Brazilian Hospital Pharmacy: perception of the clinical attributions of pharmacists in view of the Basel Declaration of the FIP

Kássia Rodrigues  Mariano; Aline Istéfane de  Camargos Ramos; André de Oliveira  Baldoni; Cristina  Sanches; Bruna Gabriela  Rocha; Jonathan  Penm; Rebekah  Moles; Mariana Linhares Pereira

doi:10.1590/

Authors

Kássia Rodrigues Mariano Federal University of São João del-Rei, Divinópolis, Minas Gerais, Brazil
Aline Istéfane de Camargos Ramos Federal University of São João del-Rei, Divinópolis, Minas Gerais, Brazil https://orcid.org/0000-0001-5124-6914
André de Oliveira Baldoni Federal University of São João del-Rei, Divinópolis, Minas Gerais, Brazil https://orcid.org/0000-0001-6379-0415
Cristina Sanches Federal University of São João del-Rei, Divinópolis, Minas Gerais, Brazil
Bruna Gabriela Rocha Federal University of São João del-Rei, Divinópolis, Minas Gerais, Brazil
Jonathan Penm Executive Member, Hospital Pharmacy Section, International Pharmaceutical Federation, The Hague, The Netherlands; Sydney Pharmacy School, University of Sydney, New South Wales, Australia
Rebekah Moles Sydney Pharmacy School, University of Sydney, New South Wales, Australia
Mariana Linhares Pereira Federal University of São João del-Rei, Divinópolis, Minas Gerais, Brazil https://orcid.org/0000-0002-3214-2789

DOI:

https://doi.org/10.1590/

Keywords:

Pharmacy Service, Hospital, Patient Safety, Statements, Drug Monitoring, Pharmacy and Therapeutics Committee

Abstract

This descriptive study analyzed the perceptions of Brazilian hospital pharmacists towards their clinical attributions related to “interventions in the prescription” and “monitoring the use of medication” in view of the current Basel Declaration of the International Federation of Pharmacists (Federação Internacional de Farmacêuticos - FIP). Brazilian hospitals of high and medium complexity were identified and a pre-tested questionnaire based on the 65 recommendations of the Basel Statments was sent via e-mail, directed to the pharmacists of the 2,054 hospitals. The results were categorized into: a) they meet the statement, b) they do not meet, or c) they did not respond. Pharmacists from 111 hospitals returned the survey. For the recommendations of the theme “influences on prescribing”, the highest percentage of compliance was related to the effective performance of pharmacists in the Pharmacy and Therapeutics Committee (PTC), which occurred in 54.1% of the hospitals. While for the “monitoring the use of medication” was refered to the existence of an easily accessible system for notifying technical complaints, in 47.7 % of the hospitals. The results emphasize that these activities need to be reviewed and aligned, to offer better quality and more safety to the patient in relation to the use of medication.

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Al Sabban H, Al-Jedai A, Bajis D, Penm J. The Revised Basel Statements on the Future of Hospital Pharmacy: What Do They Mean for Saudi Arabia? Int J Pharm Pract. 2018 Jun; 26(3): 281-283. doi: 10.1111/ijpp.12394. Epub September 6, 2017. PMID: 28875530.

» https://doi.org/10.1111/ijpp.12394

Andrade PHS, de Almeida ACB, Dos Santos AKS, Lobo IMF, da Silva FA, da Silva WB. Challenges to the consolidation of pharmacovigilance practices in Brazil: limitations of the hospital pharmacist. Ther Adv Drug Saf. 2020 Jul; 31; 11: 2042098620933748. doi: 10.1177/2042098620933748. PMID: 32864089; PMCID: PMC7430076.

» https://doi.org/10.1177/2042098620933748

Brasil. Ministério da Saúde, Agência Nacional de Vigilância Sanitária. Resolução nº 44, de 17 de agosto de 2009. Dispõe sobre Boas Práticas Farmacêuticas para o controle sanitário do funcionamento, da dispensação e da comercialização de produtos e da prestação de serviços farmacêuticos em farmácias e drogarias e dá outras providências. Ministério da Saúde, 2009. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2009/rdc0044_17_08_2009.html .

» http://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2009/rdc0044_17_08_2009.html

Brasil. Conselho Nacional de Saúde. Resolução nº 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos e revoga as Resoluções CNS nos. 196/96, 303/2000 e 404/2008. Oficial da União. Brasília, 2012.

