Examinando por Materia "Eficiencia"

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Aplicación de la gestión de inventarios en los servicios de farmacia en una entidad prestadora de Salud, Lima 2022
(Universidad Norbert Wiener, 2023-07-08) Quispe Quispe, Livia; Rosales Laguna, Mery Luz; Cáceres Trigoso, Jorge Ernesto
Las entidades prestadoras de servicios de salud tienen problemas de administración de almacenes por no tener estrategias orientadas a mejorar el servicio a los clientes internos, siendo primordial implementar mejoras para el buen desempeño y el logro de las metas como organización, es por ello, el objetivo de este estudio es mejorar la productividad en el servicio de farmacia de una entidad prestadora de salud mediante la aplicación de la gestión de inventarios, Lima, 2022. La metodología del presente trabajo de investigación es de tipo aplicada, el enfoque es cuantitativo, de estudio experimental, corte transversal y diseño pre experimental, se realizó a mediante la recolección de datos de las variables: productividad y gestión de inventarios, y la muestra fue la información de los pedidos recolectados en 13 semanas, lográndose determinar cómo la aplicación de la gestión de inventarios mejora la productividad en los servicios de farmacia en una entidad prestadora de salud, Lima 2022. Se obtuvieron como resultados que la clasificación ABC mejoró todos los indicadores usados, excepto la valorización de inventario, sin perder su utilidad por este motivo. Finalmente, se recomienda mantener la sostenibilidad con políticas de gestión y control de inventarios para lograr mejoras en la productividad en el servicio de farmacia. Se puede concluir que al aplicar herramientas de gestión de inventarios se favorece a la productividad y se optimiza la administración de inventarios porque mejora significativamente los indicadores de ambas variables.
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Ciclo de Deming para mejorar la gestión logística en una empresa privada, Lima 2023
(Universidad Norbert Wiener, 2023-12-16) Quispe Torres, Lesly Yomira; Medina Sánchez, Carlos
El propósito general del análisis fue aplicar el ciclo de Deming para enriquecer la gestión logística en una empresa privada en Lima, 2023. Además, se empleó un enfoque de investigación cuantitativo, diseño pre-experimental y tipo aplicada o práctica. Asimismo, con un nivel o alcance explicativo, corte longitudinal y un método deductivo, hipotético y analítico. Por consiguiente, la población fue compuesta por 120 proyectos enfocados en el área de logística, que comprendió de 60 proyectos desarrollados en mayo (pre_test) y 60 proyectos en junio (post_test), todos los proyectos estudiados fueron diferentes. De igual manera, se puso en práctica la técnica de la observación, utilizando como instrumento fichas de observación. Asimismo, se usó la prueba de doble masa en el sistema SPSS con el objetivo de validar la consistencia del registro; además, para los 3 indicadores estudiados se realizó la prueba de Kolmogórov Smirnov, donde las hipótesis específicas formuladas fueron aceptadas. Se concluyó que, mejoró la eficiencia en 15,97%, eficiencia en 29.35% y la eficacia en 12%, de las tres dimensiones respectivamente: compras y abastecimiento, centro de distribución y almacenes, e inventarios. Como resultado, el ciclo de Deming potenció la gestión logística de la empresa privada.
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Ciclo de Deming para mejorar la productividad del área de compras en una empresa comercializadora, Callao 2022
(Universidad Norbert Wiener, 2023-03-09) Eldredge Dominguez, Thabata Grace; Huamani Cumapa, Sandra Lorena; Ortiz Vargas, Nicolas Fedeberto
El objetivo del presente proyecto fue demostrar cómo el ciclo de Deming mejora la productividad del área de compras en una empresa comercializadora. Asimismo, se utilizó como método el deductivo, hipotético y analítico con un estudio de nivel cuantitativo de tipo aplicada con diseño pre-experimental. La implementación dependió de 4 fases: plan, do, check y act, y se apoyó en base a una población de siete pedidos al inicio y posterior a la realización del ciclo PDCA. De modo que, mediante el desarrollo del proyecto se obtuvieron valores paramétricos para los indicadores de eficiencia y tiempo promedio y no paramétricos para los valores de eficacia y efectividad por intermedio de la prueba de Shapiro-Wilk. Asimismo, logró un crecimiento en el porcentaje de eficiencia en 18,9%, eficacia en 35,7%, efectividad en 38,4% y reducción del tiempo promedio en 15,9 horas. En consecuencia, se alcanzó a optimizar la productividad; en ese sentido, permitió el mejoramiento del tiempo de proceso de compra, la correcta gestión de documentos y capacitación al personal en la empresa.
