Fatores de risco associados as discrepâncias medicamentosas não-intencionais na admissão hospitalar: uma revisão sistemática

Abstract

Medication Discrepancies (MDs) can affect a large number of patients during care transitions, from admission to hospital discharge. Among the strategies to improve patient safety and make medication errors preventable are: obtaining the best medication history, carrying out Medication Reconciliation (MR) and communicating with health professionals for possible interventions. Several studies have identified that MDs are a public health issue, which can significantly affect the treatment of hospitalized patients. Thus, several studies have analyzed the predictors for these discrepancies, in order to prioritize these groups in pharmaceuticalintervention and in MR. The aim of this study was to identify the risk factors for Unintentional Medication Discrepancies (UMD) at hospital admission. A systematic review was carried out in search of publications in the following databases: PubMed, Scopus and Academic Google between May 2021 and November 2021. The following keywords were used: “Medication Discrepancies”, “Risk factors”, “Hospital”, “Hospital Admission”, “Medication Reconciliation”. In the inclusion criteria, studies with a sample of patients with occurrence of discrepancies at the time of admission were selected. Ten studies published between 2014 and 2021, aimed at patients with chronic diseases and under polymedication, met the criteria. After analyzing the risk factors, nine publications showed satisfactory results in the search, one of which was divergent from the others. Thus, all studies identified possible predictors of medication errors, which reveals the need for prioritizing these groups in medication reconciliation.