Monitoring the quality of the hospital pharmacoterapeutic process by sentinel patient program
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| Natura: | Artículo científico |
| Lingua: | en |
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Sociedad Española de Farmacia Hospitalaria
2018
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| _version_ | 1876443909831262208 |
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| author | María José Fernández-Megía |
| author_facet | María José Fernández-Megía |
| contents | Monitoring the quality of the hospital pharmacoterapeutic process by sentinel patient program María José Fernández-Megía Isabel Font Noguera Matilde Merino Sanjuán José Luis Poveda Andrés Medicina Safety Medication errors Quality monitoring Objective: To analyze the results of sentinel patient program to monitoring the quality pharmacoterapeutic process in the hospitalized patient through medication errors.Method: Design: Observational, prospective and transversal study. Ambit: General hospital of 1,000 beds. Period: From May 2011 to June 2016. Sample: Patients with treatment prescribe within 24 hours of being admitted with 4 or more medications. Variables: Medication error, drugs prescribed, medications and doses dispensing, drugs administered. Safety indicators were defined based on medication errors at each stage of the pharmacotherapeutic process.Results: Of the 746 patients studied, 334 had at least 1 medication error (44.8%; IC95%: 41.7-47.8). In the 746 treatments, 564 medication errors were detected (0.75 errors by patient; IC95%: 0.7-0.8). The safety indicators (medication error by stage) were: 5.1% (38/746 patients) for omission of allergy record; 2.3% (156/6 724 drugs) for prescription; 0.6% (38/6 724 drugs) for validation, 2.6% for dispensing (142/5 465 drugs) y 3.7% (190/5 111 administered drugs observed) for administration. The temporal evolution of the indicators, with graphs of statistical control showed stable processes, except for the administration. The proposed improvement actions were of a training, standardization and organizational type.Conclusions: The sentinel patient program provides an overview of the quality of the pharmacotherapeutic process and promotes the safety culture at the center. Statistical control charts have been a useful tool for monitoring medication errors. The analysis of medication errors has served to propose improvement actions in each stage of the pharmacotherapeutic process. 2018 artículo científico 1130-6343 https://www.redalyc.org/articulo.oa?id=365962302002 https://www.redalyc.org/journal/3659/365962302002/ https://www.redalyc.org/journal/3659/365962302002/html/ https://www.redalyc.org/journal/3659/365962302002/365962302002.epub https://www.redalyc.org/journal/3659/365962302002/movil 10.7399/fh.10793 en http://www.redalyc.org/revista.oa?id=3659 Farmacia Hospitalaria application/pdf Sociedad Española de Farmacia Hospitalaria Farmacia Hospitalaria (España) Num.2 Vol.42 |
| format | Artículo científico |
| id | redalyc_365962302002 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Sociedad Española de Farmacia Hospitalaria |
| spellingShingle | Monitoring the quality of the hospital pharmacoterapeutic process by sentinel patient program María José Fernández-Megía Medicina Safety Medication errors Quality monitoring Monitoring the quality of the hospital pharmacoterapeutic process by sentinel patient program María José Fernández-Megía Isabel Font Noguera Matilde Merino Sanjuán José Luis Poveda Andrés Medicina Safety Medication errors Quality monitoring Objective: To analyze the results of sentinel patient program to monitoring the quality pharmacoterapeutic process in the hospitalized patient through medication errors.Method: Design: Observational, prospective and transversal study. Ambit: General hospital of 1,000 beds. Period: From May 2011 to June 2016. Sample: Patients with treatment prescribe within 24 hours of being admitted with 4 or more medications. Variables: Medication error, drugs prescribed, medications and doses dispensing, drugs administered. Safety indicators were defined based on medication errors at each stage of the pharmacotherapeutic process.Results: Of the 746 patients studied, 334 had at least 1 medication error (44.8%; IC95%: 41.7-47.8). In the 746 treatments, 564 medication errors were detected (0.75 errors by patient; IC95%: 0.7-0.8). The safety indicators (medication error by stage) were: 5.1% (38/746 patients) for omission of allergy record; 2.3% (156/6 724 drugs) for prescription; 0.6% (38/6 724 drugs) for validation, 2.6% for dispensing (142/5 465 drugs) y 3.7% (190/5 111 administered drugs observed) for administration. The temporal evolution of the indicators, with graphs of statistical control showed stable processes, except for the administration. The proposed improvement actions were of a training, standardization and organizational type.Conclusions: The sentinel patient program provides an overview of the quality of the pharmacotherapeutic process and promotes the safety culture at the center. Statistical control charts have been a useful tool for monitoring medication errors. The analysis of medication errors has served to propose improvement actions in each stage of the pharmacotherapeutic process. 2018 artículo científico 1130-6343 https://www.redalyc.org/articulo.oa?id=365962302002 https://www.redalyc.org/journal/3659/365962302002/ https://www.redalyc.org/journal/3659/365962302002/html/ https://www.redalyc.org/journal/3659/365962302002/365962302002.epub https://www.redalyc.org/journal/3659/365962302002/movil 10.7399/fh.10793 en http://www.redalyc.org/revista.oa?id=3659 Farmacia Hospitalaria application/pdf Sociedad Española de Farmacia Hospitalaria Farmacia Hospitalaria (España) Num.2 Vol.42 |
| title | Monitoring the quality of the hospital pharmacoterapeutic process by sentinel patient program |
| topic | Medicina Safety Medication errors Quality monitoring |
| url | https://www.redalyc.org/articulo.oa?id=365962302002 https://www.redalyc.org/journal/3659/365962302002/ https://www.redalyc.org/journal/3659/365962302002/html/ https://www.redalyc.org/journal/3659/365962302002/365962302002.epub https://www.redalyc.org/journal/3659/365962302002/movil |