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Control interno y su impacto en la rentabilidad de una empresa de remediación ambiental, Lima 2022
(Universidad Norbert Wiener, 2023-05-30) Farceque Bermeo, María Elena; Mauricio Ledesma, Rocio; Manrique Linares, Cynthia Polett
La presente investigación titulado el control interno y su impacto en la rentabilidad de una empresa de remediación ambiental, Lima 2022, tiene como objetivo analizar el control interno y su impacto en la rentabilidad de una empresa del sector de hidrocarburos ubicado en el puerto del callao y determinar cómo el control interno favorece el rendimiento positivo en la rentabilidad. El problema expuesto, que existe es por la falta de coordinación y orden en la distribución de los gastos no ejecutar eficientemente las funciones en las áreas de finanzas, almacén, administración y contabilidad que es muy importante cumplir con los principios y normas para salvaguardar los recursos de la empresa. La metodología de la investigación se realizó bajo el enfoque cuantitativo, de corte transversal y diseño correlacional, donde nos permite obtener resultados previos, con la finalidad de desarrollar y profundizar las dos variables, además nuestro estudio de investigación es de tipo aplicada, y el diseño es no experimental, para la recolección de datos utilizamos la técnica encuesta en la escala de Likert. La muestra seleccionada es de 52 trabajadores donde se logró analizar el control interno y la rentabilidad en una empresa de remediación ambiental en Lima-Perú. Finalmente se obtuvieron los resultados donde el 51.92% del personal respondió que el control interno es de nivel medio, según la prueba de Correlación de Pearson se obtuvo una correlación de 0,867 por lo tanto existe relación entre las variables Control Interno y la Rentabilidad.
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Desempeño laboral y productividad laboral en el personal del departamento de la unidad de cuidados intensivos en un Hospital – Lima, 2024
(Universidad Privada Norbert Wiener, 2025-04-07) Castillo Llaja, Milagros Alcira; Seminario Unzueta, Randall Jesús
Objetivo: Determinar la relación entre el desempeño laboral y la productividad laboral en el personal del departamento de la UCI de un Hospital en Lima, 2024. Materiales y métodos: Se realizó un estudio cuantitativo, de tipo aplicado, con diseño no experimental, transversal y correlacional. La población censal estuvo conformada por 102 profesionales de la salud, a quienes se aplicaron cuestionarios validados y confiables sobre desempeño laboral y productividad laboral. Resultados: Se encontró una correlación positiva y moderada entre el desempeño laboral y la productividad laboral (Rho=0,495; p=0,000). Además, cada una de las dimensiones del desempeño laboral mostró correlación significativa con la productividad laboral (p<0,05). Conclusión: Existe relación significativa entre el desempeño laboral y la productividad laboral en el personal de la UCI en el Hospital estudiado.
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Effective oral hygiene for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-12-03) Carbajal Quispe, Johana Mercedes; Rubio Aguilar, Vianey; Pretell Aguilar, Rosa Maria
Objective: To analyze and systematize evidence on the effectiveness of oral care in preventing pneumonia in patients receiving mechanical ventilation. Materials and Methods: This is a systematic review of evidence on the effectiveness of oral care in preventing pneumonia in patients with mechanical ventilation. Among all the articles found, the most significant ones were included based on their level and quality of evidence, while less relevant ones were excluded. The databases used for the review were Scielo, Medplus, PubMed, and BVS. Results: A total of 10 articles were selected from different countries, with 50% (5) being systematic reviews, 20% (2) cohort studies, 20% (2) randomized controlled trials, and 10% (1) a meta-analysis. Of the articles analyzed, 70% (n=7/10) confirm that oral care using only oral solutions or mouthwashes, specifically chlorhexidine, is effective in preventing pneumonia in patients receiving mechanical ventilation. The remaining 30% (n=3/10) suggest that oral care is effective not only with chlorhexidine mouthwashes but also by adding other strategies and solutions to prevent pneumonia caused by mechanical ventilation. Conclusion: The reviewed studies are conclusive in stating that oral care for ICU patients on mechanical ventilation is effective in preventing pneumonia, particularly when using oral antiseptics such as 2% chlorhexidine. These measures should be included as part of the overall care for mechanically ventilated patients upon admission to prevent bacterial colonization that can lead to pneumonia.
