M. M. Andújar Arias, M. C. Hermoso Martínez, Juan F. Nieto Pajares, María Luisa Cuenca Cañas, S. de la Higuera Díaz
Objective: Treatment monitoring and the every time greater implication of the pharmacist with pharmacotherapeutic care results in the fulfillment of numerous actions (pharmaceutical interventions). Our objective has been to normalize this increasing activity (intervention procedure, recording, documentation and evaluation) and integrate it with the pharmacist's habitual work system to ensure its continuity and retrieve it in a structured manner (indicators). Method: Several processes have been redesigned and a computerized support system has been developed to allow for the recording, the classification and the automatic documentation of pharmaceutical interventions, as well as their posterior evaluation. Results: The developed methodology has been added to our daily work in a satisfactory way and with a high degree of efficiency. The interventions that took place have been analyzed in their treatment validation process for the year 2003. 2,196 interventions have been recorded that correspond to 6.02 on a daily basis, 0.27 per admission and 3.25 per 100 stays/day. Their acceptance, signification and impact are evaluated, and they are analyzed according to the type of intervention and clinical services. Conclusions: The work system being described is practical and efficient. It allows to provide continuity to this activity and analyze the interventions quantitatively as well as qualitatively, through the obtaining of activity and quality indicators that are included in the Service's annual report. Intervening in pharmacotherapeutic care demands the creation of evidence about the activities being undertaken to increase the pharmacist's compromise with the patient's care and the quality throughout the care process
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