Análisis de los problemas relacionados con los medicamentos en un hospital de tercer nivel de Barcelona

Ferránzez Quirante, Olivia; Casañ, Borja; Grau Cerrato, Santiago; Louro, Javier; Salas Sanchez, Esther; Castells, Xavier; Sala Serra, Maria

Análisis de los problemas relacionados con los medicamentos en un hospital de tercer nivel de Barcelona

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dc.contributor.author Ferránzez Quirante, Olivia
dc.contributor.author Casañ, Borja
dc.contributor.author Grau Cerrato, Santiago
dc.contributor.author Louro, Javier
dc.contributor.author Salas Sanchez, Esther
dc.contributor.author Castells, Xavier
dc.contributor.author Sala Serra, Maria
dc.date.accessioned 2019-07-22T07:57:08Z
dc.date.available 2019-07-22T07:57:08Z
dc.date.issued 2019
dc.description.abstract OBJECTIVE: To describe drug-related problems identified in hospitalized patients and to assess physicians' acceptance rate of pharmacists' recommendations. METHODS: Retrospective observational study that included all drug-related problems detected in hospitalized patients during 2014-2015. Statistical analysis included a descriptive analysis of the data and a multivariate logistic regression to evaluate the association between pharmacists' recommendation acceptance rate and the variable of interest. RESULTS: During the study period 4587 drug-related problems were identified in 44,870 hospitalized patients. Main drug-related problems were prescription errors due to incorrect use of the computerized physician order entry (18.1%), inappropriate drug-drug combination (13.3%) and dose adjustment by renal and/or hepatic function (11.5%). Acceptance rate of pharmacist therapy advice in evaluable cases was 81.0%. Medical versus surgical admitting department, specific types of intervention (addition of a new drug, drug discontinuation and correction of a prescription error) and oral communication of the recommendation were associated with a higher acceptance rate. CONCLUSIONS: The results of this study allow areas to be identified on which to implement optimization strategies. These include training courses for physicians on the computerized physician order entry, on drugs that need dose adjustment with renal impairment, and on relevant drug interactions.
dc.format.mimetype application/pdf
dc.identifier.citation Ferrández O, Casañ B, Grau S, Louro J, Salas E, Castells X et al. Análisis de los problemas relacionados con los medicamentos en un hospital de tercer nivel de Barcelona. Gac Sanit. 2019 Jul - Aug;33(4):361-8. DOI: 10.1016/j.gaceta.2018.01.002
dc.identifier.doi http://dx.doi.org/10.1016/j.gaceta.2018.01.002
dc.identifier.issn 0213-9111
dc.identifier.uri http://hdl.handle.net/10230/42125
dc.language.iso spa
dc.publisher Elsevier
dc.relation.ispartof Gaceta Sanitaria. 2019 Jul - Aug;33(4):361-8
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.keyword Farmacoepidemiología
dc.subject.keyword España
dc.subject.keyword Medical order entry systems
dc.subject.keyword Patient safety
dc.subject.keyword Pharmacoepidemiology
dc.subject.keyword Seguridad del paciente
dc.subject.keyword Sistemas de prescripción electrónica
dc.subject.keyword Spain
dc.title Análisis de los problemas relacionados con los medicamentos en un hospital de tercer nivel de Barcelona
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/publishedVersion

Col·leccions

Articles (Hospital del Mar Research Institute)
Articles (Departament de Medicina i Ciències de la Vida)