Acceso abierto
Effective oral hygiene for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-12-03) Carbajal Quispe, Johana Mercedes; Rubio Aguilar, Vianey; Pretell Aguilar, Rosa Maria
Objective: To analyze and systematize evidence on the effectiveness of oral care in preventing pneumonia in patients receiving mechanical ventilation. Materials and Methods: This is a systematic review of evidence on the effectiveness of oral care in preventing pneumonia in patients with mechanical ventilation. Among all the articles found, the most significant ones were included based on their level and quality of evidence, while less relevant ones were excluded. The databases used for the review were Scielo, Medplus, PubMed, and BVS. Results: A total of 10 articles were selected from different countries, with 50% (5) being systematic reviews, 20% (2) cohort studies, 20% (2) randomized controlled trials, and 10% (1) a meta-analysis. Of the articles analyzed, 70% (n=7/10) confirm that oral care using only oral solutions or mouthwashes, specifically chlorhexidine, is effective in preventing pneumonia in patients receiving mechanical ventilation. The remaining 30% (n=3/10) suggest that oral care is effective not only with chlorhexidine mouthwashes but also by adding other strategies and solutions to prevent pneumonia caused by mechanical ventilation. Conclusion: The reviewed studies are conclusive in stating that oral care for ICU patients on mechanical ventilation is effective in preventing pneumonia, particularly when using oral antiseptics such as 2% chlorhexidine. These measures should be included as part of the overall care for mechanically ventilated patients upon admission to prevent bacterial colonization that can lead to pneumonia.
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Effective preventive measures applied by nurses to prevent ventilator-associated pneumonia in intensive care units
(Universidad Privada Norbert Wiener, 2017) Cáceda Zavaleta, Yochi Marlon; Zambrano Vilca, Melchorita Milagros; Gómez Gonzales, Walter Edgar
Objective: To determine effective preventive measures taken by nurses to prevent ventilator-associated pneumonia in the ICU. Materials and Methods: A systematic review of four articles was conducted. Results: The most effective preventive measures include head elevation, secretion aspiration, oral hygiene, monitoring cuff pressure, and measuring gastric residual volume. Conclusion: Elevating the head of the bed and other preventive measures are essential in reducing ventilator-associated pneumonia in ICU patients.
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Effective strategies to strengthen growth and development in children
(Universidad Privada Norbert Wiener, 1905-07-09) Pereyra Campos, Cynthia Karin; Krederdt Araujo, Sherin Luz
Objective: Systematize the best evidence in already completed research; That is, to what extent the research found adds new knowledge to the central question. Material and methods: Information was collected from different articles according to the level of evidence and degree of recommendation. Thus, descriptive and correlational studies were selected. Results: The factors that intervene in the non-attendance of the CRED control of the boy and girl, the mothers and/or caregivers report that the nursing staff is insufficient and they have difficulties with the hours of care, with the waiting time, diversity of tasks of the home. Conclusions: It is detailed that in the range of 4 to 8%, fathers, mothers, caregivers have difficulties taking their children to the CRED due to work schedules, leaving their children in the care of minors, due to ignorance of the importance of the CRED, generating a significant gap between the children who attend the CRED and those who do not attend, which could be decisive, so that the children do not reach optimal development, causing them to be limited in their cognitive development and school performance, limiting their possibilities to access other levels of education, and with low economic productivity when they reach the adult stage of life. This is why it is essential to generate effective strategies to strengthen the growth and development of children; it is necessary to involve the person, family and community in this context, to preserve family health in the population.
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Effectiveness of ATP bioluminescence to evaluate surface cleanliness in healthcare establishments
(Universidad Privada Norbert Wiener, 2017-12-03) Malasquez Espinoza, Ana Gabriela; Rodriguez Oro, Kharen Fabiola; Matta Solis, Hernán Hugo
Objective: To analyze and systematize the effectiveness of ATP bioluminescence for evaluating surface cleanliness in healthcare facilities. Materials and Methods: A systematic, observational, and retrospective review of a quantitative nature, subjected to critical selection, using the GRADE evaluation system to identify the level of evidence, found in the following databases: PubMed, Sciencedirect, Scielo, Wiley Online Library, Elsevier, and Epistemonikos. Of the 10 articles systematically reviewed, 30% (n=3/10) are systematic reviews, and 70% (n=7/10) are cohort studies. These studies come from Italy (30%), followed by Brazil (10%), China (10%), Sweden (10%), Canada (10%), Chile (10%), the USA (10%), and the UK (10%). Results: Of the evidence found, 60% (n=6/10) (16, 17, 22, 23, 24, 25) indicate that ATP bioluminescence is effective for evaluating surface cleanliness in healthcare facilities. 40% (n=4/10) (18, 19, 20, 21) indicate that ATP bioluminescence is not effective for evaluating surface cleanliness in healthcare facilities. Conclusion: ATP bioluminescence is effective for evaluating surface cleanliness in healthcare facilities.
