[Pharmacological interactions: a professional challenge]. / Interacciones farmacológicas: un reto profesional.

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Interacciones farmacológicas: un reto profesional / No disponible

No disponible

Alucinaciones visuales y auditivas secundarias a la interacción farmacológica entre tizanidina y ciprofloxacino / Visual and auditory hallucinations secondary to drug interaction between tizanidine and ciprofloxacin

No disponible

[Optimisation of the prescription of medication for patients undergoing elective surgery]. / Optimización del circuito de prescripción de medicamentos en pacientes con cirugía electiva.

OBJECTIVE: To draw up a document in which patients can note down their residential treatment and determine its usefulness. The level of compliance and assessment of the document can be quantified by the healthcare personnel. METHOD: Initially the medical prescription process was analysed in the preoperative stage. Its usefulness was later evaluated, analysing the percentage of patients who could benefit from it, through a questionnaire for the healthcare personnel. RESULTS: A residential medication document was drawn up and included in the documentation process at the preoperative stage. From a sample of 350 patients, 76.0 % took medication at home and 81.2 % of those used the document. The health personnel rated its usefulness as 4.51 and the safety of it at 4.38 in a scale of 1 to 5. The time saved was valued at 4.37; 4 being a saving of between 0 and 5 minutes, and 5 being a saving of between 5 and 10 minutes. DISCUSSION: The home medication document could overcome the problem of knowing exactly the home medication itself, and this could be the first step in therapeutic conciliation. According to the assessment by the healthcare personnel, it improves the usefulness and the efficiency of the process. According to our data, the time saved by the medical staff and nursing personnel fluctuates between 93-310 and 122-339 hours per year, respectively. Computerised, up-to-date clinical records accessed by both primary and specialised care, could further optimise the prescription process of medication in the perioperative stages.

Optimización del circuito de prescripción de medicamentos en pacientes con cirugía electiva / Optimisation of the prescription of medication for patients undergoing elective surgery

Objetivo: Elaborar un documento en el que los pacientes puedan anotar el tratamiento domiciliario y determinar su utilidad, así como cuantificar el nivel de cumplimiento y la valoración que del documento haga el personal sanitario. Método: Inicialmente, se analizó el circuito de prescripción médica en el preoperatorio. Posteriormente, se valoró su utilidad, y se analizó el porcentaje de pacientes que podían beneficiarse mediante una encuesta al personal sanitario. Resultados: Se editó un documento de medicación domiciliaria que se incluyó en el circuito de documentación del preoperatorio. De una muestra de 350 pacientes, el 76,0 % tomaba medicación domiciliaria, y el 81,2 % trajo el documento. El personal sanitario valoró su utilidad con un 4,51, y la seguridad en un 4,38, en una escala del 1 al 5. La diferencia de tiempo se valoró con un 4,37, en la que 4 supone un ahorro de entre 0 y 5 min, y 5, entre 5 y 10 min. Discusión: El documento de medicación domiciliaria permitiría superar el problema del conocimiento exacto de la medicación domiciliaria, y podría ser el primer paso para la conciliación terapéutica. Según la valoración del personal sanitario, mejora la utilidad y la eficiencia del circuito. Según nuestros datos, el ahorro del tiempo del personal médico y de enfermería oscilaría entre las 93 y las 310 h/año y las 122 y las 339 h/año, respectivamente. La historia clínica informatizada y actualizada, y con acceso desde la atención primaria y la especializada, podría mejorar aún más el circuito de prescripción de medicamentos en el perioperatorio (AU)

Objective: To draw up a document in which patients can note down their residential treatment and determine its usefulness. The level of compliance and assessment of the document can be quantified by the healthcare personnel. Method: Initially the medical prescription process was analysed in the preoperative stage. Its usefulness was later evaluated, analysing the percentage of patients who could benefit from it, through a questionnaire for the healthcare personnel. Results: A residential medication document was drawn up and included in the documentation process at the preoperative stage. From a sample of 350 patients, 76.0 % took medication at home and 81.2 % of those used the document. The health personnel rated its usefulness as 4.51 and the safety of it at 4.38 in a scale of 1 to 5. The time saved was valued at 4.37; 4 being a saving of between 0 and 5 minutes, and 5 being a saving of between 5 and 10 minutes. Discussion: The home medication document could overcome the problem of knowing exactly the home medication itself, and this could be the first step in therapeutic conciliation. According to the assessment by the healthcare personnel, it improves the usefulness and the efficiency of the process. According to our data, the time saved by the medical staff and nursing personnel fluctuates between 93-310 and 122-339 hours per year, respectively. Computerised, up-to-date clinical records accessed by both primary and specialised care, could further optimise the prescription process of medication in the perioperative stages (AU)

[Drug information management through the intranet of a hospital center]. / Original Breve Gestión de la información de medicamentos mediante la intranet de un centro hospitalario.

