Publication: Adecuación de la medicación a pacientes con sonda de alimentación al ingreso y al alta hospitalaria
Loading...
Official URL
Full text at PDC
Publication Date
2016-02
Authors
Advisors (or tutors)
Editors
Journal Title
Journal ISSN
Volume Title
Publisher
Citations
Exportar
Abstract
La prescripción de medicamentos en pacientes portadores de sondas de alimentación (SA) es una particular fuente de errores. La administración de medicamentos inapropiados por sonda puede resultar en errores de medicación de especial interés una vez dada el alta hospitalaria, especialmente si es al domicilio. El objetivo de este estudio es evaluar la tasa de errores de medicación evitados mediante la adecuación de fármacos orales en pacientes con sonda de alimentación al ingreso y al alta.
Métodos: revisión de la medicación 118 de pacientes ingresados con SA, durante un periodo aproximado de tres meses, diariamente se revisaba la prescripción electrónica de estos pacientes y se realizaba intervención farmacéutica mediante comunicación con el médico prescriptor, si se encontraba alguna incompatibilidad entre los medicamentos orales y su administración por SA, consultada previamente en una base de datos. Mediante comunicación con la enfermera de continuidad asistencial, se realizaron intervenciones cuando se encontraban discrepancias en el informe de alta de estos pacientes para que fueran corregidos en la siguiente transición asistencial.
Resultados: en un total de 700 fármacos, un 21% tenían algún tipo de discrepancia de las cuales un 52% era de fármacos y un 48% de interacción con alimentos. De estas discrepancias un 42% fueron solucionadas mediante intervención farmacéutica. Con respecto al alta, se encontraron 19 discrepancias, de las cuales, el 100% fueron comunicadas a la enfermera de continuidad asistencial. Con respecto a la tasa de discrepancias por Servicio Médico, ésta fue muy variada, con respecto a la tasa de discrepancias solucionadas por Servicio en el ingreso, los porcentajes más significativas fueron los siguientes: Cirugía Maxilofacial 100%, Oncología Médica 100%, Otorrinolaringología 83,33%, Digestivo 75% y Cardiología 66,67%. El porcentaje de errores de medicación durante el ingreso antes de nuestra intervención era del 21%, mientras que el porcentaje de errores resultantes tras la intervención fue del 12%.
Conclusiones: Las intervenciones farmacéuticas para la adecuación de los fármacos orales a la administración por SA evita errores de medicación. La implementación de un programa de intervención como estándar de calidad, en el seno de un equipo multidisciplinar, mejoraría la eficacia y seguridad de la prescripción en pacientes con sondas de alimentación.
The prescription medication in patients with feeding tubes (SA) is a particular source of errors. Inappropriate medication administration tube may result in medication errorsof particular interest given after hospital discharge, especially if it is at home. The aim of this study is to evaluate the rate of medication errors avoided by adapting oral drugs in patients with feeding tube at admission and discharge. It has been studied medication 118 patients admitted with SA, for approximately three months, daily electronic prescribing of these patients was reviewed and pharmaceutical intervention was done through communication with the prescribing physician, if any inconsistency was found between oral drugs and administration by SA, previously consulted in a database. Through communication with the nurse care continuity, interventions were made when discrepancies are found in the discharge of these patients so they were corrected in the following transition assistance. Results: a total of 700 drugs, 21% had some type of discrepancy of which 52% was 48% drugs and food interaction. Of these 42% discrepancies they were resolved by pharmaceutical intervention. Regarding high, 19 discrepancies, of which 100% were reported to the nurse care continuity found. With regard to the rate of discrepancies Medical Service, it was very varied with respect to the rate of discrepancies resolved by Service in income, the most significant percentages were: Maxillofacial Surgery 100 % 100 % Medical Oncology , Otolaryngology 83.33 % , 75 % and Cardiology Digestive 66.67 %. The percentage of medication errors during hospitalization before our intervention was 21%,while the percentage of resulting errors after surgery was 12%. Conclusions: The pharmaceutical interventions for the adaptation of oral drugs administration by avoiding SA medication errors. The implementation of an intervention program as a standard of quality within a multidisciplinary team, improve the effectiveness and safety of prescription in patients with feeding tubes.
The prescription medication in patients with feeding tubes (SA) is a particular source of errors. Inappropriate medication administration tube may result in medication errorsof particular interest given after hospital discharge, especially if it is at home. The aim of this study is to evaluate the rate of medication errors avoided by adapting oral drugs in patients with feeding tube at admission and discharge. It has been studied medication 118 patients admitted with SA, for approximately three months, daily electronic prescribing of these patients was reviewed and pharmaceutical intervention was done through communication with the prescribing physician, if any inconsistency was found between oral drugs and administration by SA, previously consulted in a database. Through communication with the nurse care continuity, interventions were made when discrepancies are found in the discharge of these patients so they were corrected in the following transition assistance. Results: a total of 700 drugs, 21% had some type of discrepancy of which 52% was 48% drugs and food interaction. Of these 42% discrepancies they were resolved by pharmaceutical intervention. Regarding high, 19 discrepancies, of which 100% were reported to the nurse care continuity found. With regard to the rate of discrepancies Medical Service, it was very varied with respect to the rate of discrepancies resolved by Service in income, the most significant percentages were: Maxillofacial Surgery 100 % 100 % Medical Oncology , Otolaryngology 83.33 % , 75 % and Cardiology Digestive 66.67 %. The percentage of medication errors during hospitalization before our intervention was 21%,while the percentage of resulting errors after surgery was 12%. Conclusions: The pharmaceutical interventions for the adaptation of oral drugs administration by avoiding SA medication errors. The implementation of an intervention program as a standard of quality within a multidisciplinary team, improve the effectiveness and safety of prescription in patients with feeding tubes.