Brasil. Congresso Nacional. Lei nº 13.021/2014. Dispõe sobre o exercício e a fiscalização das atividades farmacêuticas. Diário Oficial da República Federativa do Brasil, Brasília, 8 de agosto de 2014.

Brasil. Ministério da Educação. RESOLUÇÃO N° 6, de 19 de Outubro de 2017. Institui as Diretrizes Curriculares Nacionais do Curso de Graduação em Farmácia e dá outras providências. 2017. Acesso em: http://portal.mec.gov.br/docman/outubro-2017-pdf/74371-rces006-17-pdf/file .

» http://portal.mec.gov.br/docman/outubro-2017-pdf/74371-rces006-17-pdf/file

Brodie DC, Benson RA. The evolution of the clinical pharmacy concept. Drug Intell Clin Pharm. 1976; 10(9): 506–10.

CFF. Conselho Federal de Farmácia. Resolução nº 555, de 30 de novembro de 2011. Regulamenta o registro, a guarda e o manuseio de informações resultantes da prática da assistência farmacêutica nos serviços de saúde. Diário Oficial da União, 14 dez 2011; Seção 1.

CFF. Conselho Federal de Farmácia. Resolução CFF nº 585, de 29 de agosto de 2013. Regulamenta as atribuições clínicas do farmacêutico e dá outras providências. Brasília, 2013a.

CFF. Conselho Federal de Farmácia. Resolução nº 586, de 29 de agosto de 2013. Regulamenta a prescrição farmacêutica e dá outras providências. Brasília, 2013b.

FIP. Internacional Pharmaceutical Federacion. The Basel Statements on the future of hospital pharmacy. Am J Health Syst Pharm. 2009; 66(Suppl 3): S61–6. doi: 10.2146/ajhp080666

» https://doi.org/10.2146/ajhp080666

FIP. Internacional Pharmaceutical Federacion. Revised FIP Basel statements on the future of hospital pharmacy, 2015. Available from: http://www.fip.org/files/fip/FIP_BASEL_w.fip.org/files/fip/FIP_BASEL http://www.fip.org/files/fip/FIP_BASEL_STATEMENTS_ON_THE_FUTURE_OF_HOSPITAL_PHARMACY_2015.pdf

» http://www.fip.org/files/fip/FIP_BASEL_w.fip.org/files/fip/FIP_BASEL

» http://www.fip.org/files/fip/FIP_BASEL_STATEMENTS_ON_THE_FUTURE_OF_HOSPITAL_PHARMACY_2015.pdf

FIP. International Pharmaceutical Federation. Patient safety. Pharmacists’ role in medication without harm. The Hague: International Pharmaceutical Federation (FIP); 2020.

Fonseca CL, Obreli-Neto PR, Baldoni AO, Reis TM, Rodrigues JPV, Pereira LRL, et al. Clinical Pharmacy in Brazil: an integrative review. Rev Bras Farmácia. 2017; 98(1): 1826-44.

Freitas GRM, Pinto RS, Luna-Leite MA, Castro MS, Heineck I. Principais dificuldades enfrentadas por farmacêuticos para exercerem suas atribuições clínicas no Brasil. Rev Bras Farm Hosp Serv Saúde. 2016; 7(3): 35-41.

Gomes VR. Eventos adversos a medicamentos em idosos de unidades de terapia intensiva [dissertação]. São Paulo: Universidade de São Paulo, Escola de Enfermagem; 2017 [cited 2021-04-08]. doi: 10.11606/D.7.2018.tde-27042018-143325.

» https://doi.org/10.11606/D.7.2018.tde-27042018-143325

Lima ED, Silva RG, Ricieri MC, Blatt CR. Farmácia clínica em ambiente hospitalar: enfoque no registro das atividades. Rev Bras Farm Hosp Serv Saúde. 2018; 8(4): 18-24. doi: 10.30968/rbfhss.2017.084.004.

» https://doi.org/10.30968/rbfhss.2017.084.004

Lyons K, Blalock SJ, Brock TP, Manasse Jr HR, Eckel SF. Development of a global hospital self-assessment tool and prioritization tier system based on FIP’s Basel Statements. Int J Pharm Pract. 2016 Apr; 24(2): 123-33. doi: 10.1111/ijpp.12223. Epub January 19, 2016. PMID: 26782943.