Acceso abierto
Effectiveness of ATP bioluminescence to evaluate surface cleanliness in healthcare establishments
(Universidad Privada Norbert Wiener, 2017-12-03) Malasquez Espinoza, Ana Gabriela; Rodriguez Oro, Kharen Fabiola; Matta Solis, Hernán Hugo
Objective: To analyze and systematize the effectiveness of ATP bioluminescence for evaluating surface cleanliness in healthcare facilities. Materials and Methods: A systematic, observational, and retrospective review of a quantitative nature, subjected to critical selection, using the GRADE evaluation system to identify the level of evidence, found in the following databases: PubMed, Sciencedirect, Scielo, Wiley Online Library, Elsevier, and Epistemonikos. Of the 10 articles systematically reviewed, 30% (n=3/10) are systematic reviews, and 70% (n=7/10) are cohort studies. These studies come from Italy (30%), followed by Brazil (10%), China (10%), Sweden (10%), Canada (10%), Chile (10%), the USA (10%), and the UK (10%). Results: Of the evidence found, 60% (n=6/10) (16, 17, 22, 23, 24, 25) indicate that ATP bioluminescence is effective for evaluating surface cleanliness in healthcare facilities. 40% (n=4/10) (18, 19, 20, 21) indicate that ATP bioluminescence is not effective for evaluating surface cleanliness in healthcare facilities. Conclusion: ATP bioluminescence is effective for evaluating surface cleanliness in healthcare facilities.
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Effectiveness of bee honey in the treatment of acute cough to decrease its severity, frequency and improve the quality of sleep in children from 1 to 5 years old
(Universidad Privada Norbert Wiener, 2019-11-17) Pichilingue Estupiñan, Jackeline Andrea; Chaname Trelles, Melina Haira; Cárdenas de Fernández, María Hilda
Objective: Systematize the evidence on the effectiveness of honey in the treatment of acute cough to reduce severity, frequency, and improve sleep quality in children aged 1 to 5 years. Material and Method: Observational and retrospective systematic review, the search was restricted to 10 full-text articles. The reviews of the articles were obtained from the following databases: Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs. They were analyzed using the Grade scale to determine the strength and quality of the evidence. Of the 10 articles, 70% (7/10) were randomized clinical trials (RCTs), 10% (1/10) were systematic reviews, 10% (1/10) were experimental studies, and 10% (1/10) were cross-sectional studies. The articles came from Canada 20% (2/10), Saudi Arabia 10% (1/10), Iran 10% (1/10), Nigeria 10% (1/10), Malaysia 10% (1/10), Italy 10% (1/10), Chile 10% (1/10), Egypt 10% (1/10), and Brazil 10% (1/10). Results: Of the 10 articles reviewed, 100% (10/10) showed that honey is effective in the treatment of acute cough to reduce severity, frequency, and improve sleep quality in children aged 1 to 5 years. Conclusions: The articles, 100%, show that honey is effective in the treatment of acute cough to reduce severity, frequency, and improve sleep quality in children aged 1 to 5 years, by boosting the immune system, with antimicrobial, antibacterial, and anti-inflammatory effects.
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Effectiveness of early ambulation in reducing postoperative complications
(Universidad Privada Norbert Wiener, 2017) Arismendiz Izquierdo, Milagros; Torres Padilla, Yovana Magaly; Pretell Aguilar, Rosa Maria
Objective: To determine based on systematic reviews the effectiveness of early mobilization in reducing complications in postoperative patients. Materials and Methods: A systematic review and meta-analysis examined the Medline, Embase, Cochrane Library, Cochrane Plus, Epistemonikos, and Lilacs databases. Ten articles were selected regarding the effectiveness of early mobilization in reducing complications of all types in postoperative patients. The types of articles were: systematic review 20%, quantitative observational 5%, cross-sectional 10%, randomized clinical trial 5%, longitudinal-descriptive 10%, and longitudinal-comparative 10%; with 10% from the USA, 10% from Chile, 10% from Cuba, 5% from Iran, 5% from Canada, and 5% from Japan. Results: The systematic observational and retrospective review, which synthesizes the results of multiple primary studies, is an essential part of evidence-based nursing due to its rigorous methodology. Of the 7 out of 10 articles reviewed, it is noted that early mobilization helps reduce postoperative complications. The meta-analysis results show a benefit in reducing headaches and lower back pain in patients who receive early mobilization after spinal anesthesia, with high-quality evidence and strong recommendations. Conclusions: Of the 10 articles, 80% (n=7/10) demonstrate the effectiveness of early mobilization in reducing complications in postoperative patients. The research reviewed shows that early mobilization reduces complications of all types in postoperative patients.
