Examinando por Autor "Herencia Torres, Victor Reynaldo"

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Calidad de servicio y satisfacción del usuario externo en el área de farmacotécnia del Hospital Nacional Docente Madre Niño San Bartolomé, periodo enero–diciembre 2018
(Universidad Privada Norbert Wiener, 2019-03-06) Flores Oloya, Nancy Maritza; Herencia Torres, Victor Reynaldo
The objective of this research was to determine the relationship between service quality and the satisfaction of external users in the Pharmacotechnics area of the San Bartolomé National Teaching Hospital for Mothers and Children from January to December 2018. The study was descriptive, correlational, non-experimental, and quantitative. The sample consisted of 240 users from the Pharmacotechnics area of the hospital during the specified period. The quality variable was evaluated using the SERVQUAL survey, while the Minsa questionnaire was used for the external user satisfaction variable. A descriptive analysis was also conducted using frequency tables. The Spearman's Rho correlation coefficient of 0.722 indicated a positive relationship between the variables at a high correlation level. With a bilateral significance level of p=0.000<0.01 (highly significant), the null hypothesis was rejected and the general hypothesis was accepted. It is concluded that there is a direct and significant relationship between the quality of service and the satisfaction of external users in the Pharmacotechnics area of the San Bartolomé National Teaching Hospital from January to December 2018.
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Calidad en la atención a los usuarios que acuden al servicio de Farmacia Central en el Hospital “Carlos Lanfranco La Hoz” durante el mes de abril de 2017
(Universidad Privada Norbert Wiener, 2017-11-22) Mendoza Riojas, Evony Liseth; Herencia Torres, Victor Reynaldo
Introduction: The present research, titled “Quality of Service Provided to Users Attending the Central Pharmacy Service at Carlos Lanfranco La Hoz Hospital during April 2017”, was developed using the quality assessment model applied by the Ministry of Health through the SERVQUAL model. Objective: To determine the quality level of service provided to users attending the Central Pharmacy Service at Carlos Lanfranco La Hoz Hospital during April 2017. Methodology: This was a descriptive, observational, and cross-sectional study. A narrative, numerical, and graphical exposition of the reality under investigation was carried out. This method was also used to describe, in a detailed manner, the relationship between variables after systematic data collection according to the established design. Results: User dissatisfaction with the service was predominant at 71.58%. The dimension with the highest percentage of dissatisfied users was tangibles at 73.68%, followed by the responsiveness and assurance dimensions at 69.47%. Conclusion: The quality of service provided to users at the Central Pharmacy Service of Carlos Lanfranco La Hoz Hospital was rated as “Needs Improvement”, given that 71.58% of users reported dissatisfaction.
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Características de las reacciones adversas medicamentosas en pacientes con tratamiento antirretroviral de gran actividad en el programa del Centro Materno Infantil San José de Villa El Salvador, de 2006 a 2010
(Universidad Privada Norbert Wiener, 2015) Arnao Rojas, Verónica; Ramírez Mendoza, Tania Alejandrina; Herencia Torres, Victor Reynaldo
The present thesis, entitled Characteristics of Adverse Drug Reactions in Patients Under Highly Active Antiretroviral Therapy at the San José Maternal and Child Center Program in Villa El Salvador, 2006–2010, is an observational, descriptive, retrospective, and cross-sectional study. This thesis considered the antiretroviral drugs available at the Center for the Care and Treatment of Sexually Transmitted Infections and HIV/AIDS (CATITSS), including nucleoside reverse transcriptase inhibitors, non-nucleoside reverse transcriptase inhibitors, and protease inhibitors. A total of 420 clinical records of HIV-positive patients who were admitted to CATITSS at the San José Maternal and Child Center and met the inclusion criteria were reviewed. Among these, 268 patients presented one or more adverse reactions to antiretroviral drugs. The method used involved data collection from patient medical records; for each patient, a report form for suspected adverse reactions to antiretroviral drugs was completed. These reports were subsequently evaluated using the Peruvian pharmacovigilance algorithm. Regarding the results, the characteristics of adverse reactions to antiretroviral drugs by sex were 56.3% male and 43.7% female. By age group, 29.5% were 18–25 years, 36.6% were 26–32 years, 36.6% were 33–39 years, 7.1% were 47–53 years, and 7.8% were 54 years and older. By organs and systems affected, 44.78% involved the peripheral nervous system, 42.16% were related to metabolic and nutritional disorders, and 32.09% affected the skin. By type, the most frequent was type C at 89.93%, followed by type A at 61.19%. According to causality, 95.9% were classified as probable cases. Regarding severity, 52.10% were non-serious, 47.41% were serious, and only 0.49% were severe. According to the ATC classification of antiretrovirals, 97.28% of nucleoside reverse transcriptase inhibitors produced adverse drug reactions.
