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Advisor(s)
Abstract(s)
Introdução: Os serviços farmacêuticos hospitalares representam um importante papel dentro do contexto assistencial, sendo responsáveis por diversas atividades relacionadas com medicamento. Compreende todas as atividades inerentes à seleção, preparação, armazena-mento, manipulação e distribuição de medicamentos em ambiente hospitalar, contribuindo para a melhoria contínua da qualidade dos cuidados hospitalares prestados aos doentes. Neste contexto, torna-se importante estabelecer linhas orientadoras claras, condutas e práti-cas padronizadas, na perspetiva da promoção da melhoria contínua da qualidade. Objetivo: Contribuir para o desenvolvimento de um referencial de certificação de servi-ços farmacêuticos hospitalares a partir da identificação de indicadores da qualidade em utili-zação pelos modelos de acreditação e referenciais de certificação, nas áreas de Preparação de Medicamentos e Distribuição de Medicamentos. Metodologia: foi realizado um estudo qualitativo, de natureza transversal e exploratório. Foi solicitado a um conjunto de peritos a seleção de indicadores que consideravam relevantes para a medição da qualidade prestada, nas áreas de Preparação de Medicamentos e Distri-buição de Medicamentos, nos serviços farmacêuticos hospitalares, a partir de indicadores da qualidade referenciados em organismos de acreditação e certificação. Tendo por base a abor-dagem Delphi, foi efetuada uma ronda, de onde se obteve o consenso por parte do grupo focal. Resultados: Foram levados a consenso 88 indicadores. A análise dos dados após a primeira ronda, permitiu identificar 65 indicadores da qualidade que foram considerados rele-vantes pelo painel. Estes abrangem diferentes aspetos relacionados com as áreas de Prepa-ração de Medicamentos e Distribuição de Medicamentos dos serviços farmacêuticos hospita-lares. Conclusão: A seleção destes indicadores pode permitir o início da construção de um referencial de certificação que abranja os serviços farmacêuticos hospitalares em Portugal, orientado para a excelência e para a equipa multidisciplinar que os integram.
ABSTRACT - Introduction: Hospital pharmaceutical services play an important role within the care system, being responsible for various activities related to medication. It comprises all activities inherent to the selection, preparation, storage, manipulation, and distribution of medicines in a hospital environment, contributing to the continuous improvement of the quality of hospital care provided to patients. In this context, it is important to establish clear guidelines, conduct, and standardized practices, to continuously promote quality improvement. Objective: Contribute to the development of a referential for certification of hospital pharmaceutical services based on the identification of quality indicators, used by the accreditation model and certifications referential, in Medication Preparation and Medication Distribution areas. Methodology: a qualitative, cross-sectional, and exploratory study was carried out. A group of experts were asked to choose the indicators they considered relevant for measuring the quality provided, in Medication Preparation and Medication Distribution areas, in hospital pharmaceutical services, based on quality indicators referenced in accreditation and certifica-tion bodies. Based on the Delphi approach, a round was carried out, from which consensus was obtained by the focus group. Results: 88 indicators were brought to consensus. Data analysis after the first round identified 65 quality indicators that were considered relevant by the panel. These, cover different aspects related to the Medication Preparation and Medication Distribution areas of the hospital pharmaceutical services. Conclusion: The selection of these indicators can allow the beginning of the construction of a certification reference that covers hospital pharmaceutical services in Portugal, oriented towards excellence and the multidisciplinary team that integrates them.
ABSTRACT - Introduction: Hospital pharmaceutical services play an important role within the care system, being responsible for various activities related to medication. It comprises all activities inherent to the selection, preparation, storage, manipulation, and distribution of medicines in a hospital environment, contributing to the continuous improvement of the quality of hospital care provided to patients. In this context, it is important to establish clear guidelines, conduct, and standardized practices, to continuously promote quality improvement. Objective: Contribute to the development of a referential for certification of hospital pharmaceutical services based on the identification of quality indicators, used by the accreditation model and certifications referential, in Medication Preparation and Medication Distribution areas. Methodology: a qualitative, cross-sectional, and exploratory study was carried out. A group of experts were asked to choose the indicators they considered relevant for measuring the quality provided, in Medication Preparation and Medication Distribution areas, in hospital pharmaceutical services, based on quality indicators referenced in accreditation and certifica-tion bodies. Based on the Delphi approach, a round was carried out, from which consensus was obtained by the focus group. Results: 88 indicators were brought to consensus. Data analysis after the first round identified 65 quality indicators that were considered relevant by the panel. These, cover different aspects related to the Medication Preparation and Medication Distribution areas of the hospital pharmaceutical services. Conclusion: The selection of these indicators can allow the beginning of the construction of a certification reference that covers hospital pharmaceutical services in Portugal, oriented towards excellence and the multidisciplinary team that integrates them.
Description
Mestrado em Gestão e Avaliação de Tecnologias em Saúde
Keywords
Gestão em Saúde Serviços farmacêuticos Meio hospitalar Qualidade em saúde Indicador de saúde Health management Pharmaceutical services Hospital Quality in health care Health indicator Portugal
Citation
Alexandre MM. Contributo para um referencial de certificação de serviços farmacêuticos hospitalares [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; Escola Superior de Saúde da Universidade do Algarve; 2024.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa