Conciliaci贸n de la medicaci贸n al ingreso y al alta hospitalaria en un servicio de cirug铆a ortop茅dica y traumatolog铆a

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• 作者：M. Franco-Donat^a ; ^{mercefd@yahoo.com} ; E. Soler-Company^a ; C. Valverde-Mordt^b ; S. Garcí ; a-Muñ ; oz^a ; A. Rocher-Milla^a ; M.J. Sang&#252 ; esa-Nebot^b
• 关键词：Informació ; n al alta ; Conciliació ; n de prescripció ; n ; Promoció ; n de seguridad
• 刊名：Revista Espa帽ola de Cirug铆a Ortop茅dica y Traumatolog铆a
• 出版年：2010
• 期刊代码：pca311_18884415
• 类别：med
• 出版时间：May-June 2010
• 卷：54
• 期：3
• 页码：149-155
• 文件大小：205 K

摘要

<h4 class="h4">Purposeh4>

To evaluate the results of a medication reconciliation and drug information program at discharge in an orthopedic surgery and traumatology department.<h4 class="h4">Materials and methodsh4>

Patients with more complexity in their home treatment, admitted in this facility during 2008 were included in the study. Preadmission regimens were recorded and the patents were asked about medication-related problems (PRM) and drug adherence. On the day of discharge, prescribed medication was reconciled with the outpatient treatment, resolving discrepancies with the prescribers. Finally, the patients were given a complete list of their medications after the care episode and recommendations on their treatment with oral explanation. We conducted a survey of the physicians to ask about their reconciliation program knowledge and their assessment.<h4 class="h4">Resultsh4>

243 patients were selected, in whom 102 (42%) PRMs were detected. The major discrepancies were found in antithrombotic drugs (25%) and analgesics and anti-inflammatory drugs (21%). The most frequent were: therapeutic duplication (53%) and interactions (27%). The PRMs were classified according to their severity: 65%would not have caused harm to the patient and 35%would require monitoring.

Regarding the survey, the overall evaluation of the program was "very good" for 100%of the physicians.<h4 class="h4">Discussionh4>

Medication reconciliation has proved to be a useful strategy for improving the safety of our patients as part of a system to reduce health risks and improving quality of care.