systematic structure to investigate and evaluate the work of health professionals and to introduce and monitor improvements. All studies evaluated reported errors related both in the process of prescription of medications and in their administration, causing harm to patients, especially adverse events, highlighting the failure in the quality of care, thus compromising safety.