Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública
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| Hovedforfatter: | |
|---|---|
| Publication Date: | 2015 |
| Format: | Master thesis |
| Sprog: | por |
| Source: | Repositório Institucional da UFG |
| Download full: | http://repositorio.bc.ufg.br/tede/handle/tede/4637 |
Summary: | The lack of qualified professionals in the supply chain and the minimal attention devoted to logistical planning within the public health institutions are notorious. Faced with this problem, it was proposed a change in the drug storage system of a hospital pharmacy of a public institution specialized in maternal and child health in the city of Goiania, the state capital of Goias, Brasil, using some studies about total quality management and logistics. The research was conducted between october 2012 and september 2013 and it was chosen an intervention project to transform the reality experienced and enhance the use of material and human resources. The operations of the project were: situational analysis, stock sanitation, fixed address of storage area, change of dispensing area layout, preparation of SOP, the pharmacy professional team training and evaluation. The variables chosen were the nonstandard activities, named nonconformities, and divided into four subtypes, all potentially leading to product waste and endangered patient’s safety. An initial data collection was performed, and another at the end of the intervention, the initial sample (T0) was composed of 223 medicines whereas the final sample (Tf) contained 251 medicines at dispensing sector. In the evaluation, these samples were compared using spreadsheet to verify the reduction of variables of non-compliance, as well as elaborate an indicator to measure. The results showed a reduction of two variables among the four types of non-conformities raised and there was no significant change in the indicators. Through statistical tests Z and P-value was possible to verify data reliability and the relationship with the loss of medication by their expiration dates. The development of activities and completion of certain operations in the intervention project turned possible the storage process improvement and correct dispensing of medicines, working respectively for optimization of health care resources and patient safety. Thus, changes in the drug storage system proved to be applicable and relevant and turned into benefit to public service, increasing the possibility of assistance to users and improving the quality of care, and therefore extremely useful in the context of public health. |
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| author | Silva, Rodrigo Otávio de Leclery Campos e |
| author_browse | Silva, Rodrigo Otávio de Leclery Campos e |
| author_facet | Silva, Rodrigo Otávio de Leclery Campos e |
| author_role | author |
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| collection | Repositório Institucional da UFG |
| contributor_str_mv | Lima, Alessandra Rodrigues de Almeida Oliveira, Ellen Synthia Fernandes de Lima, Alessandra Rodrigues de Almeida Oliveira, Ellen Synthia Fernandes de Provin, Mércia Pandolfo Soares, Meire Incarnação Ribeiro |
| dc.contributor.advisor-co1.fl_str_mv | Oliveira, Ellen Synthia Fernandes de |
| dc.contributor.advisor1.fl_str_mv | Lima, Alessandra Rodrigues de Almeida |
| dc.contributor.advisor1Lattes.fl_str_mv | http://lattes.cnpq.br/6164678486856191 |
| dc.contributor.author.fl_str_mv | Silva, Rodrigo Otávio de Leclery Campos e |
| dc.contributor.authorLattes.fl_str_mv | http://lattes.cnpq.br/2205671857863932 |
| dc.contributor.referee1.fl_str_mv | Lima, Alessandra Rodrigues de Almeida |
| dc.contributor.referee2.fl_str_mv | Oliveira, Ellen Synthia Fernandes de |
| dc.contributor.referee3.fl_str_mv | Provin, Mércia Pandolfo |
| dc.contributor.referee4.fl_str_mv | Soares, Meire Incarnação Ribeiro |
| dc.date.accessioned.fl_str_mv | 2015-10-15T13:08:56Z |
| dc.date.issued.fl_str_mv | 2015-03-05 |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.citation.fl_str_mv | SILVA, R. O. L. C. Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública. 2015. 156 f. Dissertação (Mestrado Profissional em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2015. |
| dc.identifier.uri.fl_str_mv | http://repositorio.bc.ufg.br/tede/handle/tede/4637 |
| dc.language.iso.fl_str_mv | por |
| dc.publisher.country.fl_str_mv | Brasil |
| dc.publisher.department.fl_str_mv | Pró-Reitoria de Pós-graduação (PRPG) |
| dc.publisher.initials.fl_str_mv | UFG |
| dc.publisher.none.fl_str_mv | Universidade Federal de Goiás |
| dc.publisher.program.fl_str_mv | Programa de Pós-graduação em Saúde Coletiva (PRPG) |
| dc.relation.cnpq.fl_str_mv | -6173167103754495199 |
| dc.relation.confidence.fl_str_mv | 600 600 600 600 |
| dc.relation.department.fl_str_mv | -264539188392646063 |
| dc.relation.program.fl_str_mv | -5225680170177467598 |
| dc.relation.sponsorship.fl_str_mv | -961409807440757778 |
| dc.rights.driver.fl_str_mv | http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
| dc.subject.cnpq.fl_str_mv | CIENCIAS DA SAUDE::SAUDE COLETIVA |
| dc.subject.eng.fl_str_mv | Storage Quality Standards Hospital pharmacy |
| dc.subject.por.fl_str_mv | Armazenamento Qualidade Normas Farmácia hospitalar |
| dc.title.alternative.eng.fl_str_mv | Proposal for a change in the system storage of drugs in a public hospital pharmacy |
| dc.title.por.fl_str_mv | Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública |
| dc.type.driver.fl_str_mv | info:eu-repo/semantics/masterThesis |
| dc.type.status.fl_str_mv | info:eu-repo/semantics/publishedVersion |
