Diseño de un protocolo de manejo de medicamentos de alto riesgo para el Hospital Oriental-Riobamba

Abstract

The research aimed to design a protocol for the management of high-risk drugs for the Oriental Hospital of Riobamba; it was of mixed type and by the level of descriptive study, for which a list of high-risk medications available in the health unit elaborates, obtaining a total of 21, which were classified according to their pharmaceutical form, concentration, and therapeutic subgroup. The prevalent dosage forms in the hospital were determined, which are parenteral liquids and oral solids, and it was possible to verify that there is a more significant number of parenteral fluids. The October - December 2022 rotation was evaluated, identifying greater consumption of these drugs in internal medicine, hospitalization, and gynecology. The application of surveys to professionals in the areas with the highest turnover determines that health personnel need to learn about the stages of the circuit of the use of high-risk drugs. Therefore, we proceeded to the elaboration of a protocol that has detailed information to seek a correct understanding and execution by the staff, defining its scope, functions, and the process that must be followed in each of the stages of labeling, storage, prescription, dispensing, administration and which professionals are in charge of each of these. It establishes that the use of the Protocol for the management of high-risk medications is essential due to the inconveniences that were detected in the stages of use of these, demonstrating a great reception by the staff to identify, prevent, and resolve medication errors that may arise, to contribute to the improvement of hospital care and patient health. Therefore, its implementation is recommended.