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Características de prescripción y uso de antimicrobianos en pacientes con septicemia del servicio de Unidad de Terapia Intensiva Pediátrica del Hospital Nacional Docente Madre – Niño San Bartolomé agosto–diciembre 2013
(Universidad Privada Norbert Wiener, 2015) Canchanya Janampa, Ana Isabel; Chambi Cumpa, Norma; Herencia Torres, Victor Reynaldo
The objective of this thesis was to determine the characteristics of antimicrobial prescription and use in patients with septicemia admitted to the Pediatric Intensive Care Unit of the Hospital Nacional Docente Madre–Niño San Bartolomé from August to December 2013. A cross-sectional, retrospective, observational, and descriptive study design was applied, analyzing 156 antimicrobials prescribed to 55 hospitalized patients, which represented 100% of the study population, according to established inclusion and exclusion criteria. A data collection sheet was designed as an instrument, including the 8 study indicators related to antimicrobial prescription and use. Among the results, 52.7% of patients were male, and 41.8% were between 1 and 5 years old. Regarding length of hospital stay, 56.4% of patients were hospitalized between 1 and 10 days. Most patients received 1 to 3 antimicrobials (70.9%), with vancomycin being the most frequently prescribed (21.1%). The most commonly used ATC code was J01XA01 (21.1%). The therapeutic subgroup “Other antimicrobials” was the most frequent (52.6%), with glycopeptides accounting for 40.2% within this group. In addition, 95.5% of prescribed antimicrobials were included in the Petitorio Nacional Único de Medicamentos Esenciales. In conclusion, the results demonstrated that antimicrobial prescription and use were adequate in pediatric patients of the Intensive Care Unit. However, monitoring of restricted antimicrobials in pediatric patients is recommended to reduce bacterial resistance.
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Cumplimiento de buenas prácticas de prescripción en recetas atendidas en el servicio de dosis unitaria de un establecimiento de salud público, periodo mayo-octubre, 2018
(Universidad Privada Norbert Wiener, 2019-03-06) Villacorta Molina, Santos Enrique; Herencia Torres, Victor Reynaldo
The objective of this research thesis was to evaluate compliance with the manual of good prescribing practices on prescription sheets filled in the unit dose service of a public health facility from May to October 2018. The study was observational, descriptive, cross-sectional, and retrospective. The sample consisted of 858 medical prescription sheets for hospitalized patients from various hospital services, which were filled at the public health facility's unit dose service in Lima, Peru. The sample met both inclusion and exclusion criteria. For data collection and analysis, a checklist instrument was created and validated by three expert professionals to ensure greater reliability. The results confirmed that good prescribing practices were not being followed. This is a crucial tool for ensuring adequate and efficient medical prescriptions that benefit the hospitalized patient.
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Cumplimiento de las buenas prácticas de prescripción del programa de atención ambulatoria de la Clínica Maison de Santé, mayo–julio 2016
(Universidad Privada Norbert Wiener, 2017) Bazán Alfaro, Sandra Roxana; Jimenez Gonzales, Yovanna Flor; Herencia Torres, Victor Reynaldo
The objective of this work was to determine the percentage of compliance with Good Prescribing Practices (GPP) for the Outpatient Care Program at the Clínica Maison de Sante during May–July 2016. The study was cross-sectional, observational, and retrospective, analyzing unit prescriptions for patients with chronic treatments. The Manual of Good Prescribing Practices from the General Directorate of Medicines, Supplies, and Drugs (DIGEMID), the WHO Manual of Good Prescribing Practices (OMS), and the Medication Appropriateness Index (MAI) were used to create our data collection form, taking the required prescription characteristics as reference points to measure the magnitude of inadequate prescribing in a sample of 400 prescriptions (which constituted our universe). Data was collected from the Clínica Maison de Sante archives for two intercalated hours daily for 28 consecutive days (2 weeks) in September. Results showed that 100% complied with the Manual of Good Prescribing Practices. However, 90.5% of the prescriptions did not contain complete data, 5.5% omitted the pharmaceutical form, 22% omitted the active ingredient concentration, 2.5% omitted the dose and pharmaceutical form, and 93.5% presented illegible handwriting.
