Table 2. Medication-related information present in the clinical
notes of pharmacists, physicians and nurses of a teaching hospital in
Northeast Brazil. |
Table 2. Medication-related information
present in the clinical notes of pharmacists, physicians and nurses of a
teaching hospital in Northeast Brazil. |
Table 2.
Medication-related information present in the clinical notes of
pharmacists, physicians and nurses of a teaching hospital in Northeast
Brazil. |
Table 2. Medication-related information present in
the clinical notes of pharmacists, physicians and nurses of a teaching
hospital in Northeast Brazil. |
Variables analyzed
|
Nurses’
clinical notes
|
Pharmacists’ clinical notes
|
Physicians’ clinical notes
|
|
n (%) |
n (%) |
n (%) |
Total number of records |
201 (99.5%) |
35 (17.3%) |
202 (100%) |
HOSPITAL ADMISSION |
|
|
|
Written record of allergies and/or adverse drug
reactions
|
157 (77.7%)
|
27 (13.4%)
|
148 (73.3%)
|
Written record of the use of medications prior to
admission
|
56 (27.7%)
|
28 (13.9%)
|
167 (82.7%)
|
Patient denies the use of medications prior to admission
|
12 (5.9%)
|
5 (2.5%)
|
37 (18.3%)
|
Dose
|
8 (4.0%)
|
16 (7.9%)
|
102 (50.5%)
|
Frequency
|
6 (3.0%)
|
15 (7.4%)
|
90 (44.5%)
|
Treatment duration
|
1 (0.5%)
|
1 (0.5%)
|
13 (6.4%)
|
HOSPITAL STAY
|
|
|
|
Non-conformities related to medication use process |
48
(23.7%) |
11 (5.4%) |
97 (48.0%) |
Referrals to other professionals suggesting interventions
in pharmacotherapy |
28 (13.8%) |
10 (4.9%) |
32
(15.8%) |
HOSPITAL DISCHARGE |
|
|
|
Report of medications use after hospitalization
|
1 (0.4%)
|
0 (0.0%)
|
93 (46.0%)
|
Counter-referrals
|
1 (0.4%)
|
0 (0.0%)
|
161 (79.7%)
|