Estudio prospectivo de conciliación de la medicación al ingreso hospitalario

• Autores: Blanca Rodríguez Vargas, Eva Delgado Silveira, Teresa Bermejo Vicedo
• Localización: Atención Farmacéutica, ISSN 1139-7357, Vol. 13, Nº. 5, 2011, págs. 272-278
• Idioma: español
• Títulos paralelos:
  • Prospective study on medication reconciliation at hospital admission
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• Resumen

  • The objective is to quantify and describe any discrepancies between the patient's usual medication and that prescribed at hospital admission. We conducted a prospective study, by randomly choosing 64 patients from the observation area in the emergency services. The pharmacist compared the medical orders at hospital admission with the pharmacotherapeutic records obtained after reviewing clinical records and an interview with the patient. 27% of the reported treatment lines did not show any discrepancies, and from the rest, 26.3% showed unjustified discrepancies. The percentage of patients that showed at least one unjustified discrepancy was 62.7%. The most frequent unjustified discrepancy was the omission of a required medication, and the most involved therapeutic group was the cardiovascular system one. The acceptance of pharmaceutical interventions was 53.3%. The change for a therapeutic equivalent was made in more than 90% of cases. All of this justifies the performance of medication reconciliation at hospital admission