Diseño de un protocolo de conciliación farmacoterapéutica en el servicio de consulta externa del Centro Clínico Quirúrgico Ambulatorio FIBUSPAM.

Abstract

The objective of the present investigation was to design a Pharmacotherapeutic Conciliation protocol in the External Consultation Service of the FIBUSPAM Outpatient Clinical Surgical Center, through the application of a non-experimental, applicative, exploratory and retrospective design. In this study, 354 clinical histories of patients attended in the January-June 2018 period that met the established inclusion criteria were evaluated. The investigation was carried out in two phases: the first one of evaluation, collection and analysis of data on the anamnesis and pharmacotherapeutic prescriptions of each patient and the second of the design of the conciliation protocol taking into account the parameters analyzed. The results obtained were 1% of justified discrepancies that do not require clarification and 68% that presented at least one unjustified discrepancy that require clarification; the remaining 31% did not present discrepancies. The unjustified discrepancies with higher incidence were with 36% beginning of a treatment without clinical justification, 14% drug interactions, 7% incomplete prescriptions and others in minor percentages such as duplicities, contraindicated medication and different posology. Regarding medication errors of greater occurrence, 25% category D, 8% category C and 7% category E were found. Furthermore, it was observed that 20% of the total population suffers from one or more Chronic Non-Communicable Diseases. In conclusion, the design of a drug reconciliation protocol is important and necessary to avoid any discrepancy or medication error that may arise during the provision of health services. Therefore, its implementation is recommended in all areas of care and it is also the daily commitment of health professionals to monitor and strengthen this process.