CLINICAL CARE PROFILE AS A TOOL FOR MEDICATION STANDARDIZATION IN A MUNICIPAL PUBLIC HOSPITAL IN THE NORTHERN RIO DE JANEIRO REGION (Atena Editora)

Abstract

Medication standardization consists of a medication selection tool that seeks to compose the therapeutic arsenal of hospitals and health units, acting as an ally to pharmaceutical services, promoting improvements in hospital management. The objective was to understand the clinical care profile of a public hospital in the Northern Fluminense Region, in order to propose a medication standardization scheme promoting their rational use based on the hospital's demand. Through a retrospective observational study collected from the RAG - Annual Management Reports made available by the administration of the hospital under study, from April to September 2022, the hospitalization profile of the Medical Clinic (CM) was identified, where 161 patients were counted, 60.87% of whom were male, with an average age of 63.3 years, corresponding to a total of 61.49% of elderly patients. The main reasons for hospitalizations were: Genitourinary System Diseases (29.19%), Respiratory System Diseases (17.39%), and Circulatory System Diseases (12.42%). Circulatory system diseases stand out as the main cause of mortality in the population studied, which is not different from the occurrence in the country, followed by respiratory diseases. The hospital under study has a closed/selective standardization, listed by indication of prescribers, analyzed and made viable by the hospital's pharmaceutical service. Of the medications that make up the hospital's pharmaceutical stock, 88.86% are on the REMUME list. The high percentage of adult and elderly patients in the CM may be directly related to organizational issues at the Primary Health Care levels, which when not well structured can overload tertiary care, directing the management of services. Important elements such as the service profile qualify the proposal for the medication standardization process, encouraging the creation and implementation of a Pharmacy and Therapeutics Committee (CFT) in the Hospital under study, for qualified and comprehensive interprofessional listening, seeking to meet the needs of the population served, aiming at optimizing the therapeutic arsenal and promoting the Rational Use of Medications in the public sector.