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Cumplimiento de las buenas prácticas de prescripción en pacientes de consulta externa del Instituto Nacional de Enfermedades Neoplásicas (INEN) en enero del año 2017
(Universidad Privada Norbert Wiener, 2017-11-20) Julca Chinchay, Alex Paul; Ynga Mendoza, Christian; Herencia Torres, Victor Reynaldo
The present study aims to determine compliance with good prescribing practices in standardized single prescriptions from the Central Pharmacy service for patients attended in the Outpatient Department of the National Institute of Neoplastic Diseases (INEN) in January 2017. A cross-sectional, retrospective, observational, and descriptive study was conducted, in which 1065 standardized single prescriptions were analyzed. According to the results obtained in Indicator 1 (patient data), 100% complied with surname and name; the other sub-indicators did not comply. According to the results obtained in Indicator 2 (drug data), none of the sub-indicators complied. According to the results obtained in Indicator 3 (prescribing physician data), none of the sub-indicators complied. In Indicator 4 (others), 99.06% complied with the use of legible handwriting, and 77.18% recorded the non-use of abbreviations. In conclusion, the application of the present thesis demonstrated that the standards of good prescribing practices in standardized medical prescriptions are not being met.
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Determinación del cumplimiento de las buenas prácticas de prescripción (BPP) en el servicio de geriatría de consulta externa, del Hospital Nacional IV Alberto Sabogal Sologuren – EsSalud, durante el mes de julio del 2014
(Universidad Privada Norbert Wiener, 2015) Limaymanta Aguirre, Margarita Natividad; Mamani Ccari, Esther; Herencia Torres, Victor Reynaldo
This thesis aimed to identify and evaluate deficiencies in compliance with Good Prescription Practices in medical prescriptions attended at the Geriatrics outpatient service of the Hospital Nacional IV Alberto Sabogal Sologuren – EsSalud, during July 2014. The analysis was conducted through a cross-sectional, observational, prospective, documentary, and comparative study, examining unitary medical prescriptions from all specialties, as well as prescriptions from patients with chronic treatments, emergency care, and hospitalized patients. The Good Prescription Practices Manual of the General Directorate of Medicines, Supplies and Drugs (DIGEMID), the Good Prescription Practices Manual of the World Health Organization (WHO), and the Medication Appropriateness Index (MAI) were used to design the data collection sheet, considering the essential characteristics that prescriptions must contain, in order to measure the magnitude of inappropriate prescribing in a population of 144 prescriptions over a one-year period. Photographs of attended prescriptions were taken; prescriptions from hospitalized patients, emergency patients, and patients with chronic treatments were excluded. The findings showed that 100% of prescriptions included the international nonproprietary name and the date of issue. However, 27.8% did not specify the concentration, 1.4% did not indicate the pharmaceutical form, 17.4% did not record the dosage, and 100% did not include the expiration date of the prescriptions.
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Determinación del cumplimiento de las buenas prácticas de prescripción en el servicio de Medicina General del Hospital Municipal "Los Olivos" del periodo setiembre–diciembre de 2016
(Universidad Privada Norbert Wiener, 2017) Herrera Aguirre, Juan Eduardo; Obando Chumbiriza, Rocio Del Pilar; Herencia Torres, Victor Reynaldo
The objective of this thesis was to identify and evaluate the deficiencies in compliance with Good Prescribing Practices (GPP) in the General Medicine Service of the 'Los Olivos' Municipal Hospital from September to December 2016. The study was cross-sectional, observational, and prospective. The Manual of Good Prescribing Practices from the General Directorate of Medicines, Supplies, and Drugs (DIGEMID), the WHO Manual of Good Prescribing Practices, and the Medication Appropriateness Index (MAI) were used to create our data collection form, taking the essential characteristics required for each prescription as reference points to measure the magnitude of inadequate prescribing. A sample of 1,250 prescriptions originating from patients in the General Medicine Service was evaluated. Results showed that 93.5% complied with patient data, 54.5% with the INN (International Nonproprietary Name), 56.5% with the mention of the pharmaceutical form, 72.5% indicated the concentration of the active ingredient, 64.5% indicated the dose to be administered, 84.5% indicated the expiration date, 66.5% presented legible handwriting, and 97.50% included the prescriber's stamp and signature.