OBJECTIVE: This paper describes the methodology used for the implementation and validation of a network resource incorporated to the intranet of the Hospital, in order to retain and disseminate information from the Drug Information Center (DIC) of a pharmacy service in a hospital center. METHOD: A working group designed the structure, contents, memory needs, priority of access for users and a quality assessment questionnaire. RESULTS: The resource developed by the working group had a capacity of 70 Gb and its structure was based on HTML documents, including files with different format and 12 theme areas. Two levels of priority of access were established depending on the user and two persons were in charge of the resource. The questionnaire was delivered after three months of use. Sixty nine per cent of the users regarded the resource as very useful and 31%, as useful. The final structure, according to the results of the survey, had 11 theme areas. CONCLUSIONS: The use of the hospital Intranet in order to include and organize DIC information can be very simple and economic. Furthermore, the involvement of all the users in its design and structure can facilitate the practical use of this tool and improve its quality.

Gestión de la información de medicamentos mediante la intranet de un centro hospitalario / Drug information management through the intranet of a hospital center

Objetivo: En el presente trabajo se describe la metodología deimplantación y validación de un recurso de red incluido en la intranetdel Hospital, para almacenar y difundir la información delCentro de Información de Medicamentos (CIM) de un servicio defarmacia en un centro hospitalario.Método: Un grupo de trabajo diseñó la estructura, contenido,necesidades de memoria, prioridades de acceso de los usuarios yuna encuesta para evaluar la calidad.Resultados: El recurso obtenido de 70 Gb de capacidad seestructuró mediante documentos HTML incluyendo archivosde diferente formato con 12 áreas temáticas. Se establecieron2 niveles de prioridad de acceso según el usuario y dos responsablesdel recurso. La encuesta realizada tras tres meses de utilizaciónmostró que el 69% de los usuarios, consideró el recurso muyútil, y el 31% lo calificó de útil. La estructura final, según los resultadosde la encuesta fue de 11 áreas temáticas.Conclusiones: La utilización de la intranet del hospital paraincluir y estructurar la información del CIM puede realizarse deuna forma sencilla y económica. Además, la participación detodos los usuarios en su diseño y estructura, puede facilitar la utilidadpráctica de esta herramienta y aumentar su calidad

Objective: This paper describes the methodology used for theimplementation and validation of a network resource incorporatedto the intranet of the Hospital, in order to retain and disseminateinformation from the Drug Information Center (DIC) of a pharmacyservice in a hospital center.Method: A working group designed the structure, contents,memory needs, priority of access for users and a quality assessmentquestionnaire.Results: The resource developed by the working group had acapacity of 70 Gb and its structure was based on HTML documents,including files with different format and 12 theme areas.Two levels of priority of access were established depending on theuser and two persons were in charge of the resource. The questionnairewas delivered after three months of use. Sixty nine percent of the users regarded the resource as very useful and 31%, asuseful. The final structure, according to the results of the survey,had 11 theme areas.Conclusions: The use of the hospital Intranet in order toinclude and organize DIC information can be very simple and economic.Furthermore, the involvement of all the users in its designand structure can facilitate the practical use of this tool andimprove its quality

Incidencia y coste de las infecciones nosocomiales en una unidad de lesionados medulares / Incidence and cost of nosocomial infection at a Medullar Lesion Unit

El objetivo es conocer la incidencia y el coste de las infecciones nosocomiales diagnosticadas en pacientes con lesión medular ingresados en la Unidad de Lesionados Medulares del hospital Vall d'Hebron. Durante 1995-1996 se han diagnosticado 229 infecciones nosocomiales en 312 pacientes. El coste sanitario del diagnóstico y tratamiento ha sido de 7.305.559 pesetas. En las infecciones del tracto urinario moderadas se ha realizado un análisis coste-efectividad, agrupando los tratamientos según el tipo de antibiótico y según la vía de administración, obteniéndose una mejor relación coste-efectividad en los tratamientos en que se ha utilizado "antibiótico de uso libre" y en los que se ha administrado "por vía oral", ya que el coste sanitario ha sido menor y la efectividad, valorada por el índice de curación, similar (AU)