Implementación de la conciliación farmacéutica en pacientes trasladados desde el servicio de Urgencias y UPC al servicio de Medicina del Hospital El Pino
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Archivos
Fecha
2023
Autores
Profesor/a Guía
Facultad/escuela
Idioma
es
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Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Con el aumento de fármacos utilizados en los pacientes se ha observado una mayor
cantidad de errores de medicación, por lo que se han realizado diferentes esfuerzos
para disminuir esos errores, entre ellos se encuentra la conciliación farmacéutica
que corresponde a un proceso formal para obtener la mejor historia de la medicación
de los pacientes y lograr así mantener los tratamientos de los pacientes, siempre
que su condición clínica lo permita, durante la instancia hospitalaria. El objetivo de
este estudio es evaluar implementar el proceso de conciliación farmacéutica en
pacientes trasladados desde el servicio de urgencias y la unidad de paciente crítico.
El estudio se llevó a cabo en el servicio de medicina del Hospital El Pino donde se
determinó una muestra de 65 pacientes, a los cuales se les realizo una entrevista y
se comparó con los medicamentos utilizados, adherencia a través de Morisky Green
Levine y se analizó la cantidad de discrepancias obtenidas y si estas eran
justificadas o no, las cuales se conversaron con el equipo médico a cargo del
paciente y fueron solucionadas según fuese el caso.
Se incluyeron a 65 pacientes con una edad promedio de 61,9 años, pluripatológico
y polimedicado, se conciliaron 302 medicamentos y se encontraron 146
discrepancias totales, de las cuales 18 corresponden a discrepancias no
justificadas.
Como conclusión se pudo observar que el proceso de conciliación farmacéutica
permitió determinar 130 discrepancias justificadas y 18 no justificadas, siendo estas
últimas corregidas permitiendo así a los pacientes mantener sus tratamientos
domiciliarios mientras lo permite su condición clínica. Por lo tanto se pude decir que
si bien el proceso de conciliación corresponde a un proceso sistemático y de larga
data el impacto de este puede ser positivo para los pacientes.
With the increase in drugs used in patients, a greater number of medication errors has been observed, which is why different efforts have been made to reduce these errors, among them is pharmaceutical reconciliation, which corresponds to a formal process to obtain the best history of the medication of the patients and thus be able to maintain the treatments of the patients, whenever their clinical condition allows it, during the hospital instance. The objective of this study is to evaluate the implementation of the pharmaceutical reconciliation process in patients transferred from the emergency department and the critical patient unit. The study was carried out in the medical service of Hospital El Pino where a sample of 65 patients was determined, who were interviewed and compared with the medications used, adherence through Morisky Green Levine and analyzed the number of discrepancies obtained and whether they were justified or not, which were discussed with the medical team in charge of the patient and were resolved as appropriate. 65 patients with a mean age of 61.9 years, polypathological and polypharmacy were included, 302 medications were reconciled and 146 total discrepancies were found, of which 18 correspond to unjustified discrepancies. In conclusion, it was observed that the pharmaceutical reconciliation process allowed determining 130 justified and 18 unjustified discrepancies, the latter being corrected thus allowing patients to maintain their home treatments as long as their clinical condition allows. Therefore, it can be said that although the conciliation process corresponds to a systematic and long-standing process, its impact can be positive for patients.
With the increase in drugs used in patients, a greater number of medication errors has been observed, which is why different efforts have been made to reduce these errors, among them is pharmaceutical reconciliation, which corresponds to a formal process to obtain the best history of the medication of the patients and thus be able to maintain the treatments of the patients, whenever their clinical condition allows it, during the hospital instance. The objective of this study is to evaluate the implementation of the pharmaceutical reconciliation process in patients transferred from the emergency department and the critical patient unit. The study was carried out in the medical service of Hospital El Pino where a sample of 65 patients was determined, who were interviewed and compared with the medications used, adherence through Morisky Green Levine and analyzed the number of discrepancies obtained and whether they were justified or not, which were discussed with the medical team in charge of the patient and were resolved as appropriate. 65 patients with a mean age of 61.9 years, polypathological and polypharmacy were included, 302 medications were reconciled and 146 total discrepancies were found, of which 18 correspond to unjustified discrepancies. In conclusion, it was observed that the pharmaceutical reconciliation process allowed determining 130 justified and 18 unjustified discrepancies, the latter being corrected thus allowing patients to maintain their home treatments as long as their clinical condition allows. Therefore, it can be said that although the conciliation process corresponds to a systematic and long-standing process, its impact can be positive for patients.
Notas
Seminario (Química Farmacéutica)
Palabras clave
Medicamentos, Administración y Dosis, Prescripciones de Medicamentos, Protocolos Clínicos