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Determinación del nivel de comprensión sobre la prescripción médica del alta en la sala Santo Toribio del Hospital Dos de Mayo, setiembre 2018–febrero 2019
(Universidad Privada Norbert Wiener, 2019-08-20) Estares Gutierrez, Miguel Angel; Herencia Torres, Victor Reynaldo
This study was conducted in the Santo Toribio ward of the Dos de Mayo Hospital in metropolitan Lima, Peru. The objective was to determine the level of comprehension of discharge medical prescriptions among patients in the Santo Toribio ward from September 2018 to February 2019. Methods: The research was descriptive, prospective, prolective, and cross-sectional. A survey, previously validated by expert judgment, was used to interview 133 patients after obtaining informed consent. Data were collected on various aspects of their medications, such as name, time of administration, indication, duration, and route of administration, as well as the legibility of the doctor's prescription. Results: The overall level of comprehension was slightly above average, with 32.3% having a low level, 51.9% a medium level, and 15.8% a high level. Comprehension levels were low for the name of the medication (59.4%), time of administration (61.7%), and indication (56.4%), while comprehension of the duration was 57.1% and the route of administration was high at 93.2%. Finally, 65% of patients mentioned that the prescription was not legible. Conclusion: The overall level of comprehension was determined to be 61.8%, with the intermediate level predominating at 51.9%. This indicates that the points that patients did not understand were the name, time of administration, and indication of the medication.
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Determinación del uso de las fuentes de información de medicamentos por los internos de la Facultad de Farmacia y Bioquímica de la Universidad Norbert Wiener en el periodo 2014-I
(Universidad Privada Norbert Wiener, 2015) Pebe Bendezu, Lili Lorena; Quispe Oyarce, Santos Fredelina; Herencia Torres, Victor Reynaldo
The present research aimed to determine the use of drug information sources consulted by interns from the Faculty of Pharmacy and Biochemistry (pre-professional practices, second level) at Norbert Wiener University during the first semester of 2014. Materials and Methods. This was an observational, descriptive, and cross-sectional study. The study included 100% (63) of the interns from the Faculty of Pharmacy and Biochemistry, obtained from a stratified sample. Data analysis was carried out using SPSS version 21 and Microsoft Excel. Results. Regarding the drug information sources most frequently consulted by the interns during their pre-professional practices, it was found that the most used primary sources were Journal of Evidence-Based Healthcare (30%) and JAMA (22%). Among secondary sources, the most frequently consulted were Medline (52%) and PubMed (40%). The most consulted tertiary sources were The Merck Manual Online (52%) and Meyler’s (35%). Likewise, the most consulted drug information centers were CENADIM (51%) and CIM-Wiener (27%). Conclusion. It was determined that the drug information sources used by the interns were primarily for academic and professional development purposes. Interns from the Faculty of Pharmacy and Biochemistry accessed these drug information sources responsibly, through available and widely accepted websites. Therefore, the implementation of the CIM-Wiener for drug information searches is considered appropriate, although further instruction is necessary to ensure that searches are conducted quickly and responsibly given their complexity.
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Efectividad de la implementación de farmacia centro quirúrgico, en el Hospital Carlos Lanfranco La Hoz, Puente Piedra, periodo mayo–octubre 2018
(Universidad Privada Norbert Wiener, 2019-03-06) Silva Espinoza, Flor Beliza; Herencia Torres, Victor Reynaldo
The study measured the value of returned medications and medical devices during the period of January to May 2018 (S/ 22,897,338.00), which, when compared to 2017 (S/ 6,538,040.00), demonstrated a savings of S/ 16,359,298.00. In terms of clinical activity indicators, the number of returned items in 2018 was 16,750, compared to 1,461 in 2017, showing a recovery of 15,289 items of medications and medical supplies. The number of prescriptions filled by the Surgical Center Pharmacy after its implementation (May to October 2018) was 5,142, compared to 3,710 in 2017, for a difference of 2,778 prescriptions filled. The total value of medications during the study period showed a growth, reaching S/ 700,019.38. The number of surgical interventions attended by the Surgical Center Pharmacy in 2018 was 2,252, compared to 2,025 in 2017, a difference of 227 operations. The number of suspended surgical interventions decreased from 178 in 2017 to 162 in 2018, a reduction of 28 suspended operations. Emergency surgeries in 2018 were 1,103, compared to 1,006 in 2017, a difference of 97 operations. Operating room performance was 563 in 2018, compared to 506 in 2017, finding a difference of 57 interventions.
