Elaboración e Implementación de Guías de Conciliación Farmacoterapéutica en pacientes del área de medicina interna del Hospital Provincial General Docente de Riobamba desde el mes de Agosto –Enero del 2015

Abstract

At Hospital Provincial General Docente Riobamba in Internal Medicine was developed and implemented a guide Conciliation Drug Therapy, for the purpose of reduce the Problem Relational with Medicaments, by detecting discrepancies with chronic medications and pr escribed during hospitalization. Th e study was conducted with 117 patients, men and women hospitalized in the Internal Medicine service that fulfilled the inclusion criteria, from the months of October to December 2014. The research was made in two stages: the pilot phase and the extension phase where techniques were used as pharmacotherapeutic conciliation program, by means of interviews the patients by the DADER method, review of patient medical records, analyzing and evaluating discrepancies, establishing strategies of intervention with t he help of a doctor and health workers, made up to reduce, troubleshoot potential problems related with medication. The results were that 80% of medications there were discrepancies having an acceptance of the treating physicians 99% for the solution of th e having detected discrepancies. Concluding that 70% are justified discrepancies, 20% discrepancies default chronic patient medication followed by a change in dose, route or frequency, and 10% was determined that some medicines prescribed are not in the ho spital because they are not within the National Table Essential Drugs of Ecuador , as in the case of Metamizol, Mematine also leading to a discrepancy. It is recommended that the pharmacotherapeutic reconciliation guide is declared as an official document f or an extension of Pharmaceutical Conciliation process in all health services, especially in Hospital Provincial General Docente Riobamba.