Evaluación de la conciliación de medicamentos en el Hospital Teodoro Maldonado Carbo octubre 2020 – enero 2021
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2021
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Universidad de Guayaquil. Facultad de Ciencias Químicas
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Palabras clave: CONCILIACIÓN DE MEDICAMENTOS. Antecedentes: La conciliación de medicamentos es reconocida ampliamente por organismos internacionales como un método para promover la seguridad del paciente, sin embargo, el proceso se encuentra limitado por la falta de stock en el hospital y el recurso humano.
Objetivo: Evaluar la conciliación de medicamentos en el área de Cardiología del Hospital de Especialidades Dr. Teodoro Maldonado Carbo desde el mes de octubre 2020 - marzo 2021.
Métodos: El presente estudio utilizó el método descriptivo con recopilación de datos en forma prospectiva y de corte transversal.
Resultados: La muestra consistió en 78 pacientes del área de cardiología de hospitalización. Se identificaron un total de 96 discrepancias injustificadas que requirieron aclaración. El error de conciliación más frecuente al ingreso fue la omisión de medicamento n = 29 (37,17%) y frecuencias omitidas n = 23 (29,48 %) estas últimas omitidas en la medicación habitual. Se conciliaron un total de 583 medicamentos con una media de n = 7 fármacos por paciente. Se detectaron 34 discrepancias injustificadas por omisión durante el alta hospitalaria todas ellas por omisión.
Conclusión: El registro de la medicación habitual experimentó un progreso significativo durante el estudio, sin embargo, el proceso enfrenta principalmente dos dificultades la poca disponibilidad del personal farmacéutico y la falta de stock de medicamentos. Estos factores debilitan el proceso tal como lo indica el porcentaje de omisión de medicamentos al ingreso y al alta hospitalaria. En el transcurso de la hospitalización se suspenden medicamentos y ocurren cambios en la farmacoterapia por eso el alta es un buen momento para optimizarla.
Background: The reconciliation of medicines is widely recognized by international organizations as a method to promote patient safety, however, the process is limited by the lack of stock in the hospital and human resources. Objective: Evaluate the reconciliation of medications in the Cardiology area of the Teodoro Maldonado Hospital from October 2020 - March 2021 Methods: The present study used the descriptive method with prospective and cross-sectional data collection. Results: The sample consisted of 78 patients from the hospitalization cardiology area. A total of 96 unjustified discrepancies were identified that required clarification. The most frequent reconciliation error on admission was the omission of medication n = 29 (37.17%) and frequencies omitted n = 23 (29.48%), the latter omitted in the usual medication. A total of 583 medications were reconciled with a mean of n = 7 drugs per patient. 34 unjustified discrepancies by omission were detected during hospital discharge, all of them by omission. Conclusion: The registration of the usual medication experienced significant progress during the study, however, the process mainly faces two difficulties: the limited availability of the pharmaceutical staff and the lack of stock of medicines. These factors weaken the process, as indicated by the percentage of omission of medications at hospital admission and discharge. During the hospitalization, medications are suspended and changes in drug therapy occur, so discharge is a good time to optimize it.
Background: The reconciliation of medicines is widely recognized by international organizations as a method to promote patient safety, however, the process is limited by the lack of stock in the hospital and human resources. Objective: Evaluate the reconciliation of medications in the Cardiology area of the Teodoro Maldonado Hospital from October 2020 - March 2021 Methods: The present study used the descriptive method with prospective and cross-sectional data collection. Results: The sample consisted of 78 patients from the hospitalization cardiology area. A total of 96 unjustified discrepancies were identified that required clarification. The most frequent reconciliation error on admission was the omission of medication n = 29 (37.17%) and frequencies omitted n = 23 (29.48%), the latter omitted in the usual medication. A total of 583 medications were reconciled with a mean of n = 7 drugs per patient. 34 unjustified discrepancies by omission were detected during hospital discharge, all of them by omission. Conclusion: The registration of the usual medication experienced significant progress during the study, however, the process mainly faces two difficulties: the limited availability of the pharmaceutical staff and the lack of stock of medicines. These factors weaken the process, as indicated by the percentage of omission of medications at hospital admission and discharge. During the hospitalization, medications are suspended and changes in drug therapy occur, so discharge is a good time to optimize it.
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CONCILIACIÓN DE MEDICAMENTOS, TRANSICIÓN ASISTENCIAL, DISCREPANCIA