This is an outdated version published on 04-11-2024. Read the most recent version.

TEACHING GOOD PRACTICES FOR WRITING DRUG PRESCRIPTIONS IN UNDERGRADUATE MEDICINE:

A METHODOLOGICAL PROPOSAL

Authors

DOI:

https://doi.org/10.21680/1984-3879.2024v24n2ID36738

Keywords:

medical education, patient safety, health care quality, drug prescriptions, primary health care

Abstract

PROBLEM: Prescription is the stage with the highest prevalence of avoidable failures in the medication process, which raises the need for teaching good practices in writing medication prescriptions. METHOD: Descriptive study of the construction and application of a teaching-learning method of good practices in writing medication prescriptions for undergraduate medical students. The method, entitled “Teaching Good Practices in Writing Medication Prescriptions”, consists of 8 steps. It was developed by professors at the Universidade Federal do Rio Grande do Norte, Brazil. It is premised on the assumptions of meaningful learning, peer-based learning and the QualiPresc instrument, a validated instrument to assess the quality of medication prescription writing in primary care. RESULTS: After development, it was applied as a pilot. Preliminary perceptions about its implementation point to a teaching-learning method with potential for its implementation and dissemination in medical courses in Brazil, to improve the quality and safety of the medication process. CONCLUSIONS: Due to its “pilot” character, more studies need to be carried out in order to assess the effectiveness of the method in detriment of other teaching and learning strategies used for the same purpose.

Downloads

Download data is not yet available.

References

BATES, D. W. Incidence of adverse drug events and potential adverse drug events. JAMA, v. 274, n. 1, p. 29-34, 1995. DOI: 10.1001/jama.1995.03530010043033.

BATISTA, A. M.; COSTA, R. R. O. Ensino de boas práticas da escrita da prescrição de medicamentos: manual de aplicação da metodologia de ensino-aprendizagem. Caicó: [s. n.], 2024. Disponível em: https://repositorio.ufrn.br/handle/123456789/58433.

BATISTA, A. M.; GAMA, Z. A. S.; SOUZA, D. Validation of the QualiPresc instrument for assessing the quality of drug prescription writing in primary health care. PLoS One, v. 17, n. 5, e0267707, 2022. DOI: 10.1371/journal.pone.0267707.

BRASIL. Portaria nº 529, de 1º de abril de 2013a. Institui o Programa Nacional de Segurança do Paciente (PNSP). Disponível em: <https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html>. Acesso em: 05 jun. 2023.

BRASIL. Protocolo de segurança na prescrição, uso e administração de medicamentos. 2013b. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/protocolo-de-seguranca-na-prescricao-uso-e-administracao-de-medicamentos/view. Acesso em: 24 jun. 2024.

BRASIL. Resolução nº 3, de 20 de junho de 2014. Institui diretrizes curriculares nacionais do curso de graduação em Medicina e dá outras providências. Diário Oficial da União: Brasília, DF, Seção 1, p. 8-11, 23 jun. 2014;

CAMARGO, M. S.; MISTRO, S. Patient misadventures caused by prescribing erros detected at a Brazilian community pharmacy. J Assist Farmac Farmacoecon, v. 3, n. 4, p. 29-35, 2018. DOI:10.22563/2525-7323.2018.v3.n4.p.29-35.

EMCM/UFRN - Escola Multicampi de Ciências Médicas/Universidade Federal do Rio Grande do Norte. Projeto pedagógico do curso superior de bacharelado em Medicina na modalidade presencial. 2023.

FUCHS, F. D., WANMACHER, L. (Org.). Farmacologia clínica: fundamentos da terapêutica racional. 4. ed. Rio de Janeiro: Guanabara Koogan, 2010.

JHA, A. K. et al. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf, v. 22, p. 809–815, 2013. DOI: 10.1136/bmjqs-2012-001748.

MONTSERRAT-CAPELLA, D. et al. Frequency of ambulatory care adverse events in Latin American countries: the AMBEAS/PAHO cohort study. Int J Qual Health Care, v. 27, n. 1, p. 52-59, 2015. DOI: 10.1093/intqhc/mzu100.

MOREIRA, M. A.; MASINI, E. A. F. S. Aprendizagem significativa: a teoria de Dm'ill Ausubel. São Paulo: Moraes, 1982. 112 p.

NADZAN, D. M. A system approach to medication use. In: Cousins DM. Medication use: a system approach to reducing errors. Oakbrook Terrace: Joint Commission, 1998.

NCCMERP - Conselho Nacional de Coordenação para Notificação e Prevenção de Erros de Medicamentos. Disponível em: https://www.nccmerp.org/about-medication-errors. Acesso em: 03 jun. 2020.

ODUKOYA, O. K.; STONE, J. A.; CHUI, M. A. How do community pharmacies recover from e prescription errors? Res Social Adm Pharm, v. 10, n. 6, p. 837-852, 2014. DOI:

1016/j.sapharm.2013.11.009.

OECD - Organização para Cooperação e Desenvolvimento Econômico. The economics of patient safety in primary and ambulatory care: flying blind. 2018.

OLANIYAN, J. O. et al. Safety of medication use in primary care. Int J Pharm Pract, v. 23, n. 1, p. 3-20, 2015. DOI: 10.1111 /ijpp.12120.

SARKAR, U. Tip of the iceberg: patient safety incidents in primary care. BMJ Qual Saf, v. 25, p. 477–479, 2016. DOI:10.1136/bmjqs-2015-005006.

THE JOINT COMMISSION. Facts about Official Do-Not-Use List. Disponível em: http://www.jointcommission.org/assets/1/18/Do_Not_Use_List.pdf. Acesso em: 18 de abril de 2021.

TOPPING, K. J. The effectiveness of peer tutoring in future and higher education: a typology and review of the literature. High Educ, v. 32, n. 3, p. 321–345, 1996.

WHO - World Health Organization. Global Patient Safety Action Plan 2021–2030: towards eliminating avoidable harm in health care. Geneva: WHO, 2021.

WHO - World Health Organization. Medication Without Harm: global patient safety challenge on medication safety. Geneva: WHO, 2017a.

WHO - World Health Organization. WHO launches global effort to halve medication-related errors in 5 years. Geneva: WHO; 2017b.

Published

04-11-2024

Versions

How to Cite

MARIZ BATISTA, A.; DA SILVA GAMA, Z. A. .; BEZERRA DE SOUZA, D. L. .; DE OLIVEIRA COSTA, R. R. . TEACHING GOOD PRACTICES FOR WRITING DRUG PRESCRIPTIONS IN UNDERGRADUATE MEDICINE: : A METHODOLOGICAL PROPOSAL. Saberes: Interdisciplinary Journal of Philosophy and Education, [S. l.], v. 24, n. 2, 2024. DOI: 10.21680/1984-3879.2024v24n2ID36738. Disponível em: https://periodicos.ufrn.br/saberes/article/view/36738. Acesso em: 13 nov. 2024.