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Effectiveness of metformin associated with glibenclamide for the treatment of patients with type II diabetes
(Universidad Privada Norbert Wiener, 2018-11-04) Torres Montes, Ynes Yolanda; Valentin Sulca, Malena Connie; Rivera Lozada de Bonilla, Oriana
The reviewed investigations highlighted that there is equivalent efficacy and safety in terms of reducing glycosylated hemoglobin between metformin and glibenclamide. Non-inferiority in severe adverse events and cardiovascular events was demonstrated, respectively, in patients receiving glimepiride. The effectiveness varies, and the best cost-effectiveness ratio is found in the metformin regimen.
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Effectiveness of negative pressure therapy to decrease infection of the surgical site of hospital stay for patients in intensive care
(Universidad Privada Norbert Wiener, 2019-11-24) Lora Núñez, Gioanna Pamela; Valle Galvez, Lourdes Madeleine; Uturunco Vera, Milagros Lizbeth
Objective: To analyze the evidence regarding the efficacy of negative pressure therapy to reduce surgical site infection and hospital stay in intensive care patients. Materials and Methods: The research design is a systematic review, with a search conducted in databases: Scielo, Pubmed, Medline, Cochrane Plus, Epistemonikos. The population consisted of 22 articles, and the sample was made up of 10 articles. The articles were evaluated using the GRADE system, which assesses the quality of evidence and strength of recommendation. Results: The scientific evidence comes from countries such as England (20%), followed by the United States (10%), Australia (20%), Sweden (10%), Spain (10%), Italy (10%), Ireland (10%), and Costa Rica (10%). 80% of the articles demonstrate the efficacy of negative pressure therapy in reducing surgical site infection and hospital stay in intensive care patients, while 20% show no evidence of efficacy due to small sample studies. Conclusions: Negative pressure therapy is effective in reducing surgical site infection and hospital stay in intensive care patients.
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Effectiveness of noradrenaline versus dopamine in patients with septic shock that come to the emergency service
(Universidad Privada Norbert Wiener, 2018-11-25) Chavez Davila, Zoila Doris; Villarroel Vega, Lizeth Geraldine; Perez Siguas, Rosa Eva
Objective: To analyze and systematize the evidence on the efficacy of dopamine versus norepinephrine for patients with septic shock in the emergency department. Materials and methods: This study is a systematic review. The GRADE system was used to assess the quality of the evidence and grade the strength of the recommendations. The search was conducted in the following databases: LILACS, SciELO, Cochrane Plus, PubMed, MEDLINE, Epistemonikos, and EBSCO. Of the 10 articles systematically reviewed, 30% were systematic reviews and meta-analyses, 20% were clinical trials, and 20% were randomized primary studies. Regarding the country of origin, 30% were from the U.S. and China, and 10% were from France, India, England, and Spain. Results: 90% of the articles agree that norepinephrine is more effective than dopamine, as it has a lower incidence of cardiac-related events compared to dopamine, and 10% found no difference in mortality between the two drugs. Conclusions: It is concluded that norepinephrine is more effective than dopamine in patients with septic shock in the emergency department.
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Effectiveness of nursing consultation in improving population health
(Universidad Privada Norbert Wiener, 2017-12-03) Ávila Fernández, Carolina Rocío; Sánchez Salazar, Nilda De Lourdes; Gamarra Bustillos, Carlos
Objective: To determine the efficacy of nursing consultation in improving the health of the population. Methodology: An observational and retrospective systematic review, where the search was restricted to full-text articles, and the selected articles underwent critical reading, using the Jover evaluation to identify their level of evidence. Results: In the final selection, 08 articles were chosen. Of these, 40% (3) were from Spain, 30% (2) were from Brazil, and 10% (3) were from other countries, specifically Uruguay, Cuba, and Peru. The majority of the studies were quasi-experimental, accounting for 50%, primarily from Spain. Systematic reviews were conducted in Uruguay and Brazil, accounting for 30%, and 20% were descriptive cross-sectional studies from Spain. Among all the analyzed articles, 80% affirmed that the quality of nursing consultations is effective and efficient in improving health. Conclusions: The reviewed studies provide evidence of the effectiveness of nursing consultation in improving the health of the population, increasing their trust in nursing professionals.
