Diseño de un protocolo para el manejo de medicamentos de alto riesgo en el Hospital Básico San Marcos-Riobamba

Abstract

The research aimed to design a protocol for the management of high-risk medications (HRMs) at the San Marcos Riobamba Basic Hospital (SMRBH); it was quantitative descriptive, for which an inventory of all medicines that are available in the pharmacy area make, and the drugs considered high risk were classified taking as reference the Institute of Safe Medication Practices (ISMP) 2022 and the National Table of Basic Medicines 11th edition, obtaining 26 MAR. An observational analysis of the pharmacy area was carried out, and it was possible to identify that they were neither labeled nor separated from the other medications. The rotation of drugs in the period September – December 2022 evaluated, being able to verify that there is the use of sevoflurane with a higher percentage (58.198%), belongs to group N of anesthetics and with a lower rate of calcium gluconate (0.774%) of group A of mineral solutions. Surveys were also conducted, which indicated that all personnel do not know about the management of the HRMs. Therefore, a protocol develops with explicit and detailed information on the storage, labeling, prescription, validation, preparation, and administration process. The health personnel working in the institution were socialized to help the knowledge of the management of the HRMs and prevent medication errors that put patients' lives at risk.