Simulação interprofissional para medicação segura: revisão de escopo
DOI:
https://doi.org/10.36517/2175-6783.20262796296Palavras-chave:
Educação Interprofissional; Treinamento por Simulação; Segurança do Paciente; Erros de Medicação; Estudantes.Resumo
Objetivo: mapear as características de simulações interprofissionais voltadas ao ensino da medicação segura. Métodos: revisão de escopo conduzida em nove bases de dados nacionais e internacionais e no portal Biblioteca Virtual em Saúde, sem recorte temporal. Resultados: os 11 estudos incluídos englobam 1.932 participantes nas simulações interprofissionais para medicação segura. Os estudantes mais frequentes foram de medicina, farmácia e enfermagem. Os cenários predominantes foram hospitais e atenção primária, com paciente padronizado simulado, e abordagem da prescrição, dispensação, administração e monitoramento de medicamentos. As simulações envolveram atividades curriculares e extracurriculares com destaque para o referencial teórico do Interprofessional Education Collaborative e da competência da comunicação interprofissional nos objetivos de aprendizagem. Conclusão: a simulação interprofissional melhora o aprendizado sobre segurança na medicação, contribui para redução de erros e fortalece a segurança do paciente. Contribuições para prática: a simulação interprofissional aplicada à segurança na medicação desenvolve competências colaborativas, reduz erros em ambientes controlados e aprimora comunicação e trabalho em equipe.
Downloads
Referências
1. Jung C, Oh J, Chu SH. Research trends in interprofessional education programs related to medication for undergraduate nursing students: a scoping review. J Korean Biol Nurs Sci. 2024;26(2):83-98. doi: https://doi.org/10.7586/jkbns.24.007
2. Shuyi AT, Zikki LYT, Qi AM, Lin SKS. Effectiveness of interprofessional education for medical and nursing professionals and students: a systematic review. Nurse Educ Pract. 2024;74:103864. doi: https://doi.org/10.1016/j.nepr.2023.103864
3. Nundy S, Cooper LA, Mate KS. The quintuple aim for health care improvement: a new imperative to advance health equity. JAMA. 2022;327(6):521-2. doi: https://doi.org/10.1001/jama.2021.25181
4. Farrell TW, Greer AG, Bennie S, Hageman H, Pfeifle A. Academic health centers and the quintuple aim of health care. Acad Med. 2023;98(5):563-8. doi: https://doi.org/10.1097/ACM.0000000000005031
5. Hur HK, Kim KK, Lim YM, Kim J, Park KH, Park YC. Patient safety interprofessional education program using medical error scenarios for undergraduate nursing and medical students in Korea. J Interprof Care. 2023;37(6):944-53. doi: https://doi.org/10.1080/13561820.2023.2183184
6. Garwood CL, Salinitri F, Levine DL. Delivering interprofessional patient safety education using storytelling, a real-life medication error, and synchronous online platform. Med Teach. 2021; 44(6):643-9. doi: https://doi.org/10.1080/0142159X.2021.2017870
7. Rykhoff M, Pereira R, Wilkinson S. Building patient safety culture by using interprofessional simulation with nursing, paramedic and emergency telecommunication students. Nurse Educ Pract. 2024;81:104166. doi: https://doi.org/10.1016/j.nepr.2024.104166
8. Baalmann A, Crowl A, Coffey C, Jernigan S, Kalender-Rich J, Sabata D, et al. Interprofessional medication error disclosure training using a telehealth consultation simulation. Am J Pharm Educ. 2023; 87(1):ajpe8799. doi: https://dx.doi.org/10.5688/ajpe8799
9. World Health Organization. Medication without harm: policy brief [Internet]. 2024 [cited Nov 24, 2025]. Available from: https://www.who.int/publications/i/item/9789240062764
10. World Health Organization. WHO launches global effort to halve medication-related errors in 5 years [Internet]. 2017 [cited Nov 25, 2025]. Available from: https://www.who.int/news/item/29-03-2017-who-launches-global-effort-to-halve-medication-related-errors-in-5-years
11. World Health Organization. Global patient safety action plan 2021–2030 [Internet]. 2021 [cited Nov 25, 2025]. Available from: https://www.who.int/publications/i/item/9789240032705
12. World Health Organization. Global burden of preventable medication-related harm in health care: a systematic review [Internet]. 2023 [cited Nov 25, 2025]. Available from: https://iris.who.int/server/api/core/bitstreams/f208903d-b47d-4a8c-9fac-d8136c2bdbb6/content
13. Irajpour A, Farzi S, Saghaei M, Ravaghi H. Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units. J Educ Health Promot. 2019;8:196. doi: https://dx.doi.org/10.4103/jehp.jehp_200_19
