Evaluación al sistema de dispensación de medicamentos y dispositivos médicos que se realiza desde la farmacia hacia los servicios intrahospitalarios, en el Hospital Básico Andino de Chimborazo.

Abstract

The dispensing system of medicines and medical devices that is carried out from pharmacies to the intra-hospital services was evaluated in Hospital Andino de Chimborazo. The purpose of this investigation was to identify mistakes, critical points, corrective actions and necessities. The study was conducted using a descriptive-observational, prospective and non-experimental research method. Several observational technics were employed to evaluate the activities that were carried out during the development of the dispensing system. Also, a survey was applied to all the staff in order to obtain the respective information. In the hospitalization and palliative care area a check-up list based on the procedures established by the regulation of the unit dose system of medication distribution (UDDS), 2012 was used. In the same way, management indicators previously established by the system aforementioned were used to determine in a quantitative way the mistakes that interfere with the normal development of the dispensing system. The pharmaceutical procedures with a 100%, were the medication mistakes that were more frequently noticed. Also, the medication omission errors with a 50%, posology, pharmaceutical forms, dosage, frequency, missing data from the patients and the International Classification of Diseases (ICD) a 100%. Most of these issues can be found in hospitalization and palliative care area and in the intensive care unit. A format adapted to the institution to ask for medicines is used in the operation room services, endoscopy and emergency. The most appropriate way was to use medical prescriptions for each area. Standard operative procedures were carried out for dispensing medical supplies and medicines. It is recommended to conduct a thorough assessment concerning the use of IT procedures in the hospital which will strategically improve the healthcare conditions and the distribution of medical devices and medicines to the patient. Similarly, it is necessary to introduce a greater number of pharmacists- biochemists and upgrade the pharmacy and intra-hospital services, promoting the good practices in the medicine dispensing.