Diseño de un plan piloto para la conciliación de medicamentos en el Hospital General Andino de Chimborazo

Abstract

The objective of this research was to design a pilot plan for the implementation of medication reconciliation in the Hospital General Andino de Chimborazo through a mixed, field and cross-sectional study, through a descriptive-observational analysis. A diagnosis of the current situation of pharmacotherapy was made through the review of medical records, where medication errors were identified and classified. In addition, surveys were applied to assess the criteria of health professionals on therapeutic drug conciliation. The sample was made up of 150 medical records of patients who met the inclusion criteria and entered emergency services, hospitalization, and intensive care unit during the period April - June of the year 2019. In addition to 30 health professionals involved in the process of conciliation. The data obtained were tabulated in Excel (version 4, 2016) and subsequently entered into SPSS for statistical processing, obtaining 56 medication errors, the majority being category B (error without damage), where insufficient treatment monitoring (46.43%), incomplete prescriptions (21.43%) and the omission of necessary medications (17.86%) had the highest percentage. The criteria and attitude of the health personnel were evaluated before essential elements of the conciliation, finding that. 90% knew about the process, 57.67% used the medical history as a source of information on drug therapy and 53.33% always verified drug interactions before prescribing, administering or validating a new medication. It was concluded that the interaction between medications as part of insufficient treatment monitoring is the error with the greatest potential for generating discrepancies inherent in the conciliation, a fact that justified the elaboration of the protocol and the future implementation of the process. It is recommended to train health personnel for the prevention of discrepancies that lead to damage to the health of patients.