Safety in drug administration: use of Bizagi® software and application of the pillars of Triple Aim

Introduction: Public and private hospital institutions have constantly experienced problems attributed to the safety and quality of care provided to their users. Objective: Introduce the implementation of a uniform and safe medication administration process using the pillars of Triple Aim. Method: I...

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Detalles Bibliográficos
Autores: da Silva, Roberta de Almeida, Caregnato, Rita Catalina, Flores, Cecília Dias
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:Brasil
Institución:Fundação Oswaldo Cruz (FIOCRUZ)
Repositorio:Vigilância Sanitária em Debate
Idioma:portugués
inglés
OAI Identifier:oai:ojs.visaemdebate.incqs.fiocruz.br:article/1186
Acceso en línea:https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1186
Access Level:acceso abierto
Palabra clave:Patient Safety
Medication Errors
Pediatrics
Medication Systems in the Hospital
Segurança do Paciente
Erros de Medicação
Pediatria
Sistemas de Medicação no Hospital
Descripción
Sumario:Introduction: Public and private hospital institutions have constantly experienced problems attributed to the safety and quality of care provided to their users. Objective: Introduce the implementation of a uniform and safe medication administration process using the pillars of Triple Aim. Method: Intervention applied research, with the support of the Process Management modeling stages carried out in an inpatient unit of a pediatric hospital, involving 23 nursing technicians and four nurses. Results: There were four stages: Describe “AS IS”, in which the existing reality was seen represented in Bizagi®, BPM software; Plan “TO BE”, in which the process for implantation was developed, considering the case of Triple Aim and the nine rights of the administration of medicines, represented by Bizagi®; Act “TO DO”, in which the implementation of the process defined through on-the-job training took place; and Evaluate “Control”, in which focal groups and interviews were carried out, verifying the professionals’ experiences about the process implemented. Conclusions: The implementation of the latest updates in the drug process through management tools, process modeling software and international initiatives has contributed to the safety in care process and also to continue looking for improvements in the nursing team’s performance.