Banca de DEFESA: ACÁSSIO ALVES DE SÁ

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : ACÁSSIO ALVES DE SÁ
DATA : 19/07/2018
HORA: 08:00
LOCAL: Sala de Aula 1 do NESC
TÍTULO:

Improvement of the Quality of Outpatient Dispensing Process of Oral Antineoplastic Medications        

PALAVRAS-CHAVES:

Good Dispensing Practices, Antineoplastic Agents, Quality Improvement, Patient Safety.

PÁGINAS: 72
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

Introduction: Nowadays, because of the changes in the demographic profile and in population’s morbidity and mortality, an increase has been observed in chronic degenerative diseases, what includes cancer. In its treatment, the use of orally administered medications is increasing, they tend to be more convenient, but also increase the risk of adverse events. This fact reinforces the importance of consolidating its qualified and safe use, specifically at the dispensation stage, which should have a preventive and corrective nature in this process. Purpose: To evaluate and promote the process suitability of outpatient dispensing, administered with oral antineoplastic medications, through an improvement cycle. Methodology: This is a quantitative, near-experimental design, before-after and without control group study, carried out at a referral hospital in the treatment of cancer, located in the north of Minas Gerais. In which, from seven, previously defined and validated quality criteria, the quality level of the outpatient dispensing process of oral antineoplastics was evaluated, and based on the most problematic criteria, improvement interventions were implemented followed by a quality reassessment. The quality compliance of randomly selected samples (n=60) was estimated in a timely manner and in a 95% confidence interval, as well as the statistical significance of the achieved improvement was treated with Z test. Outcomes: It was noticed that all seven quality criteria evaluated, showed across-evaluation improvements. Most of them (four out of seven) had a statistically significant increase in quality levels (p<0.05), with a relative improvement of at least 75%. In absolute data, it was noticed that the non-compliance decreased from 148 in the first evaluation to 67 in the re-evaluation, what represents a 54.7% improvement. Conclusion: The study provided an evaluation of the process of outpatient dispensing, administered with oral antineoplastics in the institution, identifying the quality criteria, what favored the prioritization and effectiveness of the interventions. The improvement cycle contributed to the inclusion of good dispensing practices and to a better involvement of the staff with regards to quality requirements

MEMBROS DA BANCA:
Interno - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Externo à Instituição - HELAINE CARNEIRO CAPUCHO - EBSERH
Presidente - 911.028.804-00 - WILTON RODRIGUES MEDEIROS - UFRN