Author(s): Costa,Diovane Ghignatti da ; Pasin,Simone Silveira ; Magalhães,Ana Maria Müller de ; Moura,Gisela Maria Schebella Souto de ; Rosso,Caroline Brum ; Saurin,Tarcisio Abreu
Date: 2018
Origin: Oasisbr
Subject(s): Patient Safety; Medication Errors; Quality of Health Care; Organization and Administration; Process Assessment
Abstract Objectives: To analyze the current way medications are prepared and administered in the hospital setting and to apply a method to establish priorities for problems detected. Method: This is an exploratory-descriptive case study. The data were collected through observation and focus groups with 13 participants who were part of a health team in a surgical inpatient unit of a public university hospital. The analysis was based on a lean production framework. Results: A value stream map was constructed of the current way drugs are prepared and administered, identifying the clients in the process and their requirements. Forty-five current problems were identified, based on requirements that were not met with eight being prioritized to improve planning. Conclusion: Having prioritized the problems, the planning and implementation of continuous improvements in the medication process were started in order to reduce errors and improve the quality of services.