| description | The lack of qualified professionals in the supply chain and the minimal attention devoted to logistical planning within the public health institutions are notorious. Faced with this problem, it was proposed a change in the drug storage system of a hospital pharmacy of a public institution specialized in maternal and child health in the city of Goiania, the state capital of Goias, Brasil, using some studies about total quality management and logistics. The research was conducted between october 2012 and september 2013 and it was chosen an intervention project to transform the reality experienced and enhance the use of material and human resources. The operations of the project were: situational analysis, stock sanitation, fixed address of storage area, change of dispensing area layout, preparation of SOP, the pharmacy professional team training and evaluation. The variables chosen were the nonstandard activities, named nonconformities, and divided into four subtypes, all potentially leading to product waste and endangered patient’s safety. An initial data collection was performed, and another at the end of the intervention, the initial sample (T0) was composed of 223 medicines whereas the final sample (Tf) contained 251 medicines at dispensing sector. In the evaluation, these samples were compared using spreadsheet to verify the reduction of variables of non-compliance, as well as elaborate an indicator to measure. The results showed a reduction of two variables among the four types of non-conformities raised and there was no significant change in the indicators. Through statistical tests Z and P-value was possible to verify data reliability and the relationship with the loss of medication by their expiration dates. The development of activities and completion of certain operations in the intervention project turned possible the storage process improvement and correct dispensing of medicines, working respectively for optimization of health care resources and patient safety. Thus, changes in the drug storage system proved to be applicable and relevant and turned into benefit to public service, increasing the possibility of assistance to users and improving the quality of care, and therefore extremely useful in the context of public health. |
| eu_rights_str_mv | openAccess |
| format | masterThesis |
| id | UFG-2_eb6443bf2e8712e3ee79b7ced1dbc9e6 |
| identifier_str_mv | SILVA, R. O. L. C. Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública. 2015. 156 f. Dissertação (Mestrado Profissional em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2015. |
| instacron_str | UFG |
| institution | UFG |
| instname_str | Universidade Federal de Goiás (UFG) |
| language | por |
| network_acronym_str | UFG-2 |
| network_name_str | Repositório Institucional da UFG |
| oai_identifier_str | oai:repositorio.bc.ufg.br:tede/4637 |
| publishDate | 2015 |
| publishDateSort | 2015 |
| publisher.none.fl_str_mv | Universidade Federal de Goiás |
| reponame_str | Repositório Institucional da UFG |
| repository.mail.fl_str_mv | grt.bc@ufg.br |
| repository.name.fl_str_mv | Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
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| rights_invalid_str_mv | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| spelling | Lima, Alessandra Rodrigues de Almeidahttp://lattes.cnpq.br/6164678486856191Oliveira, Ellen Synthia Fernandes deLima, Alessandra Rodrigues de AlmeidaOliveira, Ellen Synthia Fernandes deProvin, Mércia PandolfoSoares, Meire Incarnação Ribeirohttp://lattes.cnpq.br/2205671857863932Silva, Rodrigo Otávio de Leclery Campos e2015-10-15T13:08:56Z2015-03-05SILVA, R. O. L. C. Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública. 2015. 156 f. Dissertação (Mestrado Profissional em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2015.http://repositorio.bc.ufg.br/tede/handle/tede/4637The lack of qualified professionals in the supply chain and the minimal attention devoted to logistical planning within the public health institutions are notorious. Faced with this problem, it was proposed a change in the drug storage system of a hospital pharmacy of a public institution specialized in maternal and child health in the city of Goiania, the state capital of Goias, Brasil, using some studies about total quality management and logistics. The research was conducted between october 2012 and september 2013 and it was chosen an intervention project to transform the reality experienced and enhance the use of material and human resources. The operations of the project were: situational analysis, stock sanitation, fixed address of storage area, change of dispensing area layout, preparation of SOP, the pharmacy professional team training and evaluation. The variables chosen were the nonstandard activities, named nonconformities, and divided into four subtypes, all potentially leading to product waste and endangered patient’s safety. An initial data collection was performed, and another at the end of the intervention, the initial sample (T0) was composed of 223 medicines whereas the final sample (Tf) contained 251 medicines at dispensing sector. In the evaluation, these samples were compared using spreadsheet to verify the reduction of variables of non-compliance, as well as elaborate an indicator to measure. The results showed a reduction of two variables among the four types of non-conformities raised and there was no significant change in the indicators. Through statistical tests Z and P-value was possible to verify data reliability and the relationship with the loss of medication by their