Diseño de un protocolo de conciliación de medicamentos en Clínica Aguilar de la Ciudad de Machala

Abstract

The inability that most health professionals have regarding the management of the drug-therapeutic scheme of the patient being treated in the unit, the identification of errors and their notification, is what is part of the percentage of facts adverse events raised at the hospital level, especially when transferring from one medical unit to another. To prevent these errors, a medication reconciliation protocol is available in order to reduce this type of inconsistencies during patient management. The present research work was carried out at the Aguilar Clinic in the city of Machala, which is a health service provider institution, whose objective is to design a medication reconciliation protocol which can be imparted to the health personnel of the institution of study itself that helps to minimize prescription errors, administration and dispensing of medications. It has been taken into account that the adequate adherence of a pharmacological treatment is directly proportional to the continuous improvement of the patient's health, but if this pharmacological therapy is not completed or administered correctly, from the place to which the Adverse Drug Reactions are, what is prioritized a correct management of the therapeutic scheme of the patient also minimizing their damages or repercussions that can give a root of these. The study is descriptive, prepared through a bibliographic review, dialogue developed with the director of the medical institution in question and study of medical records in the Software for Hospitals, Clinics and Medical Centers (SALUS), an analysis and study of each one of the areas of the health unit, involving the medical, nursing and pharmacy personnel for the analysis of clinical pictures, diagnoses and pharmacological treatments, in order to be based on the data collection taking into account everything that evidences some discrepancy or inconsistency in the work universe, patients that are within the inclusion criteria such as: polymedicated patients, with pluripatologies, with chronic diseases, recidivists in the hospitalization area, those with complex or long-term treatments. Involving staff: medical, nursing and pharmacy area for the analysis of clinical pictures, diagnoses and pharmacological treatments. Having visualized the break points due to an absence of medication reconciliation, a conference is held with the presence of the majority of the health personnel of the institution for the respective socialization of the work performed. Regarding the results, physical and photographic evidence of the conference and workshop held at the medical institution was captured, fulfilling the objective, it was possible to design a medication reconciliation protocol based on the needs raised in the analysis institution contributing to implement a culture of conciliation at the level of health personnel at the institutional level, while constituting one of the evaluation requirements of the Ministry of Public Health (MSP) for subsequent accreditation to General Hospital