Elaboración de un protocolo para la conciliación de medicamentos en el servicio de emergencia y hospitalización del Hospital Publio Escobar, Colta, provincia de Chimborazo, período enero-diciembre 2018

Abstract

The purpose of this titling work was to develop a protocol for reconciling medications within the emergency and hospitalization service of the Publio Escobar Basic Hospital. The design used was retrospective, non-experimental and descriptive, where 4,736 medical records of patients admitted to the emergency service in the period January-December 2018 were collected, considering inclusion and exclusion criteria where a sample of 287 stories was obtained clinics of patients with the chronic noncommunicable disease. Then, the demographic variables age, sex, level of education, chronic diseases, and the new pathologies that were causes of hospital admissions were quantified. On the other hand, the status of the history and the pharmacological treatments of 40 medical records of hospitalized patients over 24 hours were evaluated, classifying the discrepancies found according to the type and level of risk both in the hospital stay and at the patient's discharge. As a result, it was identified that 47.50% of medical records did not reflect a real pharmacological history showing a deficit in dose and frequency. Sixty-six discrepancies were found, being detected in a more significant number at hospital discharge. It was also determined that the pathology with the highest number of differences was arterial hypertension. The most frequent conciliation error during the hospitalization stage was the omission of medications with 66.67% and at discharge were the errors in the dose, route or frequency with 39.02%, being classified in levels of risk type A and B. Therefore, it is pertinent to insert the pharmacotherapeutic reconciliation program into the Hospital, and reduce medication errors and unnecessary expenses for readmissions or others. The implementation of a protocol was recommended, as well as the execution of similar prospective work in the health operating unit.