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Estudio de utilización del ciprofloxacino en infección del tracto urinario no complicado en pacientes adultos atendidos por el Seguro Integral de Salud del Hospital Vitarte. Julio 2016 a Junio 2017
(Universidad Privada Norbert Wiener, 2020-02-25) Sánchez Paredes, José Luis; Herencia Torres, Victor Reynaldo
Antibiotics are highly important due to their therapeutic, clinical, social, and economic benefits. Their rational use is crucial to prevent resistance and side effects that diminish their value, which is why this study was proposed. Objective: To evaluate the drug utilization study of Ciprofloxacin in uncomplicated Urinary Tract Infections (UTI) in adult patients covered by the Comprehensive Health Insurance (SIS) at the Vitarte Hospital, from July 2016 to June 2017. Methodology: A descriptive, observational, and retrospective study was conducted over a 12-month period, analyzing Ciprofloxacin consumption in uncomplicated UTI, Prescription-Indication criteria, and the Quality of Indication-Prescription. Results: A maximum Ciprofloxacin consumption of 2.2 DDD was observed in the study. Ciprofloxacin ranked second and fourth for prescription-indication in UTIs, and it was observed that 95.7% (202) of use was inappropriate. Conclusions: The drug utilization study of Ciprofloxacin 500 mg tablets in uncomplicated UTI revealed a growing consumption and a high percentage of inappropriate use.
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Evaluación de los centros de información de medicamentos en Lima Metropolitana – año 2016
(Universidad Privada Norbert Wiener, 2017) Rivas Luna, Wilder; Taipe Yampasi, Margarita Jenny; Herencia Torres, Victor Reynaldo
The study was observational descriptive, cross-sectional, and prospective in a population of nine information centers through a survey. Results: 33.3% of the Drug Information Centers (CIMs) have been operating between 0-1 years and 6 or more years. 44.4% are affiliated with MINSA hospitals. 55.6% are financed by public institutions. 100% of professionals are Pharmaceutical Chemists. 55.6% of the monthly consultation numbers are fewer than 50. 55.6% of the consultant types are Pharmaceutical Chemists and Physicians. 77.8% have access to the PUBMED-MEDLINE and Micromedex databases. 66.7% have access to journals such as WHO technical reports, and 100% have access to books such as Goodman and Gilman's The Pharmacological Basis of Therapeutics. 100% of the information sources consulted are databases. 66.7% provide specialized advice to their institution and participate in courses, conferences, and seminars. 44.3% indicate that mechanisms exist to share information with other CIMs. The Drug Information Centers in Metropolitan Lima comply with the majority of the guidelines from the PAHO 1997 Drug Information Guide and the DRUG-LA 2010 Guide for the Development and Operation of Drug Information Centers.
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Evaluación del cumplimiento de las buenas prácticas de prescripción de la especialidad de gastroenterología del Programa de Atención Domiciliaria del Adulto Mayor – EsSalud del periodo febrero–marzo 2016
(Universidad Privada Norbert Wiener, 2018-02-19) Lizarbe Castillo, Leonisa Rebeca; Real Rojas, Adita Johanna; Herencia Torres, Victor Reynaldo
Compliance with Good Prescription Practices in the Gastroenterology Specialty of the Home Care Program for the Elderly – EsSalud was evaluated during the period February – March 2016. A cross-sectional, retrospective, observational, and descriptive study was conducted. A total of 397 medical prescriptions were analyzed. A data collection form was designed as an instrument, which included six study indicators to identify prescription errors. According to the results obtained, 90.4% of prescriptions included the patient’s full name, while 100% recorded the clinical history and ICD-10 code. Regarding therapeutic indications, it was found that 100% complied with the International Nonproprietary Name (INN) of the medications. In 97.5% of cases, the dosage and frequency of the medication were recorded, while 100% included the duration of treatment. Likewise, 100% of the medical prescriptions contained the prescriber’s data. The date of issue and expiration was present in 100% of prescriptions; however, only 6.0% of prescriptions were written legibly. It is concluded that good prescription practices were met, with patient and prescriber data being the indicators with the highest compliance.
