SEQUENTIAL INJECTION THERAPY: CARE TRANSITION FOCUSING ON PATIENT SAFETY
Camila Melo Ribeiro, Letícia Penna Braga, Eliane Sobrinho Barros, Tâmara Cristina Souza, Lorena Lima Abelha, Danielly Botelho Soares, Fabiane Cristina Costa, André Soares Santos, Roberta Scalzo Lima

Introduction: Dehospitalization is part of the integration model of services and it represents a trend in the hospital management and care. It is usual in Brazilian hospitals to have the patient’s stay in clinical conditions of discharge in order to end drug treatment. Objective: Present the expansion of the sequential injection therapy, which includes injectable medications in a public teaching hospital. Method: A retrospective, descriptive and exploratory study. Project development: the requirement for project expansion appeared due to the assisted patients’ profile, for the hospital serves urgencies and emergencies. The project includes injectable drug dispensing to be used at home, with pharmaceutical guidance at discharge and follow-up of patients returns. Its development has involved discussions with multidisciplinary teams to define the flow of dispensing sequential injection therapy. Results: between January 2012 and January 2013, 829 patients were assisted by the sequential therapy project, with 69% (n = 687) regarding sequential injection therapy. Among the drugs dispensed, 58% (n = 398) were 40 mg enoxaparin, 3% (n = 22) 60 mg enoxaparin, and 39% (n = 267) injectable antibiotics. From the requests for sequential injection therapy, 48% (n = 329) showed non-conformities that required pharmaceutical intervention. Conclusion: The experiment was successful, taking into account the number of patients assisted, turnover of beds and promotion of patient safety. The role of the pharmacist must involve the combination of clinical and administrative practices in order to promote rational use of drugs.

Descriptors: Pharmacy, Patient Care Team, Health Services