Evolução farmacêutica: implementação em um hospital universitário com a utilização de prontuário eletrônico

Objective: The study aimed to build semi-structured models to implement the pharmaceutical evolution in the electronic health records in the pediatrics unit of the University Hospital of the Federal University of Juiz de Fora - Minas Gerais. Methods: The descriptive cross-sectional study was conduct...

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Detalhes bibliográficos
Autores: Teixeira Trindade, Marianne, Minateli, Milene Machado
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Brasil
Recursos:Universidade Federal de Juiz de Fora (UFJF)
Repositorio:HU Revista (Online)
Idioma:portugués
OAI Identifier:oai:periodicos.ufjf.br:article/44192
Acesso em linha:https://periodicos.ufjf.br/index.php/hurevista/article/view/44192
Access Level:acceso abierto
Palavra-chave:Hospital Pharmacy Service. Pharmacist. Electronic Health Records. Clinical Pharmacy Information System. Pediatrics.
Serviço de Farmácia Hospitalar
Farmacêutico
Registros Eletrônicos de Saúde
Sistema de Informação Hospitalar
Pediatria
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oai_identifier_str oai:periodicos.ufjf.br:article/44192
network_acronym_str BR
network_name_str Brasil
repository_id_str
dc.title.none.fl_str_mv Evolução farmacêutica: implementação em um hospital universitário com a utilização de prontuário eletrônico
Pharmacist’s clinical evolution: implementation in a university hospital with the use of electronic health record
title Evolução farmacêutica: implementação em um hospital universitário com a utilização de prontuário eletrônico
spellingShingle Evolução farmacêutica: implementação em um hospital universitário com a utilização de prontuário eletrônico
Teixeira Trindade, Marianne
Hospital Pharmacy Service. Pharmacist. Electronic Health Records. Clinical Pharmacy Information System. Pediatrics.
Serviço de Farmácia Hospitalar
Farmacêutico
Registros Eletrônicos de Saúde
Sistema de Informação Hospitalar
Pediatria
title_short Evolução farmacêutica: implementação em um hospital universitário com a utilização de prontuário eletrônico
title_full Evolução farmacêutica: implementação em um hospital universitário com a utilização de prontuário eletrônico
title_fullStr Evolução farmacêutica: implementação em um hospital universitário com a utilização de prontuário eletrônico
title_full_unstemmed Evolução farmacêutica: implementação em um hospital universitário com a utilização de prontuário eletrônico
title_sort Evolução farmacêutica: implementação em um hospital universitário com a utilização de prontuário eletrônico
dc.creator.none.fl_str_mv Teixeira Trindade, Marianne
Minateli, Milene Machado
author Teixeira Trindade, Marianne
author_facet Teixeira Trindade, Marianne
Minateli, Milene Machado
author_role author
author2 Minateli, Milene Machado
author2_role author
dc.subject.por.fl_str_mv Hospital Pharmacy Service. Pharmacist. Electronic Health Records. Clinical Pharmacy Information System. Pediatrics.
Serviço de Farmácia Hospitalar
Farmacêutico
Registros Eletrônicos de Saúde
Sistema de Informação Hospitalar
Pediatria
topic Hospital Pharmacy Service. Pharmacist. Electronic Health Records. Clinical Pharmacy Information System. Pediatrics.
Serviço de Farmácia Hospitalar
Farmacêutico
Registros Eletrônicos de Saúde
Sistema de Informação Hospitalar
Pediatria
description Objective: The study aimed to build semi-structured models to implement the pharmaceutical evolution in the electronic health records in the pediatrics unit of the University Hospital of the Federal University of Juiz de Fora - Minas Gerais. Methods: The descriptive cross-sectional study was conducted with individuals who were admitted to the non-COVID-19 pediatrics unit from December   01, 2021 to January 31, 2022, and had the pharmacist's clinical activities recorded in their electronic health record. Information was collected from users through the Pharmaceutical History Taking and from the history taking of other professionals, besides the evaluation of prescriptions and recording of interventions suggested by the pharmacist according to the identification of inconsistencies regarding dose, dilutions/diluents, drug interactions, occurrence of adverse reactions, therapeutic duplicity, Y- incompatibilities, and health education. Results: Fourteen semi-structured models based on the SOAP method (Subjective; Objective; Assessment; Plan) were created to    implement the pharmaceutical evolution with record standardization. During the   study period there were 66 hospitalizations. Of these, 45 were eligible and recorded in the electronic document of the pharmaceutical history taking and the result of the assessment of the daily prescriptions, with or without pharmaceutical interventions. Conclusion: The study showed that the electronic health record provides better continuity of care by the pharmacy team within the pediatric sector and broad access to information, in addition to enriching communication and valuing the service of the clinical pharmacist.
publishDate 2024
dc.date.none.fl_str_mv 2024-07-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
ArtOr
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufjf.br/index.php/hurevista/article/view/44192
10.34019/1982-8047.2024.v50.44192
url https://periodicos.ufjf.br/index.php/hurevista/article/view/44192
identifier_str_mv 10.34019/1982-8047.2024.v50.44192
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.ufjf.br/index.php/hurevista/article/view/44192/27701
dc.rights.driver.fl_str_mv Copyright (c) 2024 Marianne Teixeira Trindade, Milene Machado Minateli