» https://doi.org/doi: 10.1111/ijpp.12223

Magarinos-Torres R, Osorio-de-Castro CGS, Pepe VLE. Atividades da farmácia hospitalar brasileira para compacientes hospitalizados: Uma revisão da literatura. Cien Saude Colet [Internet]. 2007 Ago [citado 2021 Abr 25]; 12(4): 973-984. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232007000400019&lng=pt . https://doi.org/10.1590/S1413-81232007000400019 .

» https://doi.org/10.1590/S1413-81232007000400019.

» http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232007000400019&lng=pt

Martins AC, Giordani F, Guaraldo L, Tognoni G, Rozenfeld S. Adverse drug events identified in hospitalized patients in Brazil by International Classification of Diseases (ICD-10) code listings. Cad Saúde Pública [Internet]. 2018 [cited 2021 Apr 08]; 34(12): e00222417. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018001205002&lng=en . Epub November 29, 2018. doi: 10.1590/0102-311x00222417

» https://doi.org/10.1590/0102-311x00222417

» http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018001205002&lng=en

Moscou K, Kohler JC, MaGahan A. Governance and pharmacovigilance in Brazil: a scoping review. J Pharm Policy Pract. 2016 Feb 8; 9: 3. doi: 10.1186/s40545-016-0053-y. PMID: 26862438; PMCID: PMC4746882.

» https://doi.org/10.1186/s40545-016-0053-y.

NCCMERP. National Coordinating Council for Medication Error Reporting and Prevention. Taxonomy of medication errors. 1998.

Oliveira LC, Gouveia FL, Silva WA, Silva CM, Menezes DLB, Macedo PCO, et al. As dificuldades enfrentadas na ausência de profissionais farmacêuticos nas farmácias hospitalares. Braz J Dev. 2023; 9(5): 16424-16440. doi: 10.34117/bjdv9n5-130.

» https://doi.org/10.34117/bjdv9n5-130.

Onozato T, Francisca Dos Santos Cruz C, Milhome da Costa Farre AG, Silvestre CC, de Oliveira Santos Silva R, Araujo dos Santos Júnior G, et al. Factors influencing the implementation of clinical pharmacy services for hospitalized patients: A mixed-methods systematic review. Res Social Adm Pharm. 2020; 16(4): 437-449. doi: 10.1016/j.sapharm.2019.06.018.

» https://doi.org/10.1016/j.sapharm.2019.06.018.

Penm J, Chaar B, Dechun J, Moles R. Formulary systems and pharmacy and therapeutics committees in the Western Pacific Region: exploring two Basel Statements. Am J Health Syst Pharm. 2013 Jun 1; 70(11): 967-79. doi: 10.2146/ajhp120396. PMID: 23686603.

» https://doi.org/10.2146/ajhp120396.

Penm J, Moles R, Wang H, Li Y, Chaar B. Factors affecting the implementation of clinical pharmacy services in China. Qual Health Res. 2014 Mar; 24(3): 345-56. doi: 10.1177/1049732314523680. Epub February 21, 2014. PMID: 24562375.

» https://doi.org/10.1177/1049732314523680.

Penm J, Chaar B, Moles R. Clinical pharmacy services that influence prescribing in the Western Pacific Region based on the FIP Basel Statements. Int J Clin Pharm. 2015a Jun; 37(3): 485-96. doi: 10.1007/s11096-015-0084-5. PMID: 25733064.

» https://doi.org/10.1007/s11096-015-0084-5.

Penm J, Chaar B, Moles R. Hospital pharmacy services in the Pacific Island countries. J Eval Clin Pract. 2015b Feb; 21(1): 51- 6. 2015b. doi: 10.1111/jep.12227. PMID: 25041043.

» https://doi.org/10.1111/jep.12227.

Penm J, Chaar B, Rose G, Moles R. Pharmacists’ influences on prescribing: validating a clinical pharmacy services survey in the Western Pacific Region. Res Social Adm Pharm. 2015 Jan-Feb; 11(1): 63-73. doi: 10.1016/j.sapharm.2014.04.001. Epub 2014 Jun 19. PMID: 25042568.

» https://doi.org/10.1016/j.sapharm.2014.04.001.

