Drug therapy follow-up in patients admitted to a Surgery Department

• Published in: Farmacia hospitalaria Vol. 28; no. 3; pp. 154 - 169
• Main Authors: Silva Castro, M M, Calleja Hernández, M A, Tuneu i Valls, L, Fuentes Caparrós, B, Gutiérrez Sáinz, J, Faus Dader, M J
• Format: Journal Article
• Language: Spanish
• Published: Spain 01-05-2004
• Subjects: Drug Therapy; Female; Humans; Male; Medication Errors - prevention & control; Middle Aged; Pharmaceutical Preparations - administration & dosage; Pharmacy Service, Hospital - organization & administration; Pharmacy Service, Hospital - statistics & numerical data; Prospective Studies; Surgery Department, Hospital; Surveys and Questionnaires
• ISSN: 1130-6343

Patients admitted to surgery departments receive multiple drugs before, during and after surgical procedures. Anti-infectious therapy, anesthetics, anti-embolic agents, and analgesics stand out amongst others. Our objective was to implement pharmacotherapeutic follow-up as a means to detect, prevent, and solve medication-related problems (MRPs) in inpatients, and to establish consensus strategies to solve avoidable MRPs.
An observational prospective study of 22 patients hospitalized in a Surgery Department, Hospital Infanta Margarita, Cabra (Córdoba) was conducted. Dader methodology was adapted for drug therapy follow-up in the hospital setting.
In all, 108 MRPs were detected; 22.04% were associated with medication needs (MRP1:13.6% and MRP2: 8.5%), 40.68% with ineffectiveness (MRP3: 22.0% and MRP4: 18.6%), and 37.28% with lack of safety (MRP5: 10.2% and MRP6: 27.1%). Out of 108 MRPs found, 64 (59.3%) were avoidable; 97 pharmaceutical interventions were carried out (89.8% of cases), acting in 63 (58%) MRPs detected in cooperation with physicians, while 46 MRPs were solved (42%). We found 1 MRP in each 2.6 patients -- admission days, and 1 MRP per 4.5 patients -- admission days occurred after pharmaceutical intervention during the study period.
The use of pharmacotherapeutic follow-up in patients admitted to this department has improved the quality of health care.