Diseño de un protocolo de conciliación de medicamentos en el área de emergencia y hospitalización del Hospital San Juan HOSPIESAJ S.A de Riobamba

Abstract

The main objective of this research study was to address the problem of the absence of a medication reconciliation protocol, which hinders communication and coordination between the medical, nursing and pharmacy staff, leading to confusion in the prescription and administration of medications. A medication reconciliation protocol was design in the emergency and hospitalization areas of the San Juan Hospiesaj S.A. Hospital in Riobamba, through a non-experimental, quantitative and descriptive analysis. A total of 250 medical records of patients attended in the emergency and hospitalization areas during June-December 2023 were studied. The analysis was carried out in four phases: identification of medication errors, analysis of discrepancies, and development of a protocol based on the results and socialization of the protocol with health professionals. Eighty-three errors were identified, 77.10% due to insufficient monitoring, 9.65% due to incorrect administration time, 7.23% due to incorrect dosage form and 6.02% due to incorrect dosage. There were 44 discrepancies, 63.64% due to omission of a home medication. A medication reconciliation protocol was developed according to the needs detected and socialized with 25 health personnel, who rated the training as excellent (80%) and good (20%). It was concluded that the lack of a protocol causes numerous medication errors and discrepancies. It is recommended to apply the protocol, verifying the correct filling of the records for the medication reconciliation process.