Examinando por Autor "Caldas Herrera, Emma"

Mostrando 1 - 20 de 101

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Accesibilidad de los medicamentos esenciales genéricos en oficinas farmacéuticas del distrito de San Juan de Lurigancho. Lima 2022
(Universidad Privada Norbert Wiener, 2022-11-10) Estrada Zanini, Deyda Karett; Caldas Herrera, Emma
In Peru, essential generic medicines are necessary and fundamental for the population to access as a public health right. The objective of this research was to evaluate the accessibility of essential generic medicines in terms of price and availability in pharmaceutical offices in the district of San Juan de Lurigancho, Lima, 2022. This is an applied study with a quantitative approach and a cross-sectional observational design. The instrument used was a data collection form with the observational technique. Results: A 91% availability was found for the entire list of medicines, and a 100% availability was determined individually for Captopril, Metformin, Naproxen, and Paracetamol solution. Regarding prices, a variation ranging from 10% to 55% was found. Conclusion: The availability of the full list of essential generic medicines was not entirely met in the pharmacies of San Juan de Lurigancho, while price variation showed a coefficient of up to 55%.
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Adherencia al tratamiento antidiabético en pacientes hospitalizados en el Centro de Atención y Aislamiento Temporal COVID-19 Villa Panamericana, Lima – 2022
(Universidad Privada Norbert Wiener, 2022-11-25) Huaman Benites, Miguel Angel; Paulino Ortega, Gisela Adelaida; Caldas Herrera, Emma
Pharmacotherapeutic adherence is a discipline that patients must follow as guided by the prescriber to promote recovery or improvement and prevent complications in the body's functionality. Objective: To evaluate adherence to antidiabetic treatment in hospitalized patients at the COVID-19 Temporary Care and Isolation Center, Villa Panamericana, Lima, 2022. Method: The study was conducted using a deductive method with a quantitative, non-experimental, and cross-sectional approach. The study involved 217 hospitalized patients who met the inclusion and exclusion criteria. To measure pharmacotherapeutic adherence, the Morisky Medication Adherence Scale (MMAS-8) was used, validated by expert judgment, considering the following dimensions: sociodemographic data, clinical data, and therapeutic regimen. Microsoft Excel and SPSS v25 statistical software were used to analyze the results. Results: Among the 217 patients surveyed, 82% did not adhere to their pharmacological treatment. Of these, 82.1% were women, and 85.6% were over 60 years old. Additionally, 92.5% had only primary education, and 86.8% were from rural areas—all these groups were non-adherent to treatment. Regarding clinical data, 92.5% of patients were obese, 86.1% had fasting hyperglycemia, and 85.5% were receiving oral hypoglycemics and insulin. Among the treatment types, 86.7% were on dual therapy. Conclusion: In the studied population, 82% did not follow medical prescriptions, increasing the risk of complications and comorbidities associated with their condition.
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Adherencia al tratamiento farmacológico recetado a pacientes pediátricos atendidos por consultorio externo del Instituto Nacional de Salud del Niño - San Borja. Lima 2021
(Universidad Privada Norbert Wiener, 2022-03-30) Ayala Ayala, Ruth Antonilla; Caldas Herrera, Emma
A study was conducted to determine and analyze adherence to prescribed pharmacological treatment for pediatric patients seen in the outpatient clinic of the National Institute of Child Health - San Borja. Lima 2021. It is a deductive study with a quantitative approach and a cross-sectional observational design, with a sample of 385 patients seen in the outpatient clinic of the National Institute of Child Health - San Borja between November 2021 and April 2022. A 13-question questionnaire was conducted, distributed in four dimensions, which measured the socioeconomic factor, treatment-related factor, sociodemographic factor, and medication adherence using the Morisky Green Levine Test. Of the results obtained, 17.14% were adherent to treatment and 82.86% did not present pharmacological adherence; the duration of treatment and female sex were determining factors in relation to adherence. Based on these results, we propose working toward the creation of a pharmaceutical care unit at the National Institute of Child Health in San Borja, to strengthen patient care and pharmacotherapeutic monitoring, thereby improving and contributing to patient adherence.