expiration dates. The development of activities and completion of certain operations in the intervention project turned possible the storage process improvement and correct dispensing of medicines, working respectively for optimization of health care resources and patient safety. Thus, changes in the drug storage system proved to be applicable and relevant and turned into benefit to public service, increasing the possibility of assistance to users and improving the quality of care, and therefore extremely useful in the context of public health.São notórios os desperdícios e a má utilização de insumos e equipamentos hospitalares, a escassa qualificação dos profissionais da área de abastecimento e a pouca atenção ao planejamento logístico nas organizações públicas de saúde. Diante desta problemática, foi proposta uma mudança no sistema de armazenamento de medicamentos de uma farmácia hospitalar de uma instituição pública especializada em saúde materna e infantil do município de Goiânia, capital do estado de Goiás, Brasil, utilizando-se de estudos sobre gerenciamento de qualidade total e logística. A pesquisa foi desenvolvida entre outubro de 2012 e setembro de 2013 e executou-se um projeto de intervenção para transformar a realidade vivenciada e potencializar a utilização de recursos materiais e humanos. As operações do projeto foram: análise situacional, saneamento do estoque, endereçamento fixo no setor de armazenamento, mudança do layout do setor de dispensação, elaboração do POP, capacitação da equipe de profissionais da farmácia e avaliação. As variáveis estabelecidas foram as ocorrências fora do padrão, chamadas de não conformidades (NC) que foram divididas em quatro subtipos que levavam a perda de medicamento e colocavam em risco à segurança do paciente. Foram realizadas uma coleta de dados inicial e outra ao fim da intervenção, sendo que a inicial (T0) contou com uma amostra de 223 medicamentos e a final (Tf) com 251 medicamentos no setor de dispensação. Para avaliação, essas coletas foram comparadas através de planilha eletrônica para verificar a redução das variáveis de não conformidades, bem como foi elaborado um indicador para a aferição. Os resultados mostraram a redução de duas variáveis dentre os quatro tipos de não conformidades levantados e não se observou mudança significativa dos indicadores. Através de testes estatísticos Z e valor-P pôde-se verificar a confiabilidade dos dados e a relação com a perda de medicamentos por prazo de validade expirado. Com o desenvolvimento das atividades e conclusão das operações determinadas no projeto de intervenção obteve-se melhoria do processo de estocagem e de dispensação dos medicamentos, colaborando respectivamente, para otimização dos recursos em saúde e na segurança ao paciente. Destarte, mostraram-se aplicáveis e relevantes as mudanças no sistema de armazenamento de medicamentos para benefício do serviço público, ampliando a possibilidade de assistência aos usuários e melhorando a qualidade à atenção, sendo, portanto, de extrema utilidade no âmbito da saúde coletiva.Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEGapplication/pdfhttp://repositorio.bc.ufg.br/tede/retrieve/20708/Disserta%c3%a7%c3%a3o%20-%20Rodrigo%20Ot%c3%a1vio%20de%20Leclery%20Campos%20e%20Silva%20-%202015.pdf.jpgporUniversidade Federal de GoiásPrograma de Pós-graduação em Saúde Coletiva (PRPG)UFGBrasilPró-Reitoria de Pós-graduação (PRPG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessArmazenamentoQualidadeNormasFarmácia hospitalarStorageQualityStandardsHospital pharmacyCIENCIAS DA SAUDE::SAUDE COLETIVAProposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar públicaProposal for a change in the system storage of drugs in a public hospital pharmacyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-5225680170177467598600600600600-264539188392646063-6173167103754495199-961409807440757778reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGTEXTDissertação - Rodrigo Otávio de Leclery Campos e Silva - 2015.pdf.txtDissertação - Rodrigo Otávio de Leclery Campos e Silva - 2015.pdf.txtExtracted Texttext/plain213368http://repositorio.bc.ufg.br/tede/bitstreams/cf678acc-019a-49c7-8c44-e0052c1925c9/download547a3d6ef1115b2f4cb48748c3b194fbMD56THUMBNAILDissertação - Rodrigo Otávio de Leclery Campos e Silva - 2015.pdf.jpgDissertação - Rodrigo Otávio de Leclery Campos e Silva - 2015.pdf.jpgGenerated Thumbnailimage/jpeg1943http://repositorio.bc.ufg.br/tede/bitstreams/5608d965-6e7c-4231-9441-6f1ae2d7cbc0/downloadcc73c4c239a4c332d642ba1e7c7a9fb2MD57LICENSElicense.txtlicense.txttext/plain; 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| spellingShingle | Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública Silva, Rodrigo Otávio de Leclery Campos e Armazenamento Qualidade Normas Farmácia hospitalar Storage Quality Standards Hospital pharmacy CIENCIAS DA SAUDE::SAUDE COLETIVA |
| status_str | publishedVersion |
| title | Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública |
| title_full | Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública |
| title_fullStr | Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública |
| title_full_unstemmed | Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública |
| title_short | Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública |
| title_sort | Proposta de mudança no sistema de armazenamento de medicamentos em uma farmácia hospitalar pública |
| topic | Armazenamento Qualidade Normas Farmácia hospitalar Storage Quality Standards Hospital pharmacy CIENCIAS DA SAUDE::SAUDE COLETIVA |
| url | http://repositorio.bc.ufg.br/tede/handle/tede/4637 |