Gerenciamento de medicamentos em desuso devolvidos por pacientes ambulatoriais de um hospital universitário
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Data
2014
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Resumo
The purpose of this study was to analyze the profile
of leftover medicines returned to the pharmacy of the
Specialized Component of Pharmaceutical Services
at the General Teaching Hospital of the Faculty of
Medicine at Ribeirão Preto, University of São Paulo, and
the profile of their final destination. This was a cross sectional descriptive study based on the collection of
the following data: identity of the patient or responsible
person, motive for the return and information about the medicine returned to the pharmacy (batch number,
expiry date, quantity returned and storage conditions).
We analyzed the data collected in response to a
structured questionnaire and also assessed the visual
appearance of the returned medicines, which were
either classified as suitable for reuse by other patients or
sent for disposal. Costs related to the medicine returned
to the institution were calculated and analyzed. Data
collection was performed in July 2011. During this
month, the pharmacy received 34 returns, totaling 2149
units of medicine. Of these, 82.4% were intact, 6.0%
were thermolabile and only 3.0% had expired, while
76.5% of all medicines were reused. The financial value
of all returned items was R$ 5,759.90 and the total
savings from the reuse of medicines represented R$
4,743.34. Encouragement to return leftover medicine,
provided by implementing an effective medication
management system, would offer safety to the patient
and environment and financial savings for the health
system. For this reason, the healthcare team should
be able to give advice on correct storage, to ensure
integrity and quality of the active moiety, favoring an
optimal therapeutic outcome for those patients who will
reuse them.
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Palavras-chave
Gerenciamento de resíduos, Assistência farmacêutica, Uso de medicamentos, Waste management, Drug utilization, Pharmaceutical services
Citação
PRIMO, Lilian Pereira et al. Gerenciamento de medicamentos em desuso devolvidos por pacientes ambulatoriais de um hospital universitário. Revista de Ciências Farmacêuticas Básica e Aplicada, Araraquara, v. 35, n. 2, p. 263-269, 2014.