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Análisis e interpretación de la prescripción y ahorro económico en la farmacia Satélite de Áreas Críticas del Hospital Nacional Dos de Mayo, enero–marzo 2017
(Universidad Privada Norbert Wiener, 2018-11-27) Paredes Casablanca, Alexis Arnaldo; León Yauri, Yelena Milagros; Caldas Herrera, Emma
Descriptive, cross-sectional, and retrospective study whose objective was to determine whether Prescription Analysis and Interpretation generates economic savings in the Satellite Pharmacy of Critical Care Areas of the Hospital Nacional Dos de Mayo. This was carried out through the evaluation of prescriptions from hospitalized patients in the emergency observation wards (n = 301), identifying non-dispensed medicines and medical devices, which—excluding products with zero stock—were quantified. These quantities and costs were recorded in a data collection instrument that established three dimensions of savings: prescriptions with duplications, prescriptions not aligned with treatment, and excessive prescriptions. Finally, the data were processed using IBM SPSS Statistics Base 22.0 to estimate proportions and means. Results indicate that Prescription Analysis and Interpretation in the Satellite Pharmacy of Critical Care Areas generated economic savings amounting to 1,996.82 soles in the sample, with an estimated 16,652.39 soles for a population of 2,510 prescriptions.
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Automedicación con antibióticos en trabajadores de los centros comerciales adyacentes al Parque Alameda de las Malvinas del Cercado de Lima, 2018
(Universidad Privada Norbert Wiener, 2019-01-29) Condori López, Diana Isabet; Ricci Upayacu, Yissela; Caldas Herrera, Emma
The present research aimed primarily to describe self-medication with antibiotics among workers of the commercial centers adjacent to Parque Alameda de las Malvinas in Cercado de Lima, 2018. This was a descriptive, observational, cross-sectional, and prospective study. The sample consisted of 370 workers. A total of 95.1% of the workers reported self-medicating with antibiotics. Respiratory, urinary, and skin infections were the main conditions leading to higher rates of self-medication with antibiotics (65.3%); the most frequently used subtypes were penicillins (34.7%) and quinolones (23.6%). The factors influencing self-medication included lack of health insurance (79.3%), lack of time to visit a physician (70.7%), and reliance on pharmacy staff as a source of information (47.4%). Furthermore, the study found that workers demonstrated a deficient level of knowledge regarding self-medication with antibiotics (67.6%) and bacterial resistance (96.9%).
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Automedicación en la población del grupo 7, sector III de Villa El Salvador. Lima – Perú
(Universidad Privada Norbert Wiener, 2017-12-02) Huapaya Arias, Sandra Elizabeth; Rosas Justiniano, Estefani; Caldas Herrera, Emma
The objective of this study was to determine the characteristics and prevalence of self-medication in the population of Group 7 of Sector III of the district of Villa El Salvador in December 2016. The research was descriptive in type, with an observational, cross-sectional, and prospective design. The study sample consisted of 384 inhabitants. The data collection instrument was a questionnaire-type survey, designed and validated by Bautista. There is a high prevalence of self-medication (46.1%) in the study population, with the highest prevalence found in the age group of 17–39 years (62.7%), those with secondary education (40.7%), and those with health insurance (63.8%). The distribution of prevalence according to gender and occupation was similar. Acute Respiratory Infection (41.8%) and pain (35.0%) were the most frequent diseases, symptoms, or discomforts that led to self-medication. Analgesics (26.6%), anti-inflammatory drugs (26.0%), antibiotics (13.6%), and antihistamines (13.0%) were the pharmacological groups most frequently used in self-medication. Among the reasons found to predispose self-medication were: being required to present a medical prescription at the pharmacy (72.3%), knowledge of medicines to treat their illness (68.9%), lack of time to see a doctor (65.5%), recommendation from third parties (64.4%), and having previous prescriptions for similar illnesses (54.2%).
