title: Adverse effects from drugs in a public hospital: pilot study.
abstract: The results from implementing a strategy for monitoring adverse effects from drugs in a public hospital in the municipality of Rio de Janeiro, Southeastern Brazil, in 2007, were analyzed. Based on retrospective analysis of 32 medical files, adverse effects were found in 16%. To identify these effects, 38 tracking criteria were needed. Among these, the main ones were the use of antiemetics, abrupt cessation of medication and over-sedation. Despite the difficulties, especially in relation to access to information and the record quality, application of these tracking criteria seems to be viable. To improve the implementation of the method, it is suggested that the data collection should be computerized and risk adjustment indicators should be sought.
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil. rozenfel@ensp.fiocruz.br
authors.forename: Suely
authors.initials: S
authors.lastname: Rozenfeld
authors.forename: Sônia Maria Coelho
authors.initials: SM
authors.lastname: Chaves
authors.forename: Lenice G da Costa
authors.initials: LG
authors.lastname: Reis
authors.forename: Mônica
authors.initials: M
authors.lastname: Martins
authors.forename: Cláudia
authors.initials: C
authors.lastname: Travassos
authors.forename: Walter
authors.initials: W
authors.lastname: Mendes
authors.forename: David Peres
authors.initials: DP
authors.lastname: Esteves
authors.forename: Fátima Gloria D
authors.initials: FG
authors.lastname: César
authors.forename: Regina Lucia V
authors.initials: RL
authors.lastname: Almeida
authors.forename: Sueli Souza
authors.initials: SS
authors.lastname: Oliveira
authors.forename: Cosme M F Passos
authors.initials: CM
authors.lastname: Silva
authors.forename: Rodrigo C
authors.initials: RC
authors.lastname: Massafera
mesh_terms: D016907:Adverse Drug Reaction Reporting Systems; D001938:Brazil; D064420:Drug-Related Side Effects and Adverse Reactions; D006751:Hospital Information Systems; D006779:Hospitals, Public; D006801:Humans; D010865:Pilot Projects