Diseño de un plan de mejora en el servicio de atención farmacéutica a pacientes con diabetes mellitus tipo II de medicina interna del Hospital Básico Sigchos.

Abstract

The aim of this research was to design an improvement plan for pharmaceutical care services for patients with type II diabetes mellitus and related internal medicine conditions at the Sigchos Basic Hospital. To achieve this, an initial diagnosis of the service was conducted, considering human resources, material and technological resources, and supplies. A procedure was developed to optimize the utilization of these parameters, validate its implementation, and monitor it through the Quality service. This was accomplished by conducting a SWOT analysis (Strengths, Weaknesses, Opportunities, Threats), which determined the strategic lines of action and changes to implement. The research also standardized the pharmaceutical care process to adapt it to the reality of the hospital. An audit checklist for implementation, indicators, procedure algorithm, annual training plan, and forms for use in patient care were established. The purpose was to have an improvement plan with clear functions and responsibilities for each member of the multidisciplinary team during the hospital stay. Multiple patient outcomes were collected during the study. The results showed that 72% of the patients treated were women, and the remaining were men. 73% of the patients were between the ages of 55 and 75. 54% of men and 42% of women were overweight. 4% of the patients experienced an Adverse Drug Reaction (ADR) or Medication Error. Medication-Related Problems decreased from 80% to 45%, and treatment adherence increased from 23% to 68% three months after the implementation of pharmaceutical care. This indicates an improvement in patient health education processes. Therefore, the implementation and monitoring of the improvement plan and the expansion of pharmaceutical care services throughout the entire hospital are of vital importance.