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Automedicación en pacientes del servicio de farmacia de consulta externa 2 del Hospital Nacional Guillermo Almenara Irigoyen, abril de 2014
(Universidad Privada Norbert Wiener, 2015) Quiroga Gutiérrez, Dina; Rodríguez Parodi, Diana Leonor; Caldas Herrera, Emma
Self-medication is a common practice in the Peruvian population that has become a serious public health problem. Self-medication is understood as the use of medicines without prior consultation with a professional physician. Objective: To verify the characteristics of self-medication in patients of the outpatient pharmacy service No. 2 of the Guillermo Almenara Irigoyen National Hospital, April 2014. Methodology: A descriptive, observational, prospective cross-sectional study was conducted. To calculate the population size, data provided by the Statistics Department of the Guillermo Almenara Irigoyen National Hospital from January to March 2014 were used. The three-month average was a total of 8,777 patients. The study sample consisted of 368 patients directly surveyed in April 2014. A validated data collection instrument (survey) was used. Data were analyzed using SPSS version 19.0. Results: Of the total 368 patients surveyed, 100% practiced self-medication. Female sex had a prevalence of 54.62%. The most consumed drugs were anti-inflammatories (26.90%), antipyretics/cold remedies (20.11%), analgesics (16.58%), and antibiotics (12.23%). The main diseases or symptoms for self-medication were joint pain (44.3%), acute respiratory infection (29.6%), and gastrointestinal infection (12.2%). The main causes of self-medication were: having knowledge about the medicines to treat the disease (82.88%), delay of medical appointments (75.27%), lack of time to attend medical consultation (66.30%), no prescription required at the pharmacy (63.32%), and recommendation by third parties (57.61%). The level of knowledge about the consequences of self-medication was high, with 67.70%. Conclusions: The characteristics of self-medication were verified in patients of the outpatient pharmacy service No. 2 of the Guillermo Almenara Irigoyen National Hospital in April 2014, with a prevalence of 100%. Joint pain and acute respiratory infection were the most frequent symptoms for self-medication. The most consumed pharmacological groups were anti-inflammatories and cold remedies.
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Beneficio económico del sistema de dispensación en dosis unitaria por devoluciones de medicamentos y material médico quirúrgico en Hospital de Emergencia José Casimiro Ulloa. Lima 2021
(Universidad Privada Norbert Wiener, 2022-03-30) Flores Bullón, Milagros; Caldas Herrera, Emma
The objective of this research thesis was to evaluate the economic benefit from the returns of medications and surgical medical supplies in the Unit Dose Drug Dispensing System (UDDDS) at the José Casimiro Ulloa Emergency Hospital (HEJCU) in Lima, 2021. The method used was deductive and descriptive, with a quantitative approach, an applied research type, and a cross-sectional, non-experimental observational design. The study included patients from January to December 2021. The sample was composed of 374 medical prescription sheets filled by the unit dose service according to the exclusion criteria, and a reliable data collection form was used as the instrument. Results: The total number of medications and surgical medical supplies returned to the UDDDS was 216,657 units, with a valorized cost of S/ 645,653.60. Conclusion: The results demonstrate the economic benefit generated by the system, which represents 14.38% of the total savings achieved in the UDDDS of the HEJCU due to the returns of medications and surgical medical supplies.
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Beneficio económico en la devolución de medicamentos y dispositivos médicos en el sistema de distribución de dosis unitaria del Hospital Nacional Hipólito Unanue. Lima 2021
(Universidad Privada Norbert Wiener, 2022-03-19) Ortega Galarza, Carmen Edith; Caldas Herrera, Emma
The return of medications and medical devices is an indicator of the Unit Dose Drug Dispensing System (UDDDS). This system is a safe, effective method for the user that achieves maximum efficiency, and the returns generate savings. Therefore, it is important for the Pharmacist, in coordination with licensed nurses, to control products not administered to the patient for various reasons. Thus, the OBJECTIVE of this research was to evaluate the economic benefit in the return of medications and medical devices within the UDDDS of the HNHU. Method: The research used the deductive method, a quantitative approach, an applied type, and an observational, cross-sectional, non-experimental design conducted from January to December 2021. The sample consisted of 465 return forms for medications and medical devices, selected via simple random probabilistic sampling. RESULTS: The value was determined by 8,614 (91.55%) medications and 1,809 (8.45%) medical devices returned through the UDDDS. The total number of units across all dimensions was 10,423 units, with a total value of S/ 44,347.96. CONCLUSIONS: During the study period, an economic benefit was demonstrated for the Institution and the patient, corresponding to 7.75% of the total returns of medications and medical devices according to the UDDDS.
