Diseño de un protocolo de manejo de medicamentos de alto riesgo para el hospital geriátrico doctor bolívar arguello, Riobamba

Abstract

The Doctor Bolívar Arguello Geriatric Hospital lacks a protocol that details the proper management of High-Risk Medications (HRMs), increasing the possibility of adverse effects and reducing the quality of the health service; Thus, the objective set for this research was to design a protocol for the management of High-Risk Medications for the Doctor Bolívar Arguello Geriatric Hospital, Riobamba. The methodology for the research was qualitative and quantitative, a non-experimental cross-sectional design was used since no variables were used for the study and it was developed in phases of identification, diagnosis, and structured analysis of the protocol in the period July – November 2022; the study population was the High-Risk Drugs of the pharmacy stock that meet the inclusion and exclusion criteria that were established in the research, with the application of a field investigation and the method of direct observation using techniques and instruments, information was obtained from both the stock of the hospital pharmacy and the survey applied to the hospital's health personnel. Through this research methodology, it was determined that the hospital does not have a protocol for the management of the HRMs themselves, which have a considerable turnover in the hospital services of the institution, weaknesses in the drug administration process, and the need for a standardized operating process for the reduction of possible adverse effects due to medication errors. The research concluded that the hospital has forty-five High-Risk Drugs mostly used in geriatrics and hospitalization services, so a standardized operational process is structured with strategies that improve hospital and outpatient care.