Diseño de un protocolo de manejo de medicamentos de alto riesgo para el Hospital Básico Guamote

Abstract

The objective of the research was to design a protocol for managing high-risk medications at Guamote Basic Hospital during the period September 2022 – February 2023; the research was of mixed type and descriptive study level. The high-risk medications available to the Hospital were identified, with 34 classified according to their pharmaceutical form, concentration, anatomical, therapeutic, and chemical classification (ATC). As a result, it was obtained that, when evaluating the rotation of medications in August - September 2022, greater consumption was identified in internal medicine, emergency, gynecology, and delivery room. A checklist and a survey were applied to determine the development of health personnel with high-risk drugs, allowing the identification of the Hospital's situation concerning their management, evidencing errors during their use; Therefore, we proceeded to the elaboration of a protocol that has detailed information, to achieve a correct understanding and execution by the staff, defining its scope, functions, the process that must be followed in each of the stages such as labeling, storage, prescription, dispensing, administration and which professionals are in charge of each of these, The document was reviewed and approved by expert hospital staff. It concludes that it is essential to use the protocol to manage high-risk medications due to the drawbacks detected in the stages of their use to identify, prevent and resolve medication errors. It recommends keeping health professionals trained in the different processes, such as labeling, storage, prescription, and administering high-risk drugs.