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Evaluación del cumplimiento de las buenas prácticas de prescripción en recetas médicas atendidas en el servicio de farmacia de emergencia del Hospital San Juan de Lurigancho, periodo julio–septiembre 2018
(Universidad Privada Norbert Wiener, 2019-03-06) Velasco Barzola, Rosendo Angel; Herencia Torres, Victor Reynaldo
The study was a descriptive, observational, cross-sectional, and retrospective analysis. The sample consisted of 1,032 prescriptions collected over three months from the emergency pharmacy service at the San Juan de Lurigancho Hospital in Lima, Peru. The Manual of Good Prescribing Practices from the Ministry of Health (MINSA) and its General Directorate of Medicines, Supplies, and Drugs (DIGEMID) was used to create data collection forms. This allowed researchers to evaluate compliance with good prescribing practices by referencing the required characteristics for each prescription. Results showed that 100% of prescriptions from July, August, and September were analyzed. The analysis revealed that 45.15% did not comply with good prescribing practices regarding the patient data dimension, 25.55% failed to comply with the proper prescription of medication data, and 13.04% did not meet the standards for legibility of writing on the prescription.
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Identificación de interacciones medicamentosas potenciales en recetas médicas atendidas en la farmacia ambulatoria del Hospital Carlos Lanfranco La Hoz, periodo setiembre–noviembre 2018
(Universidad Privada Norbert Wiener, 2019-03-06) Lovera Tataje, Maria Nicolasa; Herencia Torres, Victor Reynaldo
The objective of this study was to identify potential drug interactions in medical prescriptions filled by the psychiatry service at the outpatient pharmacy of the Carlos Lanfranco La Hoz Hospital from September to November 2018. A retrospective, descriptive, and cross-sectional study was conducted, in which information was collected from medical prescriptions. The study population consisted of 450 medical prescriptions filled by the psychiatry service after applying inclusion and exclusion criteria. The study found that out of the 450 validated prescriptions, 226 had potential drug interactions, for a total of 248 interactions. By gender, 136 (60.2%) were for female patients and 90 (39.8%) for male patients. The prescriptions with the most potential drug interactions were sertraline-clonazepam (50 cases, 20.16%), risperidone-fluoxetine (25 cases, 10.8%), and risperidone-clonazepam (16 cases, 6.5%). According to the mechanism of action, 96 (38.7%) interactions were pharmacokinetic, and 152 (61.3%) were pharmacodynamic. In terms of severity, the interactions were moderate (208 cases, 83.9%), major (40 cases, 16.1%), and minor (0 cases, 0%). Based on documentation type, 16 (6.5%) were excellent, 210 (84.7%) were good, and 22 were fair or poor. This study highlights the importance of identifying drug interactions to prevent health problems related to medication use and to seek the patient's well-being and improvement.
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Identificación de los errores de prescripción en recetas médicas de los pacientes atendidos en la farmacia ambulatoria del Hospital Nacional Arzobispo Loayza periodo agosto-octubre 2018
(Universidad Privada Norbert Wiener, 2019-03-06) Oviedo Sarmiento, Nory Maribel; Herencia Torres, Victor Reynaldo
The study was descriptive, quantitative, cross-sectional, and retrospective, with an observational and descriptive design. The sample consisted of 450 medical prescriptions, and the instrument was adapted by the researcher. The percentage of prescriptions with errors related to prescriber data was between 1.7% and 5.0%, with a 95% confidence level, and the main error was in the seal (3.3% or 15). The percentage of prescriptions with errors in patient data was greater than 99.3%, with the main errors related to gender (99.8% or 429) and age (63.1% or 284). Between 96.7% and 99.3% of prescriptions had errors related to medication data, with the main errors concerning the route (96.2% or 433), duration (86.4% or 389), and frequency (45.1% or 203). The percentage of illegible prescriptions was between 1.8% and 5.3%. The percentage of prescriptions with errors related to the date was between 77% and 85% with a 95% significance level, with these errors primarily in the expiration date (81.8% or 365). It is concluded that all of the prescriptions contained at least one prescribing error, and most frequently, 6 to 8 errors were observed in 43.3% of prescriptions at the Outpatient Pharmacy service of the Archbishop Loayza National Hospital from August to October 2018.