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Buenas prácticas de prescripción de recetas atendidas durante la segunda ola de la pandemia COVID-19 en la botica Megaplus. Lima 2021
(Universidad Privada Norbert Wiener, 2021-08-10) Panllo Arotoma, Juan Carlos; Caldas Herrera, Emma
The general objective of this research thesis was to determine prescription errors in prescriptions filled during the second wave of the COVID-19 pandemic at the Megaplus drugstore in Lima in 2021. A descriptive, cross-sectional, and retrospective observational study was conducted. The population consisted of 240 prescriptions, and a sample of 148 was collected from February to May 2021 at the Megaplus drugstore using a simple random sampling method. The data were processed using Microsoft Excel 2010. A data collection form was created as the instrument, with corresponding study analysis indicators, and the results were processed using descriptive statistics. The results showed that 60.1% of prescriptions failed to include the patient's full name, 57.4% failed to include the patient's age, and 49.3% failed to include the diagnosis. Additionally, 50.7% failed to use the International Nonproprietary Name (INN), and 63.5% of prescriptions were not legible. The study concludes that there is not 100% compliance with good prescribing practices.
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Buenas prácticas de prescripción e intervenciones farmacéuticas en pacientes atendidos en emergencia de la Clínica Internacional sede San Borja enero–marzo 2021
(Universidad Privada Norbert Wiener, 2021-08-02) Díaz Silva, Yessenia Marileyni; Lozano Lozano, Lucy Natividad; Caldas Herrera, Emma
A medical prescription is the result of a logical-deductive process in which the prescriber reaches a diagnostic orientation and a therapeutic decision. The objective of this study was to evaluate compliance with good prescribing practices and pharmacist interventions in patients treated in the emergency department of the Clínica Internacional, San Borja branch, from January to March 2021. Method: The study was descriptive with a prospective design. A sample of 354 prescriptions was considered, in which good prescribing practices and pharmacist interventions were evaluated according to the study's dimensions. Results: Compliance with the registration of patient data on medical prescriptions was 82.32%. Prescriber data was complied with at 100%. Compliance with medication data was 80.68%, and 19.32% did not comply. It was found that 7.35% of prescriptions required dose adjustment, 3.25% had drug interactions, 1.25% had contraindications, and 18.2% presented therapeutic duplication. Conclusion: It was determined that there is compliance with good prescribing practices and pharmacist interventions in the prescriptions of patients treated in the emergency department of the Clínica Internacional, San Borja branch.
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Buenas prácticas de prescripción y uso de inhaladores antiasmáticos para pacientes pediátricos en recetas emitidas del Hospital José Agurto Tello de Chosica de abril 2019 a marzo 2020. Lima 2021
(Universidad Privada Norbert Wiener, 2021-08-10) Medina Cardenas, Marisol Janet; Vergara Plasencia, Marco Javier; Caldas Herrera, Emma
The objective of this research is to determine good prescribing practices and the use of antiasthmatic inhalers for pediatric patients in prescriptions issued at the José Agurto Tello Hospital in Chosica from April 2019 to March 2020. Methodology: This study used a quantitative approach, with a basic type, a descriptive level, and a non-experimental design. The instrument used was a data collection form. The population consisted of 923 prescriptions, and the sample was comprised of 50% of these prescriptions, selected randomly. The results were processed using descriptive statistics. Results: Omissions were found in patient age (18%), clinical history (0.4%), type of care (5%), diagnosis (0.4%), ICD-10 code (4%), according to PNUME (0.2%), concentration (14%), pharmaceutical form (0.2%), quantity (2%), dose (50.9%), route of administration (63%), frequency (51%), duration of treatment (52%), and legibility (13%). The evaluation of antiasthmatic inhaler use showed the highest consumption of salbutamol (81.6%) in the school-age group (35.6%), with the diagnosis being appropriate (94%). Conclusion: Only 26% of prescriptions complied with 17–19 indicators, 64% with 14–16, and 10% with fewer than 14. It was found that bronchodilators were the most consumed inhalers in the emergency area.
