Abstract
Introduction: AGHU originated in the 1970s at the Hospital das Clínicas de Porto Alegre. In 2009, the Ministry of Education initiated a project to adopt it as the Hospital Information System (HIS) of the EBSERH Network. In the HIS, which manages medications, a computerized system is essential for efficient management, aiding clinical decision-making, and contributing to patient safety. The HIS needs tools for planning, procurement, distribution, and inventory control of medications, as well as providing fiscal and management reports, among others. In AGHU, the HIS management modules include Supplies (M-Sup) and Pharmacy (M-Far). At HUPES, the HIS consists of various services, requiring a complex HIS to meet their diverse demands and integration with other hospital sectors. Objective: To discuss the implementation of the Supplies and Pharmacy modules of AGHU in the Hospital Pharmacy Sector at HUPES. Method: This is a case report discussing the planning, implementation, and usability of AGHU in the HIS of HUPES. Results and Discussion: The implementation of AGHU at HUPES began in 2014. The M-Sup and M-Far modules started in 2019 but were only completed in 2022. In the HIS, M-Sup controls medications through receipt notes, adjustments, transfers, requisitions, and returns, while also generating management and fiscal reports. However, essential resources are lacking in Hospital Pharmacy management, such as consumption statistics reports, inventory tools, feasibility of returns from the wards, transformation of pharmaceutical forms, etc. In M-Far, medication screening and dispensation are performed based on prescriptions, integrated with M-Sup for inventory control. The main difficulty in the implementation process was the lack of information about the system's functionality. Manuals described basic commands without explaining the function of resources. Knowledge of AGHU was built through trial and error, leading to unnecessary work. Training scripts were developed internally, and manuals are in the process of being published. After implementation, errors occurred such as duplicate balances after transfers, duplicate warehouse entries, errors in some average prices, among others, necessitating re-implementation, which impacted both the HIS and prescriptions since medications are registered in M-Sup. Difficulties in adapting to an HIS implementation are expected. However, some deficiencies in AGHU directly impact HIS management. Improvements have been requested, but few have been implemented. Conclusion: In selecting and implementing an HIS, thorough planning is essential, encompassing comprehensive system knowledge, understanding institutional complexity and demands, and involving frontline service professionals to prevent a stressful and problematic process.