Poh J, Vaillancourt R, Lamarre D, Oyella J. Use of the 2008 basel consensus statements to assess, realign, and monitor pharmacy practice at a tertiary care hospital in northern Uganda: illustrative case study. Can J Hosp Pharm. 2013 Sep; 66(5): 318-27. doi: 10.4212/cjhp.v66i5.1291. PMID: 24159236; PMCID: PMC3806422.

» https://doi.org/10.4212/cjhp.v66i5.1291.

Rocha BG, Pereira ML, Baldoni AO, Rocha LA, Penm J, Moles R, et al. Hospital pharmacy practice and medication errors in Brazil. Eur J Hosp Pharm. 2021; 28: 168-169. doi: 10.1136/ejhpharm-2019-002015.

» https://doi.org/10.1136/ejhpharm-2019-002015.

Rocha BG, Silva AMS, Pereira ML, Baldoni AO, Ayres LR, Penm J, et al. Perception of pharmacists regarding human resources, training, and development of a national hospital pharmacy: a preliminary report on Basel Statements. Braz J Pharm Sci. 2022; 58: e19877. doi: 10.1590/s2175-97902022e19877.

» https://doi.org/10.1590/s2175-97902022e19877

Santos TR, Penm J, Baldoni AO, Ayres LR, Moles R, Sanches C. Hospital pharmacy workforce in Brazil. Hum Resour Health. 2018; 16: 1. doi: 10.1186/s12960-017-0265-5. PMID: 29301559; PMCID: PMC5755413.

» https://doi.org/10.1186/s12960-017-0265-5.

SBRAFH. Brazilian Society of Hospital Pharmacy. Padrões Mínimos para Farmácia Hospitalar. São Paulo, 2017. Available from: http://sbrafh.hospedagemdesites.ws/site/public/docs/padroes.pdf .

» http://sbrafh.hospedagemdesites.ws/site/public/docs/padroes.pdf

Siqueira LF, Gomes Neto LCG, Gonçalves KAM. Clinical pharmacist’s performance in the hospital environment. Braz J Health Ver. 2021; 4(6): 25467-25485. doi: 10.34119/bjhrv4n6-149.

» https://doi.org/10.34119/bjhrv4n6-149

Stacey D, Vaillancourt R, Brander L, Chenel N, McMahon E, Wiebe J, et al. Use of the 2008 Basel Consensus Statements to Assess, Realign, and Monitor Pharmacy Practice at a Tertiary Care Hospital in Northern Uganda: Illustrative Case Study, Part 2. Can J Hosp Pharm. 2017 Jan-Feb; 70(1): 35-46. doi: 10.4212/cjhp.v70i1.1627. Epub February 28, 2017. PMID: 28348431; PMCID: PMC5358057.

» https://doi.org/10.4212/cjhp.v70i1.1627.

Varallo FR, Forgerini M, Herdeiro MT, Mastroianni PC. Harmonization of Pharmacovigilance Regulation in Brazil: Opportunities to Improve Risk Communication. Clin Ther. 2019 Mar; 41(3): 598-603. doi: 10.1016/j.clinthera.2019.01.013. Epub 2019 Feb 18. PMID: 30792075.

» https://doi.org/10.1016/j.clinthera.2019.01.013.

Viana PB, Santos TLM, Ribeiro H, Pereira ML, Moraes JT, Sanches C. Núcleos de Segurança do Paciente no Brasil: Um estudo transversal. Res, Soc Dev. 2021; 10(6): e9010615546. doi: 10.33448/rsd-v10i6.15546.

» https://doi.org/10.33448/rsd-v10i6.15546.

WHO. World Health Organization. Continuity and change: implementing the third WHO medicines strategy 2008–2013. Geneva: WHO Press; 2010.

WHO. World Health Organization (CH). Medication without harm: WHO global patient safety challenge. Geneva: WHO, 2017. [cited 2021 Apr 08]. 16 p. Available from: http://who.int/iris/bitstream/10665/255263/1/WHO-HIS-SDS-2017.6-eng.pdf?ua=1 .

» http://who.int/iris/bitstream/10665/255263/1/WHO-HIS-SDS-2017.6-eng.pdf?ua=1

Brazilian Hospital Pharmacy

perception of the clinical attributions of pharmacists in view of the Basel Declaration of the FIP

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