Implementación y evaluación de un protocolo de buenas prácticas de recepción, almacenamiento y dispensación de medicamentos en el Hospital San Juan Hospiesaj S.A. Ciudad Riobamba

Abstract

The objective of this research was to implement and evaluate a protocol of good practices for the reception, storage, and dispensing of medicines at San Juan Hospital HOSPIESAJ S.A. in Riobamba City. This is through non-experimental research, with a mixed approach and descriptive level. The study population consisted of pharmacy personnel, a biochemist pharmacist, pharmacy assistants, and patients who attended the hospital in the period of April to July 2023. It proceeded in four phases: the initial conditions of the drugs were identified, the dispensing process under medical prescription was analyzed; the protocol of good practices was elaborated and implemented; the protocol of good practices for the reception, storage, and dispensing of medicines was implemented; the level of compliance with the protocols was evaluated. The results of the initial evaluation were: organization (4.28%), personnel (42.5%), infrastructure (33.33%), equipment and materials (50%), medicines reception (25%), storage of medicines (50%) and dispensing of medicines (20%). When evaluating the dispensing process, it was determined that the staff does not answer the patient's questions (50.67%), does not ask if the person has any underlying diseases (80%) or allergies (82.67%), does not provide information on the dosage schedule (66.67%) and does not encourage the completion of treatment (94.67%). Actions were taken based on the nonconformities found and four standard operating procedures (SOPs) were designed: personnel and organization, medicines reception, storage of medications, and dispensing of medications. The implementation of the SOPs was evaluated, obtaining a final compliance of 74.19%. It was concluded that it is important to apply quality guidelines in the reception, storage, and dispensing processes to ensure the delivery of safe and effective medicines to the patient. It is recommended that the pharmacist verify compliance with the quality guidelines detailed in each SOP.