14. Grimes TC, Guinan EM. Interprofessional education focused on medication safety: a systematic review. J Interprof Care. 2022;36(5):621-34. doi: https://doi.org/10.1080/13561820.2021.2018217
15. United Nations. Sustainable development goals: Goal 3 – ensure healthy lives and promote well-being for all at all ages [Internet]. New York: United Nations; 2015 [cited Dec 10, 2025]. Available from: https://sdgs.un.org/goals/goal3
16. Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for Evidence Synthesis. JBI; 2024. doi: http://doi.org/10.46658/JBIMES-24-01
17. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. doi: https://doi.org/10.7326/M18-0850
18. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan – a web and mobile app for systematic reviews. Syst Rev. 2016;5:210. doi: https://doi.org/10.1186/s13643-016-0384-4
19. Interprofessional Education Collaborative. Core competencies for interprofessional collaborative practice: Version 3 [Internet]. 2023 [cited Nov 4, 2025]. Available from: http://ipecollaborative.org/
20. Canadian Interprofessional Health Collaborative. CIHC competency framework for advancing collaboration 2024 [Internet]. 2024 [cited Nov 4, 2025]. Available from: https://www.cihc-cpis.com
21. Paterson R, Rolfe A, Coll A, Kinnear M. Inter-professional prescribing masterclass for medical students and non-medical prescribing students (nurses and pharmacists): a pilot study. Scott Med J. 2015;60(4):202-7. doi: https://dx.doi.org/10.1177/0036933015606583
22. Ragucci KR, Kern DH, Shrader SP. Evaluation of interprofessional team disclosure of a medical error to a simulated patient. Am J Pharm Educ. 2016;80(8):138. doi: https://dx.doi.org/10.5688/ajpe808138
23. Cooke C, Gormley GJ, Haughey S, Barry J. Tracing the prescription journey: a qualitative evaluation of an interprofessional simulation-based learning activity. Adv Simul (Lond). 2017;2:14. doi: https://doi.org/10.1186/s41077-017-0047-0
24. Motycka C, Egelund EF, Gannon J, Genuardi F, Gautam S, Stittsworth S, et al. Using interprofessional medication management simulations to impact student attitudes toward teamwork to prevent medication errors. Curr Pharm Teach Learn. 2018;10(7):982-9. doi: http://doi.org/10.1016/j.cptl.2018.04.010
25. Sehgal M, Nassetta KR, Bamdas JAM, Sourial M. First do no ‘pharm’: educating medical and pharmacy students on the essentials of medication management. Curr Pharm Teach Learn. 2019;11(9):920-7. doi: https://doi.org/10.1016/j.cptl.2019.05.006
26. Gannon JM, Egelund EF, Genuardi F, Simon LV, Morrissey TK, Gautam S, et al. Multistation simulations and deliberate practice to reinforce huddle behaviors in interprofessional student teams. Clin Simul Nurs. 2020; 40:17-24. doi: https://doi.org/10.1016/j.ecns.2019.11.008
27. Bartlett JL, Kinsey JD. Large-group, asynchronous, interprofessional simulation: identifying roles and improving communication with student pharmacists and student nurses. Curr Pharm Teach Learn. 2020;12(6):763-70. doi: https://doi.org/10.1016/j.cptl.2020.01.023
28. Guilding C, Hardisty J, Randles E, Statham L, Verde A, Bhudia R, et al. Designing and evaluating an interprofessional education conference approach to antimicrobial education. BMC Med Educ. 2020;20:360. doi: https://doi.org/10.1186/s12909-020-02252-9
29. Sharkas AR, Ali Sherazi B, Sayyed SA, Kinny F, Steichert M, Schwender H, et al. Development and evaluation of interprofessional high-fidelity simulation course on medication therapy consultation for German pharmacy and medical students: a randomized controlled study. Pharmacy. 2024;12(4):128. doi: https://doi.org/10.3390/pharmacy12040128
30. Costa AD, Pereira LC, Pinho DLM. The effect of interprofessional simulation practice on collaborative learning: a randomized controlled trial. J Interprof Care. 2023;39(1):14-21. doi: https://doi.org/10.1080/13561820.2022.2147153
31. Costa CRB, Santos SS, Godoy S, Alves LMM, Silva IR, Mendes IAC. Strategies for reducing medication errors during hospitalization: an integrative review. Cogitare Enferm. 2021;26:e79446. doi: https://doi.org/10.5380/ce.v26i0.79446
32. Agência Nacional de Vigilância Sanitária (ANVISA). Boletim de Farmacovigilância n. 8: erros de medicação [Internet]. 2019 [cited Nov 25, 2025]. Available from: http://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/monitoramento/farmacovigilancia/boletim-de-farmacovigilancia-no-08.pdf
