Development of risk score to hospitalized patients for clinical pharmacy rationalization in a high complexity hospital

The aim of the present research was to build a tool to classify patients according to drug theraphy risk so as to rationalize the use of clinical pharmaceutical resources in hospital settings. Risk factors selected in the literature available were carefully revised to be included in the score. The s...

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Autores principales:	Zuckermann, Joice, Vinhas, Mônica, Santos, Luciana dos, Jacoby, Thalita, Mahmud, Simone D.P., Martinbiancho, Jacqueline K.
Formato:	Articulo
Lenguaje:	Inglés
Publicado:	2011
Materias:	Farmacia clinical pharmacy; rationalization hospitalized patients; risk score Pacientes Internos Servicios Farmacéuticos
Acceso en línea:	http://sedici.unlp.edu.ar/handle/10915/8303 http://www.latamjpharm.org/resumenes/30/7/LAJOP_30_7_1_14.pdf
Aporte de:	SEDICI (UNLP) de Universidad Nacional de La Plata

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institution	Universidad Nacional de La Plata
institution_str	I-19
repository_str	R-120
collection	SEDICI (UNLP)
language	Inglés
topic	Farmacia clinical pharmacy; rationalization hospitalized patients; risk score Pacientes Internos Servicios Farmacéuticos
spellingShingle	Farmacia clinical pharmacy; rationalization hospitalized patients; risk score Pacientes Internos Servicios Farmacéuticos Zuckermann, Joice Vinhas, Mônica Santos, Luciana dos Jacoby, Thalita Mahmud, Simone D.P. Martinbiancho, Jacqueline K. Development of risk score to hospitalized patients for clinical pharmacy rationalization in a high complexity hospital
topic_facet	Farmacia clinical pharmacy; rationalization hospitalized patients; risk score Pacientes Internos Servicios Farmacéuticos
description	The aim of the present research was to build a tool to classify patients according to drug theraphy risk so as to rationalize the use of clinical pharmaceutical resources in hospital settings. Risk factors selected in the literature available were carefully revised to be included in the score. The selected factors were submitted to univariate and then to multivariate analysis. The significant results were included in the final score model, which divided the hospitalized patients into three groups: low risk, moderate risk and high risk. After that, the score was applied in the hospital and a "risk classification" map was created of the various sectors of the Hospital de Clínicas de Porto Alegre. The score was applied to 1442 patients in nine different areas of the hospital, with 398 (27.6 %) of them presenting high risk, 612 (42.4 %) moderate risk and 432 (29.9 %) low risk. The high risk units were: Pediatric Oncology, the Intensive Care Unit (ICU) for adults and the Pediatric Intensive Care Unit (PICU). The clinical and surgical units, the Protected Environment Unit (PEU) and the Neonatal Intensive Care Unit (NICU) were classified as moderate risk and the pediatric hospitalization unit as low risk. Considering the patients with renal and/or hepatic problems, cardiac and/or pulmonary problems and immunosuppression and/or immuno deficiency, 50.2 %, 61.5 % and 52.6 %, respectively, presented high score, with all of them taking at least one risk drug.
format	Articulo Articulo
author	Zuckermann, Joice Vinhas, Mônica Santos, Luciana dos Jacoby, Thalita Mahmud, Simone D.P. Martinbiancho, Jacqueline K.
author_facet	Zuckermann, Joice Vinhas, Mônica Santos, Luciana dos Jacoby, Thalita Mahmud, Simone D.P. Martinbiancho, Jacqueline K.
author_sort	Zuckermann, Joice
title	Development of risk score to hospitalized patients for clinical pharmacy rationalization in a high complexity hospital
title_short	Development of risk score to hospitalized patients for clinical pharmacy rationalization in a high complexity hospital
title_full	Development of risk score to hospitalized patients for clinical pharmacy rationalization in a high complexity hospital
title_fullStr	Development of risk score to hospitalized patients for clinical pharmacy rationalization in a high complexity hospital
title_full_unstemmed	Development of risk score to hospitalized patients for clinical pharmacy rationalization in a high complexity hospital
title_sort	development of risk score to hospitalized patients for clinical pharmacy rationalization in a high complexity hospital
publishDate	2011
url	http://sedici.unlp.edu.ar/handle/10915/8303 http://www.latamjpharm.org/resumenes/30/7/LAJOP_30_7_1_14.pdf
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bdutipo_str	Repositorios
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Development of risk score to hospitalized patients for clinical pharmacy rationalization in a high complexity hospital

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