Adverse effects from drugs in a public hospital: pilot study.
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.
Rozenfeld
Suely
S
Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil. rozenfel@ensp.fiocruz.br
Chaves
Sônia Maria Coelho
SM
Reis
Lenice G da Costa
LG
Martins
Mônica
M
Travassos
Cláudia
C
Mendes
Walter
W
Esteves
David Peres
DP
César
Fátima Gloria D
FG
Almeida
Regina Lucia V
RL
Oliveira
Sueli Souza
SS
Silva
Cosme M F Passos
CM
Massafera
Rodrigo C
RC
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