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2024 Marianne Teixeira Trindade, Milene Machado Minateli
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora UFJF
publisher.none.fl_str_mv Editora UFJF
dc.source.none.fl_str_mv HU Revista; v. 50 (2024); 1-7
1982-8047
0103-3123
reponame:HU Revista (Online)
instname:Universidade Federal de Juiz de Fora (UFJF)
instacron:UFJF
instname_str Universidade Federal de Juiz de Fora (UFJF)
instacron_str UFJF
institution UFJF
reponame_str HU Revista (Online)
collection HU Revista (Online)
repository.name.fl_str_mv HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)
repository.mail.fl_str_mv revista.hurevista@ufjf.edu.br
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spelling Evolução farmacêutica: implementação em um hospital universitário com a utilização de prontuário eletrônicoPharmacist’s clinical evolution: implementation in a university hospital with the use of electronic health recordHospital Pharmacy Service. Pharmacist. Electronic Health Records. Clinical Pharmacy Information System. Pediatrics.Serviço de Farmácia HospitalarFarmacêuticoRegistros Eletrônicos de SaúdeSistema de Informação HospitalarPediatriaObjective: The study aimed to build semi-structured models to implement the pharmaceutical evolution in the electronic health records in the pediatrics unit of the University Hospital of the Federal University of Juiz de Fora - Minas Gerais. Methods: The descriptive cross-sectional study was conducted with individuals who were admitted to the non-COVID-19 pediatrics unit from December   01, 2021 to January 31, 2022, and had the pharmacist's clinical activities recorded in their electronic health record. Information was collected from users through the Pharmaceutical History Taking and from the history taking of other professionals, besides the evaluation of prescriptions and recording of interventions suggested by the pharmacist according to the identification of inconsistencies regarding dose, dilutions/diluents, drug interactions, occurrence of adverse reactions, therapeutic duplicity, Y- incompatibilities, and health education. Results: Fourteen semi-structured models based on the SOAP method (Subjective; Objective; Assessment; Plan) were created to    implement the pharmaceutical evolution with record standardization. During the   study period there were 66 hospitalizations. Of these, 45 were eligible and recorded in the electronic document of the pharmaceutical history taking and the result of the assessment of the daily prescriptions, with or without pharmaceutical interventions. Conclusion: The study showed that the electronic health record provides better continuity of care by the pharmacy team within the pediatric sector and broad access to information, in addition to enriching communication and valuing the service of the clinical pharmacist.Introduction: The act of documenting in the medical records the activities related to pharmacotherapeutic monitoring has been emphasized by societies and organizations of hospital pharmacists over the years in several countries, thereby reinforcing the need to orderly record their activities through writing standards to optimize care and enhance recognition among the multidisciplinary team. Objective: To develop semi-structured models to implement pharmaceutical progress in electronic medical records in the pediatric unit of the University Hospital at the Federal University of Juiz de Fora – Minas Gerais. Material and Methods: A descriptive cross-sectional study was conducted with patients admitted to the non-COVID-19 pediatric ward from December 1, 2021, to January 31, 2022, whose clinical activities by the pharmacist were recorded in the electronic medical records. Information from users was collected through medical history and input from other professionals, in addition to evaluating prescriptions and documenting pharmacist-suggested interventions related to identified inconsistencies in dosage, dilutions/diluents, drug interactions, occurrence of adverse reactions, therapeutic duplicity, Y-site incompatibilities, and health education. Results: Fourteen semi-structured models based on the SOAP method (Subjective; Objective; Assessment; Plan) were included and implemented for the application of pharmaceutical progress with standardized recording. During the study period, there were 66 hospital admissions. Of these, 45 were eligible and had records in the electronic document of pharmaceutical history and daily prescription assessment results, whether or not pharmaceutical interventions were present. Conclusion: The study aimed at creating a model for clinical progress notes, aiming to enhance effectiveness and continuity of care in the pediatric sector, as well as to enrich communication and recognize the value of the clinical pharmacist's service.Editora UFJF2024-07-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtOrapplication/pdfhttps://periodicos.ufjf.br/index.php/hurevista/article/view/4419210.34019/1982-8047.2024.v50.44192HU Revista; v. 50 (2024); 1-71982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/44192/27701Copyright (c) 2024 Marianne Teixeira Trindade, Milene Machado Minatelihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessTeixeira Trindade, MarianneMinateli, Milene Machado 2024-05-15T20:14:26Zoai:periodicos.ufjf.br:article/44192Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2024-05-15T20:14:26HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false
score 15,198674

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