Banca de QUALIFICAÇÃO: ANDREIA SUELLE MOURA FONSECA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : ANDREIA SUELLE MOURA FONSECA
DATE: 27/06/2023
TIME: 09:00
LOCAL: Videoconferência
TITLE:

Trigger tool for optimizing the pharmacotherapeutic segment in high-risk pregnant women: development and validation.

KEY WORDS:

Pharmacotherapeutic follow-up; high-risk pregnancy; drug-related problems

PAGES: 58
BIG AREA: Ciências da Saúde
AREA: Farmácia
SUMMARY:

Introduction: clinical pharmacy seeks to improve pharmacotherapy care and uses strategies and tools for this purpose. However, there are no tools aimed at pharmaceutical care for high-risk pregnant women. Objective: to develop and validate a trigger tool to optimize the identification of drug-related problems (DRP) in hospitalized pregnant women. Methods: descriptive observational study developed in a Brazilian maternity hospital from September 2019 to July 2022. Based on the profile and frequency of prescription, the main parameters for monitoring effectiveness and safety were used to develop triggers. The trigger tool was validated with 150 pregnant women evaluated concurrently using the SOAP method in two groups: test group (only  applied the SOAP method if at least one positive trigger) and standard group (all patients evaluated). The investigation involved identification and characterization of DRPs via PCNE. The tool was characterized in terms of accuracy, sensitivity, specificity and predictive values, in addition to using the Brier method for validation. Results: The trigger tool had a sensitivity of 74.1% (CI95% 67.7 - 81.1), specificity of 70.7% (CI95%63.4 - 78.0) and accuracy of 73.2% (IC95%65.3 - 79.7). Internal validation showed a Brier score of 0.269. Conclusion: The evaluated tool showed moderate sensitivity and an acceptable positive predictive value, making it a useful tool in the initial screening and identification of possible DRPs in patients.

COMMITTEE MEMBERS:
Externa à Instituição - MENILLA MARIA ALVES DE MELO - LNRCC
Presidente - 2432313 - RAND RANDALL MARTINS
Externa à Instituição - TATIANA XAVIER DA COSTA - UFRN