Protocolo para la conciliación de medicamentos en el servicio de medicina interna del Hospital General Marco Vinicio Iza, Nueva Loja

Abstract

The aim of this research was to develop a protocol for medication reconciliation in the internal medicine service of Hospital General Marco Vinicio Iza, by means of a quantitative and descriptive study. The study population consisted of 359 medical records, of which 140 met the inclusion criteria. We proceeded in four phases, starting with the characterization of the population to identify medication errors, then the errors were classified, corrective actions were taken and the medication reconciliation protocol was socialized with the medical personnel. In the characterization of the population the following data were obtained: 40% of patients with diabetes mellitus + hypertension, 22.86% patients with hypertension, 18.57% patients with type 2 diabetes. Regarding the diagnosis, primarily, patients with these affections were found: heart failure (25%), chronic renal failure (15.71%), decompensated diabetes mellitus (15%) and atypical pneumonia (14.29%) and according to the types of medication errors, 82.19% was determined due to insufficient monitoring, 13.51% incomplete prescription and 2.74% incorrect dosage and incorrect time of administration, obtaining 13.70% of type B errors (the error occurred but did not reach the patient) and 86.30% of type C errors (the error reached the patient but did not cause harm). A medication reconciliation protocol was developed for the internal medicine service of Hospital General Marco Vinicio Iza and it was socialized with the medical personnel. It was concluded that there were medication errors in the internal medicine service, mainly due to insufficient monitoring of treatment and consequently pharmacological interactions in the prescribed treatments. It is recommended to train the personnel and provide follow-up on the correct management of the medication reconciliation process to ensure the success of pharmacotherapy.