Fecha de recepción: 06/06/2017 – Fecha de aceptación: 20/09/2017
Borrás Almenar C1, Font Noguera I2, Fernández Megía MJ1, Valero García S3, Montoya Carrillo I4, Poveda Andrés JL5
1 Farmacéutica Adjunta. Servicio de Farmacia. Hospital Universitari i Politècnic La Fe. Valencia (España)
2 Jefe de Sección. Servicio de Farmacia. Hospital Universitari i Politècnic La Fe. Valencia (España)
3 Farmacéutica Investigadora. Instituto de Investigación Sanitaria La Fe. Valencia (España)
4 Analista Programador. Subdirección de Sistemas Informáticos. Hospital Universitari i Politècnic La Fe. Valencia (España)
5 Jefe de Servicio. Servicio de Farmacia. Hospital Universitari i Politècnic La Fe. Valencia (España)
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Correspondencia:
Concepción Borrás Almenar
Hospital Universitari i Politècnic La Fe
(Servicio de Farmacia)
Avinguda de Fernando Abril Martorell, 106
46026 Valencia
Correo electrónico: borras_con@gva.es.
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SUMMARY
Introduction: The complexity of the drug prescription process requires a powerful computer support that allows not only electronic prescription but also, to improve its efficiency, integrate databases that provide quick information as a system to support the clinical decision.
Objective: To present the challenges and improvements addressed in the organization and management of the medications databases of the electronic prescription system in a hospital environment.
Method: An observational and retrospective study based on the description of the structural and organizational improvements of the database that supports the electronic prescription, according to the dimensions of activity, safety and efficiency.
Results: 212 files and 47 protocols were created and 428 files and 173 protocols were updated. Safety was improved by incorporating information into 268 hazardous drugs specialties, 47 high-risk drugs and 109 drugs with similar names.
Conclusions: The safety of the patient and the health worker has been enhanced with the incorporation of hazardous drugs, high-risk drugs and those with similar names. The efficiency improvements were the reduction of alerts, the standardization of procedures and the communication between areas of the Service.
Key Words: Drug database, assisted electronic prescription, decision support systems, pharmaceutical validation, quality improvement.
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Download PDF: Desafíos en la gestión de una base de datos para la prescripción electrónica asistida