Implementación del Sistema de Distribución de medicamentos por Dosis Unitaria en cuidados paliativos del Hospital Andino Alternativo de Chimborazo.

Abstract

It was implemented the Distribution Medicine System per unit dose in the Alternative Andean Hospital of Chimborazo for promoting the rational use of medicines and to get therapeutic treatments safer at reasonable price. The study was developed during July, August, September, October, 2015, with 30 hospitalized patients in palliative care area. Initially, base on the analysis of the strengths and weaknesses of traditional method of dispensation named individual request, related to the storage conditions of medicines, rules of prescription, medication errors, medicines and pharmaceutical forms more requested and the medication costs per patient/day. Then it was requested a pilot programme for unit dose, that was to prepare the medicine quantity required for the patient for 24 hours of individualized form, through the validation, service of pharmaco-therapeutic profile, preparation and dispensation of the medicines. Finally, it was made the evaluation of obtained results posterior to the pilot plan implementation of unit dose, finding meaningful differences between both evaluated methods related to the storage, rational use of medicines, reduction of medication errors (15,21%) that at the same time are the cause of great economical losses ($3. 130,92) produced for the wrong use of medicines, saving economically was of 21,60% of total amount to be paid. Therefore it is concluded that the individualized petition like distribution method is not efficient, being replaced for the Distribution Medicin System per unit dose, which allows multiple benefits, not only therapeutic but also economical, besides the integration of Biochemical- Pharmaceutic to the care equipment of health. It is recommended the implementation of unit dose in all the health institutions that want to improve the life quality of hospitalized patients.