Elaboración e implementación de un protocolo de control interno para el adecuado manejo y uso de las recetas médicas en el Hospital General Latacunga

Abstract

The main objective of this research was to develop and implement an internal control protocol on the proper handling and use of medical prescriptions in the Latacunga General Hospital, Cotopaxi province, during the year 2021. Through a descriptive and observational study with cross-section and non-experimental, tools such as Excel 2016 and elaboration of dynamic tables for data analysis are applied. We analyzed 1053 medical prescriptions from patients who attended the medical services of hospitalization (internal medicine), outpatient, and emergency. With the data obtained, it was possible to identify that the patients who attended the hospital services with the highest prevalence were female (56.03%) to the age group, it is determined that patients aged 65 years and older (43.59%). Regarding medications, NSAIDs were the highest prescription (19.94%). Among the prescription errors were found by omission of the frequency of administration (35.09%), followed by errors by illegible prescriptions with 35.81%. Based on the results obtained, there was a need to develop an internal control protocol in the proper handling of medical drugs and to provide training. It concludes that within the Latacunga General Hospital prescription, in a total of 1117 errors, of which 50.15% correspond to errors in the drug data, so it was possible to identify critical points at the level of prescription by the treating physician and in the phase of validation of the medical drug. Compliance with the internal control protocol recommends monitoring and controlling the prescription drug and dispensing of weekly medication use for proper handling.