Análise situacional da segurança do sistema de utilização de medicamentos em hospitais brasileiros: um estudo multicêntrico.

Abstract

Medication use is a complex process, which involves several stages, as well as several professionals, the patients themselves, their family and caregivers. Thus, the complexity of this medication system contributes to the occurrence of medication errors and harm resulting from them, configuring a serious public health problem. In view of this, the present study aims to carry out a situational diagnosis of the safety of medication use in Brazilian hospitals through the Medication Safety Self-Assessment for Hospitals ® (MSSAH) and factors associated with unsafe practices in the use of medicines. This is a multicenter cross-sectional study, in which the results of the application of the MSSAH, between 2015 and 2020, in 30 Brazilian hospitals were described. It was also evaluated whether the institutional profile was associated with higher scores in the self-assessment using logistic regression. The average proportion of points obtained was of 36.7±10.9% (minimum = 11.5%; maximum = 59.7%). The need to improve the use of devices for the preparation and administration of medication solutions, professional development and patient education was highlighted. A positive association was identified between higher scores and the large or special size of the hospitals (p=0.026); and having accreditation certification (p=0.007). The study made it possible to identify the main weaknesses and opportunities for intervention to improve the quality of the medication system in the evaluated hospitals, bringing to light an important reflection to national institutions.