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Calidad de atención y satisfacción del usuario externo en la farmacia de citostáticos del Hospital Santa Rosa. Lima 2022
(Universidad Privada Norbert Wiener, 2022-11-08) Quispe Candía, José Roberto; Caldas Herrera, Emma
The objective of this study was to evaluate the relationship between the quality of care and external user satisfaction in the cytostatic pharmacy at the Hospital Santa Rosa. The method used was hypothetical-deductive, applied, quantitative, descriptive, cross-sectional, and non-experimental. A questionnaire with 19 questions (13 for quality of care and 6 for external user satisfaction) was applied to 230 patients. Results: The quality of care in the cytostatic pharmacy at Hospital Santa Rosa, Lima 2022, was rated as regular (6.1%), good (87%), and very good (7%). Likewise, user satisfaction in the cytostatic pharmacy at Hospital Santa Rosa, Lima 2022, showed the following ratings: slightly satisfied (1.3%), satisfied (92.6%), and very satisfied (6.1%). Regarding the quality of care in five dimensions, most results showed good performance: reliability (53.9%), responsiveness (71.3%), safety (62.6%), empathy (62.2%), and tangibility (64.3%). Regarding external user satisfaction, in its three dimensions, the results predominantly showed satisfied users: humanistic dimension (67.8%), technological-scientific dimension (72.2%), and environment dimension (80.9%). It is concluded that the quality of care is positively and directly related to user satisfaction.
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Características clínicas, comorbilidades y mortalidad en pacientes con COVID-19 de la Unidad de Cuidados Intensivos 8 del Hospital Nacional Guillermo Almenara Irigoyen. Enero–mayo 2021. Lima 2022
(Universidad Privada Norbert Wiener, 2022-09-09) Araujo Aviles, Ivon Izen; Caldas Herrera, Emma
Objective: Analyze the relationship between clinical characteristics, comorbidities, and mortality in COVID-19 patients in ICU 8 at HNGAI, January-May 2021. Method: This study uses a quantitative approach, applied type, with an observational, cross-sectional, and non-experimental design. The sample consisted of 175 medical records. The instrument used was a data collection sheet where all the information from the medical records was recorded. The results were clear, aligned with the objectives, and supported by the statistical test used in this research, which is the Chi-square test with a significance level of 5%. Results: It was observed that the highest percentage of deceased patients admitted to the Intensive Care Unit were identified as adults (9.10%) and male (13.70%), with a duration of illness greater than 7 days (12.69%), moderate oxygen saturation levels (9.10%) and PaO2/FiO2 (9.10%), a severe percentage of pulmonary parenchyma involvement (6.90%), altered levels of C-reactive protein (16.00%) and D-dimer (13.10%), normal ferritin levels (11.40%), and a history of comorbidities, including obesity (3.40%), hypertension (1.70%), diabetes mellitus (1.70%), asthma (0.60%), and in some cases, up to two comorbidities (0.60%). Hypothesis testing determined that there is a statistically significant relationship between age and mortality (p: 0.01), duration of illness and mortality (p: 0.008), and C-reactive protein levels and mortality (p: 0.016). Conclusion: It was concluded that there is a statistically significant relationship between age and mortality, duration of illness and mortality, and C-reactive protein levels and mortality in COVID-19 patients.
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Características de la prescripción, disponibilidad y expendio de antimicrobianos en establecimientos farmacéuticos (farmacias y boticas), del distrito de Puente Piedra – DISA V. Enero 2018
(Universidad Privada Norbert Wiener, 2018-08-22) Huamani Casimiro, Lili Raquel; Quispe Huarcaya, Blanca Diana; Caldas Herrera, Emma
The research work has as its objective: to determine the “Characteristics of Prescription, Availability, and Dispensing of Antimicrobials in Pharmaceutical Establishments (Pharmacies and Drugstores) of the District of Puente Piedra – DISA V, January 2018.” Methodology: This corresponds to a descriptive, observational, prospective, cross-sectional, quantitative, non-experimental study. The spatial universe comprised 18 sectors with a total of 237 pharmaceutical establishments (5 pharmacies and 232 drugstores) in the district of Puente Piedra, during the period from January 1 to January 31, 2018. Data collection was carried out using standardized forms (Care and Dispensing). Results: The results obtained indicate that the proportion of prescriptions with prescribed antimicrobials was 84%. Furthermore, 70% of the prescribed antimicrobials belonged to the National Essential Medicines List (PNUME), 60% contained their International Nonproprietary Name (INN), and the proportion of dispensed antimicrobials that were substituted was 2.2%, with a 95% confidence level. The proportion of prescribed antimicrobials with registered dosage was 87%, of which 98% had the administration frequency recorded and 99% had the duration of treatment documented. Conclusion: This research allowed us to determine the most frequent problems patients face when receiving a medical prescription. The dispensing process often results in the inappropriate dispensing of antimicrobials, and the lack of availability contributes to the development of antimicrobial resistance.