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Effectiveness of nursing consultation in improving population health
(Universidad Privada Norbert Wiener, 2017-12-03) Ávila Fernández, Carolina Rocío; Sánchez Salazar, Nilda De Lourdes; Gamarra Bustillos, Carlos
Objective: To determine the efficacy of nursing consultation in improving the health of the population. Methodology: An observational and retrospective systematic review, where the search was restricted to full-text articles, and the selected articles underwent critical reading, using the Jover evaluation to identify their level of evidence. Results: In the final selection, 08 articles were chosen. Of these, 40% (3) were from Spain, 30% (2) were from Brazil, and 10% (3) were from other countries, specifically Uruguay, Cuba, and Peru. The majority of the studies were quasi-experimental, accounting for 50%, primarily from Spain. Systematic reviews were conducted in Uruguay and Brazil, accounting for 30%, and 20% were descriptive cross-sectional studies from Spain. Among all the analyzed articles, 80% affirmed that the quality of nursing consultations is effective and efficient in improving health. Conclusions: The reviewed studies provide evidence of the effectiveness of nursing consultation in improving the health of the population, increasing their trust in nursing professionals.
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Effectiveness of nursing interventions to prevent pneumonia in patients with mechanical ventilation.
(Universidad Privada Norbert Wiener, 2018-12-02) Tuesta Mayo, Rosa Gudelia; Barreto Huillca, Dolores; Rivera Lozada de Bonilla, Oriana
Objectives: Systematize studies showing the available evidence on the effectiveness of nursing actions to prevent pneumonia in patients with mechanical ventilation. Materials and Methods: The total population is determined by 15 scientific articles published in documents and disclosed in electronic journals, with an age not exceeding 10 years, and articles published in Spanish and English. The articles observed are of retrospective and descriptive observational design to provide the scientific articles using descriptors such as preventive measures, effectiveness, nursing actions to prevent pneumonia in patients with mechanical ventilation. Results: The articles found demonstrate that they were found in the following databases: Medline, Elsevier, PubMed, Cochrane, Lilacs, Scielo, and were analyzed according to the GRADE scale to determine their strength and quality of evidence. Of the 15 articles reviewed, 60% (9/15) of the articles agree that healthcare staff, nurses, demonstrate effective measures to prevent VAP through scientific knowledge, while 40% (6/15) show that a combination of strategies in nursing activities is essential to prevent VAP, improving care processes to reduce pneumonia. Conclusions: Of the 15 articles reviewed, 80% (12/15) provide evidence that nursing staff adequately comply with the necessary measures due to various experiences and scientific knowledge in preventing pneumonia in patients with mechanical ventilation.
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Effectiveness of quetiapine compared to olanzapine in the decrease of adverse reactions in patients with schizophrenia in the emergency service.
(Universidad Privada Norbert Wiener, 2018-11-25) Pacheco Pariona, Haydeé; Villanueva Sandoval, Diana Carolina; Rivera Lozada de Bonilla, Oriana
Objective: Systematize the evidence on the effectiveness of quetiapine compared to olanzapine in reducing adverse reactions in patients with schizophrenia in the emergency department. Materials and Methods: Quantitative study with a systematic review design, the search of 80 was restricted to full-text articles, and the 10 selected articles underwent critical reading, using the GRADE assessment to identify their level of evidence. Results: In the final selection, 10 articles were chosen, with 70% being clinical trials and 30% systematic reviews, 80% of them from Spain, and 20% from Berlin. Conclusions: It was evidenced in 60% of the studies that quetiapine is more effective than olanzapine due to the improvement of cognitive function, reaction quality/attention, shorter interruption time, fewer movement disorders, slight weight gain, fewer parkinsonian effects, and better tolerance; while olanzapine produces weight gain, insulin resistance, metabolic effects, extrapyramidal effects, increased cholesterol and triglycerides, and QT wave alterations.