Fecha de recepción: 28/03/2017 – Fecha de aceptación: 14/08/2017
Romero Candel G, Tejada Cifuentes F, Escudero Jiménez A, Rodenas Herráez L
G.A.I. de Albacete. Servicio de Farmacia. Servicio de Urgencias (España)
Gregorio Romero Candel
Hospital de Albacete
(Servicio de Farmacia)
C/ Hermanos Falco, 37
Correo electrónico: GOYOFARMA@GMAIL.COM
Goals: Describe the pharmaceutical interventions performed in the area of the Emergency Service of a 3rd level hospital. The types of medication errors found and their severity will be analyzed qualitatively and quantitatively.
Material and methods: A 4-week prospective descriptive study carried out in the Emergency Department of a 900-bed Hospital. Pharmaceutical interventions have been classified according to the Spanish Multicenter Study for the Prevention of Medication Errors in 2013, the type of medication error according to the criteria of the American Society of Hospital Pharmacists and their severity according to the classification of the Coordinating Council For Medication Error Reporting and Prevention.
Results: A total of 220 interventions were performed in 81 patients out of 116 reviewed. The mean number of interventions performed per patient was 2.7. Of the interventions performed, 45% were by incomplete prescription, 27% were due to omission of treatment, 10% were related to dose adjustment in renal failure, and the rest was due to recommendation of drug monitoring, dose adjustment, etc.
The most common type of error found was in prescription (omission of dose, route or frequency) with 53%. Regarding severity, 42% of the errors reached the patient but did not cause harm. The most serious error types are less than 5%.
Conclusions: The presence of a pharmacist in the emergency department, allows to detect medication errors, and to be able to carry out interventions aimed at reducing the severity of errors and promoting safety in this area.
Key Words: Emergency pharmacy, pharmacist intervention, severity, medication error, pacient reconciliation, patient safety.