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Características de la prescripción, disponibilidad y expendio de antimicrobianos en farmacias y boticas del distrito de Independencia – DISA V, setiembre 2014
(Universidad Privada Norbert Wiener, 2015) Flores Valencia, Genaro David; Icho Yacupoma, Ruth Gricelda; Caldas Herrera, Emma
This research focused on the prescription, availability, and dispensing practices of antimicrobials in pharmacies and drugstores in the district of Independencia, DISA V – Lima, September 2014. The study was descriptive, cross-sectional, and retrospective, and data were collected through a dispensing/care form that recorded information about antimicrobials prescribed according to patients’ conditions. Results showed that 67.13% of prescribed antimicrobials were included in the National List of Essential Medicines, but only 41.71% were prescribed using their International Nonproprietary Name, a value below the expected target. Additionally, 23.48% of antimicrobials were substituted at the time of dispensing. The evaluation of treatment parameters indicated that dosage (87.85%), frequency of administration (88.67%), and treatment duration (88.95%) were outside the expected range. In pharmacies and drugstores, 23.48% of antimicrobials were replaced due to lack of availability or recommendation of alternatives, and only 67.13% of dispensed antimicrobials corresponded to the National List of Essential Medicines. These findings reveal shortcomings in antimicrobial prescribing and dispensing practices, underscoring the need for improved compliance with national guidelines to ensure safe and rational use of medicines.
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Características de la prescripción, disponibilidad y expendio de antimicrobianos en farmacias y boticas del distrito de Santa Anita – DISA IV Lima Este. Agosto de 2014
(Universidad Privada Norbert Wiener, 2015) Espinoza León, Edith Miriam; Maza Delgado, Nerida Yucetty; Caldas Herrera, Emma
Introduction: Antimicrobials are the cornerstone in the treatment of infectious diseases. However, their inappropriate use by prescribers (physicians), dispensers (pharmacists), or patients increases antimicrobial resistance and reduces the effectiveness of available drugs. The consequences of irrational antimicrobial use are clinical, ecological, and economic, contributing to high morbidity and mortality. Objective: To determine the characteristics of prescription, availability, and dispensing of antimicrobials in pharmacies and drugstores in the district of Santa Anita – DISA IV – Lima Este, August 2014. Methodology: A descriptive, cross-sectional study was conducted using dispensing/care forms to collect data regarding antimicrobials administered to patients according to their illnesses. The study was applied to 4 pharmacies (5%) and 83 drugstores (95%) in Santa Anita district, totaling 87 pharmaceutical establishments. The objective was to assess the proportion of antimicrobials dispensed and their compliance with medical prescriptions. Data were analyzed using SPSS version 22 and Microsoft Excel 2010. Results: Among prescribed antimicrobials, 60% were indicated by International Nonproprietary Name (INN), 82% belonged to the National List of Essential Medicines (PNUME), and 82% were completely dispensed. Additionally, 88% of antimicrobials were dispensed correctly according to the medical prescription. Conclusion: The study determined that in pharmacies and drugstores of Santa Anita – DISA IV, Lima Este (August 2014), 60% of antimicrobials were prescribed by INN, 82% corresponded to the PNUME, and the oral route was the most prescribed pharmaceutical form. Moreover, the majority of antimicrobials were fully and correctly dispensed.
