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Related Experiment Video

Updated: May 30, 2025

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Content validation of drug problem-oriented clinical record.

Tâmara Natasha Gonzaga de Andrade Santos1, Givalda Mendonça da Cruz Macieira1, Kérilin Stancine Santos Rocha2

  • 1Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Department of Pharmacy, Federal University of Sergipe, Cidade Universitária "Prof. José Aloísio Campos", Jardim Rosa Elze, São Cristóvão, SE, CEP: 49100- 000, Brazil.

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|January 26, 2025
PubMed
Summary

A new clinical record tool, the DAM (Diagnostics - Adverse Clinical Findings - Medicines) record, was developed to help healthcare professionals identify and resolve drug-related problems in hospitals. This validated tool enhances patient safety by improving medication management.

Keywords:
Clinical Decision SupportDrug-Related ProblemMedication ReviewProblem-Oriented Medical RecordsValidation

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Area of Science:

  • Clinical Pharmacy
  • Patient Safety
  • Health Informatics

Background:

  • Hospitals face challenges in managing drug-related problems, posing risks to patient safety.
  • Effective tools are needed to support the diagnosis, management, and resolution of medication-related issues.

Purpose of the Study:

  • To develop a novel clinical record system specifically designed for drug-related problems.
  • To validate the content of this new drug-oriented clinical record.

Main Methods:

  • A drug-oriented clinical record was developed by experienced researchers.
  • Content validation was performed using the nominal group technique with an expert panel (physician, nurses, pharmacists).
  • The instrument was assessed for objectivity, simplicity, clarity, and relevance.

Main Results:

  • Expert feedback led to modifications in item order, additions, and clarifications.
  • The final instrument, the DAM Clinical Record, contains 45 items across six sections.
  • Sections include Patient Identification, Anamnesis, Clinical Diagnosis, Adverse Clinical Findings, Medicines, and Pharmaceutical Evaluation.

Conclusions:

  • The DAM Clinical Record was successfully developed and content-validated to aid healthcare professionals.
  • This tool guides the identification and resolution of drug-related problems in hospital settings.
  • It facilitates the systematic storage of relevant patient information for drug problem management.