Estudio de factibilidad para la implementación de una central de mezclas intravenosas en el hospital general IESS Machala.

Abstract

An intravenous admixture service (IAS) is an area where intravenous preparations are compounded, ensuring they meet all standards such as asepsis, appropriate administration conditions, and proper storage. The purpose of this study is to analyze the economic and technical feasibility of implementing an Intravenous Admixture Service (IAS) at the IESS Machala General Hospital. This proposal arises due to the lack of such a service in the hospital, which limits the quality and safety of sterile drug preparation, especially in critical areas such as the Intensive Care Unit (ICU). Data collection was carried out from May to June, obtaining a significant sample size that allowed for a thorough analysis of the hospital’s current situation, clearly showing the need for this project. The methodology applied corresponds to a descriptive, qualitative, and feasibility-type study, supported by the analysis of medical prescriptions, interviews with hospital staff, document review, and evaluation of the available physical space. The results of this study identified that the most frequently used intravenous medications were sodium chloride, fentanyl, midazolam, among others, and that most ICU patients require parenteral nutrition with components such as ascorbic acid, amino acids, and carbohydrates. The proposal includes a zoned design developed under technical regulations, thus ensuring aseptic and controlled conditions. In conclusion, the implementation of an intravenous admixture service is feasible and constitutes an effective option to improve hospital care, enhance and safeguard patient safety, and contribute to strengthening the healthcare system of El Oro province, addressing a significant need within the current hospital and social environment.