Elaboración de un protocolo para la implemetación de conciliación de medicamentos en el área de emergencia y hospitalización, del Hospital Básico de Pelileo, provincia de Tungurahua.

Abstract

This research aimed to work out a protocol for the implementation of medication reconciliation in the area of emergency and hospitalization at Pelileo Basic Hospital in Tungurahua province and identify possible discrepancies during the hospital stay. The research design is of a nonexperimental type of field, carried out through descriptive, observational, correlational analysis, a phase of the evaluation and intervention and being necessary the application of inclusion and exclusion criteria for the selection of the study sample. For this 2613 clinical records of patients who went to the Pelileo Basic Hospital were reviewed in the period November 2017- January 2018, obtaining as a sample of study 167 clinical histories of patients with chronic diseases database, data collected in a form according to the investigation. The results obtained were that 57.5% of the patients with chronic diseases database had an incorrect anamnestic information before the hospital admission, 23.4% incompletely and 34.1% was not carried out. In addition, in35 medical records, 218 discrepancies were found during the hospital stay and 109 discrepancies at the time of hospital discharge, hypertension was the disease where the greatest number of discrepancies were found. Concluding with the need to implement the medication reconciliation process in the health unit; with the purpose of generating awareness about the use and handling of medications; as well as, the importance of correlating the basic pharmacological treatment, administered before hospital admission and required due to the new clinical situation of the patient during the hospital stay and at the time of discharge. Recommended to do the process of reconciliation of medicines a habit of daily culture by health professionals who work in the Pelileo Basic Hospital.