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Safety in drug administration: use of Bizagi (R) software and application of the pillars of Triple Aim

Roberta de Almeida da Silva,Rita Catalina Caregnato,Cecilia Dias Flores

VIGILANCIA SANITARIA EM DEBATE-SOCIEDADE CIENCIA & TECNOLOGIA(2019)

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摘要
Introduction: Public and private hospital institutions have constantly experienced problems attributed to the safety and quality of care provided to their users. Objective: Introduce the implementation of a uniform and safe medication administration process using the pillars of Triple Aim. Method: Intervention applied research, with the support of the Process Management modeling stages carried out in an inpatient unit of a pediatric hospital, involving 23 nursing technicians and four nurses. Results: There were four stages: Describe "AS IS", in which the existing reality was seen represented in Bizagi (R), BPM software; Plan "TO BE", in which the process for implantation was developed, considering the case of Triple Aim and the nine rights of the administration of medicines, represented by Bizagi (R); Act "TO DO", in which the implementation of the process defined through on-the-job training took place; and Evaluate "Control", in which focal groups and interviews were carried out, verifying the professionals' experiences about the process implemented. Conclusions: The implementation of the latest updates in the drug process through management tools, process modeling software and international initiatives has contributed to the safety in care process and also to continue looking for improvements in the nursing team's performance.
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关键词
Patient Safety,Medication Errors,Pediatrics,Medication Systems in the Hospital
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