Importancia de la conciliación de medicamentos a pacientes previo su ingreso hospitalario
Fecha
2021
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Universidad de Guayaquil. Facultad de Ciencias Químicas
Resumen
El objetivo principal de este trabajo es analizar la relación que existe entre la implementación de la conciliación de medicamentos a pacientes previo su ingreso hospitalario y la cantidad de eventos adversos reportados.
La investigación se realizó en un hospital de la ciudad de Guayaquil, usando el registro de todos los pacientes atendidos en todas las áreas del hospital durante el periodo junio 2020 hasta mayo 2021. El total de pacientes atendidos fue de 13428. Los instrumentos utilizados para la recolección de los datos serán los registros mensuales de beneficio asistencial con los que cuenta el hospital.
Para garantizar la confiabilidad, la cual se refiere a la precisión de los resultados, se utilizó la correlación de Pearson. Además, fue contrastada con el coeficiente de correlación de Spearman. La confiabilidad de estas pruebas fue garantizada por una prueba de normalidad. La prueba que se eligió para este caso, debido a la cantidad de datos es la prueba de Ryan-Joiner, que es similar a la de Shapiro-Wilk.
Basados en los resultados se pudo comprobar que existe una relación inversamente proporcional entre las variables, es decir, mientras aumenta el porcentaje de conciliación en la medicación de los pacientes en el hospital, disminuyen los errores en la medicación por paciente atendido. Todos estos resultados se realizaron con un nivel de significación estadística del 0,05.
A pesar del requisito de muchas organizaciones reguladoras de que las organizaciones de salud implementen prácticas de conciliación, la percepción de que los errores de medicación son comunes y la insatisfacción con la administración de medicamentos en las transiciones sigue siendo común en los hospitales. Por lo cual se recomienda que desde los entes reguladores se den directrices claras y se exija el cumplimiento de estas con relación al proceso de conciliación de medicamentos en los hospitales del país.
The main objective of this work is to analyze the relationship between the implementation of drug conciliation in patients prior to their hospital admission and the number of reported adverse events. The research was carried out in a hospital in the city of Guayaquil, using the registry of all patients treated in all areas of the hospital during the period June 2020 to May 2021. The total number of patients attended was 13,428. The instruments used for the Data collection will be the monthly healthcare benefit records that the hospital has. To guarantee reliability, which refers to the precision of the results, Pearson's correlation was used. In addition, it was contrasted with the Spearman correlation coefficient. The reliability of these tests was guaranteed by a normality test. The test that was chosen for this case, due to the amount of data, is the Ryan-Joiner test, which is similar to the Shapiro-Wilk test. Based on the results, it was possible to verify that there is an inversely proportional relationship between the variables, that is, while the percentage of reconciliation in the medication of the patients in the hospital increases, the errors in the medication per patient attended decrease. All these results were carried out with a level of statistical significance of 0.05. Despite the requirement by many regulatory organizations that healthcare organizations implement work-life balance practices, the perception that medication errors are common and dissatisfaction with drug administration in transitions remains common in hospitals. For this reason, it is recommended that the regulatory entities give clear guidelines and demand compliance with these in relation to the drug reconciliation process in the country's hospitals.
The main objective of this work is to analyze the relationship between the implementation of drug conciliation in patients prior to their hospital admission and the number of reported adverse events. The research was carried out in a hospital in the city of Guayaquil, using the registry of all patients treated in all areas of the hospital during the period June 2020 to May 2021. The total number of patients attended was 13,428. The instruments used for the Data collection will be the monthly healthcare benefit records that the hospital has. To guarantee reliability, which refers to the precision of the results, Pearson's correlation was used. In addition, it was contrasted with the Spearman correlation coefficient. The reliability of these tests was guaranteed by a normality test. The test that was chosen for this case, due to the amount of data, is the Ryan-Joiner test, which is similar to the Shapiro-Wilk test. Based on the results, it was possible to verify that there is an inversely proportional relationship between the variables, that is, while the percentage of reconciliation in the medication of the patients in the hospital increases, the errors in the medication per patient attended decrease. All these results were carried out with a level of statistical significance of 0.05. Despite the requirement by many regulatory organizations that healthcare organizations implement work-life balance practices, the perception that medication errors are common and dissatisfaction with drug administration in transitions remains common in hospitals. For this reason, it is recommended that the regulatory entities give clear guidelines and demand compliance with these in relation to the drug reconciliation process in the country's hospitals.
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CONCILIACIÓN DE MEDICAMENTOS, ERRORES EN LA PRESCRIPCIÓN, PROCESOS HOSPITALARIOS