Evaluación del sistema de distribución de medicamentos por dosis unitaria en cirugía del Hospital Provincial General Docente de Riobamba

Abstract

The main objective of this research study was to evaluate the unit dose system distribution (UDSD) in surgery at the Provincial General Teaching Hospital of Riobamba, by means of a quantitative, observational and descriptive study. The study population consisted of health personnel working in the pharmacy and surgery services. We proceeded in three phases: we analyzed the current diagnosis of the drug distribution system, developed corrective measures to improve the UDSD and socialized the results with the health professionals working in the area. As a result, the initial performance was 59.09% due to deficiencies in infrastructure (50%), personnel (50%), equipment (50%) and UDSD procedures (30%). Health personnel were surveyed to know their perception in the management of the unit dose system and 56.56% considered that the quality of the UDSD is good, 40% mentioned that the pharmacist's participation is not very active. In addition, they do not have adequate infrastructure or equipment to develop unit dose distribution and the pharmacotherapeutic profiles are not correctly filled out. The quality indicators of the UDSD were analyzed, obtaining 1200 errors in labeled boxes, 973 in medical prescriptions, 204 medicines prescribed with non-conforming data, 17 errors in pharmacotherapeutic profiles, 319 in pharmaceutical intervention records and 161 medicines returned. Based on the nonconformities, corrective actions were taken, such as the preparation of a UDSD manual, training, labels for relabeling medicines, labeling of boxes and signage in the area. It was concluded that there is no proper management of the UDSD in surgery due to the lack of personnel, infrastructure and adequate equipment. It is recommended to comply with the UDSD manual to ensure that the distribution of medicines is efficient and of high quality.