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Características de los eventos relacionados al uso de dispositivos médicos en el hospital Nacional Guillermo Almenara Irigoyen, Lima 2021
(Universidad Privada Norbert Wiener, 2022-03-30) Chuquilín Ramírez, Luz del Carmen; Caldas Herrera, Emma
To achieve health-related objectives in relation to medical care and improving the quality of life of patients, medical devices are considered an indispensable element in the prevention, diagnosis and treatment of pathologies. In this context, it is essential to take into account the risks that technology entails in the post-marketing of these products, since these devices can cause serious injuries or death to the patient if not addressed appropriately. (1) According to the WHO, in the United States, approximately one million "adverse events due to medical devices" are reported each year, which is worrying because they could be fatal. Its objective is to reduce the number of injuries, illnesses and deaths caused by medical devices, it established strategic links with health leaders worldwide to address the existing problem. (2) In addition, the WHO states that the accessibility and optimal use of medical devices is one of the concerns raised within the Millennium Development Goals. Due to the wide range of devices, problems related to quality, failure in labeling / manufacturing, inadequate modifications, poor assembly, incorrect use, erroneous selection of usage parameters, accidental spills, wrong connections, environmental factors, electromagnetic interference, loss of power supply, inappropriate technical specifications prior to purchase, inadequate storage, lack of training, lack of policy in hospitals, among others, are frequently found. (4) Several published articles show that the main causes of adverse events are: non-compliance with the regulations established in the context of technovigilance, lack of knowledge and inappropriate use of health technology. In the current context of the pandemic, there is greater concern because medical resources are scarce, which impacts the need to expedite interventions, reports, notifications and there may be greater characterization of these events, which represent a high impact on both economic and social aspects that affect security; constituting an adverse event that can be prevented. (5) (6). These findings warrant increased research and studies that demonstrate the application of technovigilance programs, which are extremely necessary to demonstrate compliance with current regulations regarding user training, quality, safety, performance and efficiency of products, and which in turn contribute to reducing the occurrence of adverse events. The Guillermo Almenara Irigoyen Hospital is a category III-2 health care institution, it has been serving insured personnel for more than 80 years, it is large and receives patients Referrals from Lima Centro, Lima Este, and Lima Norte, which is why the flow of patients treated is quite high. In this sense, the likelihood of various events related to medical devices is also high, which is why the decision was made to conduct the investigation at this institution.
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Características de uso de meropenem y vancomicina en el servicio de emergencia en pacientes adultos del Hospital Cayetano Heredia. Julio–diciembre 2018
(Universidad Privada Norbert Wiener, 2020-11-11) Ventura Quispe, Vilma; Velásquez Valverde, Bertha Esther; Caldas Herrera, Emma
This study aims to characterize the use of meropenem and vancomycin in the emergency service for adult patients at the HCH from July to December 2018. Methodology: A descriptive, cross-sectional retrospective investigation was conducted. Data were collected from 500 records of adult patients treated in the pharmacy service. Results: For drug indication, December showed the highest proportion for meropenem (20.7%), while vancomycin in August reported the highest proportion (19%). The 1 gr administration was the highest proportion for both medications. The main diagnoses for which meropenem and vancomycin were indicated were Soft Tissue Sepsis (10.8%) and Hospital-Acquired Pneumonia (11%). For combination therapy with meropenem and vancomycin, the most common diagnoses were Community-Acquired Pneumonia (14.8%) and Urinary Tract Infection (11.1%). Regarding authorization by infectology consultation, 83% of meropenem use was authorized, while 17% was not. For vancomycin-treated patients, 90% were not authorized by infectology, and 10% were authorized. Conclusion: The study demonstrated that usage characteristics and pharmacovigilance are baseline instruments that should be permanent to identify prescribing patterns in the context of bacterial resistance to both antibiotics.
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Clima organizacional y satisfacción laboral del personal químico farmacéutico del departamento de farmacia en el Hospital Nacional Hipólito Unanue-Agustino 2021
(Universidad Privada Norbert Wiener, 2022-06-11) Pulido Janampa, Alina Rosa; Caldas Herrera, Emma
Methodology: The total sample comprised 30 professionals from the pharmacy department. The study was a cross-sectional, comparative, correlational study, in which the relationship between the variables was established. Statistical analysis was performed using the Chi-square test. Results: Low job satisfaction and low organizational climate represented 0.0%, low job satisfaction and medium organizational climate 8.3%, low job satisfaction and high organizational climate 0.0%. Medium job satisfaction and low organizational climate represented 100.0%, job satisfaction and medium organizational climate 79.2%, and medium job satisfaction and high organizational climate 66.7%. It is concluded that there is a significant relationship between organizational climate and job satisfaction among the chemical pharmaceutical staff of the pharmacy department at the Hipólito Unanue National Hospital.