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Identificación de problemas relacionados con los medicamentos en pacientes hospitalizados en el servicio de Medicina Interna: Julián Arce y San Andrés del Hospital Nacional Dos de Mayo (junio–julio 2013)
(Universidad Privada Norbert Wiener, 2013) Quispe Hurtado, Virginia Milagros; Vega Aquino, Luis Martín; Herencia Torres, Victor Reynaldo
The National Hospital Dos de Mayo has five Internal Medicine Services. Patients admitted to these services usually present with acute and chronic pathologies, comorbidities, are of variable ages, and are often polymedicated. Many of these patients may develop Drug-Related Problems (DRPs) during treatment, which may be due to various causes such as subtherapeutic or toxic doses, adverse reactions, or drug interactions. These situations predispose patients to the occurrence of DRPs, which must be identified through validated methods, as they may affect the achievement of therapeutic goals, prolong hospital stays, increase morbidity, and raise the costs associated with treatment. The general objective of this study was to determine drug-related problems (DRPs) in hospitalized patients in the Internal Medicine Services Julián Arce and San Andrés of the National Hospital Dos de Mayo (June–July 2013). The specific objectives were to determine potential and actual DRPs in hospitalized patients in the aforementioned services; to describe actual DRPs related to need, effectiveness, and safety; and to identify the medications involved according to the Anatomical Therapeutic Chemical (ATC) classification. The study determined 164 (71%) actual DRPs and 67 (29%) potential DRPs. Among the actual DRPs, 50 (30.5%) were related to need, 49 (29.9%) to effectiveness—the lowest proportion—and 65 (39.6%) to safety, representing the highest proportion. In total, 151 medications were identified as being implicated in actual DRPs, with the most frequent therapeutic groups being systemic anti-infectives (29%) and cardiovascular therapy (27%). The findings highlight the importance of recognizing DRPs, defined as health problems understood as negative clinical outcomes derived from pharmacotherapy, which, caused by various factors, lead either to the failure to achieve therapeutic goals or to the occurrence of undesirable effects (Second Granada Consensus, 2002). In conclusion, the study established that actual DRPs predominate over potential ones, with safety-related DRPs being the most frequent. The large number of medications implicated, particularly systemic anti-infectives and cardiovascular drugs, underscores the need for closer monitoring. It is therefore recommended that medication reconciliation and patient education regarding medication use at the time of discharge be implemented, not only to develop the concept of pharmaceutical care but also to address a crucial need in hospitalized patients. Access to reliable and independent information sources, as well as critical evaluation of the literature on medicines, is essential to improve the quality of pharmacotherapeutic follow-up, particularly in relation to pharmaceutical interventions. Furthermore, pharmaceutical care should include interventions related to diet, physical activity, prevention of medication errors, and primary and secondary prevention through auxiliary diagnostic tests. Finally, the active participation of pharmacists in medical rounds fosters the recognition of their role within the healthcare team and encourages ongoing professional development, ensuring that pharmaceutical interventions are both timely and effective.
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Identificación de reacciones adversas medicamentosas por el uso de antibióticos en pacientes hospitalizados en el Hospital Nacional María Auxiliadora, periodo 2017–2018
(Universidad Privada Norbert Wiener, 2019-03-06) Luján Curahua, Cristy Sadith; Herencia Torres, Victor Reynaldo
The objective of this research was to determine the percentage of adverse drug reactions (ADRs) from antibiotic use in hospitalized patients at the María Auxiliadora National Hospital in Lima, Peru. For this purpose, a descriptive, cross-sectional, and prospective study was designed, and the sample consisted of all 123 event notification forms related to ADRs from the period of 2017–2018. The results showed that 40.6% of reported ADRs were dermal. Of these, 70% occurred in women, 43.1% were attributed to antibiotics, and 74% were mild. Furthermore, 72% of these dermal ADRs were reported by a pharmaceutical chemist, with the largest proportion occurring in the gynecology-obstetrics department. Within the group of ADRs associated with antibiotics, 19% were related to Beta-lactams. The conclusions were that 40% of all reported ADRs in the hospital were dermal, and the highest percentage of reactions associated with antibiotics occurred in the medicine service. Additionally, 14.6% were dermal reactions associated with antibiotics. It was observed that the pharmaceutical chemist was the professional who reported most frequently, accounting for 77% of notifications. Half of the notifications were mild, followed by moderate reactions at 42%. Dermal drug reactions are frequently observed in daily medical practice, and a significant number of patients require hospitalization, with some associated variables such as age and severity being noted.