Moreno Díaz R, Rodríguez Vargas B, Matilla García E, Santaolalla García I, Apezteguia Fernández C, Bautista Sanz MP, del Hoyo Esteban L
Servicio de Farmacia. Hospital Universitario Infanta Cristina. Madrid (España)
Fecha de recepción: 07/06/2018 – Fecha de aceptación: 23/07/2018
Correspondencia: Raquel Moreno Díaz w Hospital Universitario Infanta Cristina (Servicio de Farmacia) w Avenida 9 de Junio, 2 w 28981 Parla, Madrid (España)
An effective drug control at hospital is an ethical and legal pharmacistss responsibility. This prospective study was conducted during 2015 and 2016 and it shows the benefits obtained after combining the pharmaceutical leadership and a collaborative way of working. Pharmacy Service protocols were applied; they also include a checklist of 32 requirements. Several improvement actions were identified and carried out. At the beginning of study only 18% of the requirements were met in all the stocks in 2015. The compliance rate increases to 59% in 2016. There was a significant improvement in mean value of the correct requirements in all stocks, from 25.4 in 2015 to 29.6 in 2016 (p=0.005). The following measures were taken: 1) grouping and storing by route of administration, 2) identification of thermolabile and photosensitive drugs according to the information provided by Pharmacy Service and 3) drug storage after expiration date. Two risks for patient safety were identified: first the lack of a process for the return of drugs that have not been administered via the automated drug dispensing system; and secondly, the lack of storage system and conditions for drugs brought to the hospital by patients. These findings confirm the need of drug storage control to avoid any possible medical errors due to gaps in the correct and appropriate storage and preservation of drugs. Data shows a pharmaceutical leadership in the improvements of drug use with a greater emphasis in critical points like those close to the administration.
Key words: Safety, medical errors, hospital drug distribution, drugs supply, drug storage.