Análisis del sistema de dispensación de medicamentos por dosis unitaria en la farmacia del Hospital General Docente Ambato

Abstract

The aim of this study was to analyze the unit dose drug dispensing system in the pharmacy of the Hospital General Docente Ambato by means of a descriptive and cross-sectional analysis. The study population consisted of 27 pharmacy employees and the analysis was carried out in three phases: initial evaluation of the process, determination of factors that influence the management of unit dose and the development of corrective actions. In the initial evaluation of the unit dose system, a non-compliance of 75% was obtained with respect to personnel, 75% in the infrastructure guidelines, 25% with regard to the equipment and materials needed and 9.09% within the phases of the unit dose process. Among the factors that influenced the possible inadequate management of the unit dose system were: lack of materials (100%) and lack of a sufficient number of biochemists and pharmacist (85.19%) to supply the number of beds in the hospital services. Due to this, unit dose instructions were prepared and applied and the final compliance with the quality parameters was evaluated, obtaining a non-compliance of 50% regarding personnel, 75% in infrastructure, 25% regarding the necessary equipment and materials and 0% within the phases of the unit dose process. It was concluded that the pharmacy did not comply with 25% of the quality parameters of the unit dose standard of the Ministerio de Salud Pública, due to critical points in the process such as lack of resources and scarce personnel. It is recommended that the unit dose instructions be followed and that periodic training be given to personnel to guarantee the quality of the drug distribution process.