33. Koppel R, Telles J, Schwartz DG. Medication errors only make sense in specific contexts: a context-sensitive understanding of medication errors. Stud Health Technol Inform. 2025;326:116-20. doi: https://doi.org/10.3233/shti250250
34. Thomas B, Abdulrouf P, Elkassem W, Hail A, Stewart D. A systematic review of incidence/prevalence, nature and causes of medication errors among hospitalized patients in Middle Eastern countries. Eur J Hosp Pharm. 2019;26:A276. doi: https://doi.org/10.1136/ejhpharm-2019-eahpconf.595
35. Kwiecień-Jaguś K, Mędrzycka-Dąbrowska W, Kopeć M. Compreendendo erros de medicação em ambientes de terapia intensiva e salas de cirurgia: revisão sistemática. Medicina. 2025;61(3):369. doi: https://doi.org/10.3390/medicina61030369
36. Assiri GA, Shebl NA, Mahmoud MA, Aloudah N, Grant E, Aljadhey H, et al. Epidemiology of medication errors, error-related adverse events and risk factors in adults in community care contexts: a systematic review. BMJ Open. 2018;8:e019101. doi: https://doi.org/10.1136/bmjopen-2017-019101
37. Braiki R, Douville F, Gagnon MP. Factors influencing the reporting of medication errors and near misses among nurses: a systematic mixed-methods review. Int J Nurs Pract. 2024;30(6):e13299. doi: https://doi.org/10.1111/ijn.13299
38. Reeves S. Why we need interprofessional education to improve the delivery of safe and effective care. Interface (Botucatu). 2016;20(56):185-97. doi: https://doi.org/10.1590/1807-57622014.0092
39. Cadet T, Cusimano J, McKearney S, Honaker J, O’Neal C, Taheri R, et al. Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. J Interprof Care. 2024;38(3):476-85. doi: https://doi.org/10.1080/13561820.2023.2283119
40. Alhur A, Alhur AA, Al-Rowais D, Asiri S, Muslim H, Alotaibi D, et al. Enhancing patient safety through effective interprofessional communication: a focus on medication error prevention. Cureus. 2024; 16(4):e57991. doi: https://doi.org/10.7759/cureus.57991
41. Sezgin MG, Bektas H. Effectiveness of interprofessional simulation-based education programs to improve teamwork and communication for students in the healthcare profession: a systematic review and meta-analysis of randomized controlled trials. Nurse Educ Today. 2023;120:105619. doi: https://doi.org/10.1016/j.nedt.2022.105619
42. Pan American Health Organization. Interprofessional health teams for integrated care. Washington (DC): PAHO; 2025. doi: https://dx.doi.org/10.37774/9789275129791
43. Lioce L, Downing D, Chang TP, Robertson JM, Anderson M, Diaz DA, et al. Healthcare simulation dictionary. Rockville: Agency for Healthcare Research and Quality; 2020.
44. World Health Organization. Framework for action on interprofessional education & collaborative practice [Internet]. 2010 [cited Nov 25, 2025]. Available from: https://iris.who.int/bitstream/handle/10665/70185/WHO_HRH_HPN_10.3_eng.pdf
45. Kilroy S, Marks B, Sawyer KM, Vanderzwan K, Karczmar C, Koronkowski M, et al. Utilizing simulation-enhanced interprofessional education to identify differences in healthcare students’ collaborative practice behaviors: a mixed method study. Nurse Educ Today. 2025;147:106569. doi: https://doi.org/10.1016/j.nedt.2025.106569
46. Almendingen K, Sparboe-Nilsen B, Gravdal KL, Saltyte BJ. Core competencies for interprofessional collaborative practice among teacher education, health and social care students in a large scaled blended learning course. J Multidiscip Healthc. 2021;14:2249-60. doi: https://doi.org/10.2147/JMDH.S325086
47. Zenani NE, Sehularo LA, Gause G, Chukwuere PC. The contribution of interprofessional education in developing competent undergraduate nursing students: integrative literature review. BMC Nurs. 2023;22(1):315. doi: https://dx.doi.org/10.1186/s12912-023-01482-8
Downloads
Publicado
Declaração de Disponibilidade de Dados
Os autores declaram que os dados que dão suporte aos resultados reportados neste estudo estão disponíveis em repositório público, com acesso aberto, no endereço: https://doi.org/10.17605/OSF.IO/GZPS3. Todo o conjunto de dados encontra-se integralmente descrito e documentado, garantindo transparência e reprodutibilidade dos achados.
Edição
Seção
Licença
Copyright (c) 2026 André Wilian Lozano, Eduardo Félix Machado, Luciana Estevam Simonato, Juliane Zagatti Alves Pereira Mioto, Sabrina da Silva Saraiva-Mangolin, Vivian Aline Mininel, Jaqueline Alcântara Marcelino da Silva

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Como Citar
Dados de financiamento
-
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Números do Financiamento 001






