Subject(s)
Oxygen/standards , Quality Assurance, Health Care , Drug Packaging , Humans , Influenza, Human/epidemiology , Influenza, Human/therapy , Medication Systems/organization & administration , Oxygen/supply & distribution , Oxygen Inhalation Therapy/standards , Oxygen Inhalation Therapy/statistics & numerical data , Spain/epidemiologyABSTRACT
El presente trabajo consiste en el estudio descriptivo del desarrollo de un procedimiento de suministro de medicamentos desde los servicios de farmacia hospitalaria a los botiquines de los centros de Atención Primaria y, cuando el servicio de farmacia del hospital de referencia tiene implantado un sistema integral de gestión de la calidad, su inclusión en el manual de calidad. Con este fin se han desarrollado los documentos normativos correspondientes, así como los indicadores de actividad (muestran el volumen de trabajo realizado) y de calidad (identifican los puntos de mejora), que permiten una monitorización y mejora continua del proceso. El suministro a los centros de Atención Primaria desde el hospital de referencia del Sector Sanitario permite una mejor racionalización del uso de medicamentos en los mismos y el sistema integral de gestión de la calidad va un paso más allá, permitiendo asegurar una óptima prestación del servicio (AU)
The objective of this paper is to describe the development of a procedure of drug distribution from hospital pharmacy service to primary care centres and, when the reference hospital pharmacy service has a quality management total system, their incorporation into the quality management total system. For this purpose, we have developed normative documents, activity indicators (they show the amount of work done) and quality indicators (they allow to identify items to improve) in order to monitor the correct performance of activities. Distribution from health area hospitals to ambulatory care allows a better rational use of drugs in primary care centres and the quality management total system allows to guarantee the best service (AU)
Subject(s)
Humans , National Drug Policy , Medication Therapy Management/organization & administration , Prescription Drugs/supply & distribution , Pharmacy Service, Hospital/organization & administration , Central Supply, Hospital/organization & administration , Drug Dispensaries , 34002 , Primary Health Care/organization & administrationABSTRACT
Objetivo: Analizar la experiencia derivada de la incorporación del farmacéutico en centros de salud y su interrelación con las oficinas de farmacia, para fomentar la calidad de la prescripción y dispensación de medicamentos. Métodos: Durante el año 2004, se incorporaron 4 farmacéuticos, 2 en centros de salud y 2 en las farmacias de su entorno, a fin de llevar a cabo un programa de seguimiento farmacoterapéutico (SFT) coordinado. La población de estudio fue: pacientes > 65 años, tratados como mínimo con 4 medicamentos por vía oral. La intervención farmacéutica en los centros de salud consistió en realizar seguimiento farmacoterapéutico. En las farmacias se registró el cumplimiento farmacológico y en qué grado, por parte del paciente. Resultados: En ambos centros de salud se identificaron 311 problemas relacionados con los medicamentos (PRM). Los de seguridad fueron los más numerosos, 39,9%, incrementándose las notificaciones al Centro Autonómico de Farmacovigilancia. El 77,2% de las intervenciones farmacéuticas sobre los PRM identificados fueron aceptadas por el médico prescriptor. De los pacientes incluidos en el estudio, n=280, se evaluó el cumplimiento en 82,8%. De éstos, el 50,4% presentó incumplimiento terapéutico. Se detectó una disminución progresiva del incumplimiento, a medida que se incrementa el número de intervenciones. La satisfacción de los pacientes refleja que un 83% considera muy ventajosa la intervención del farmacéutico sobre su medicación. Conclusión: La intervención directa del farmacéutico en el ámbito asistencial de atención primaria y oficina de farmacia y su intercomunicación mejora la efectividad y seguridad de los tratamientos farmacológicos de los pacientes (AU)
Objective: This study analyzed the experience derived from the incorporation of pharmacists in health centers and their interrelations with pharmacies in order to improve the quality of medicine prescription and delivery. Methods: In the course of the year 2004 of the four pharmacists involved in this study two were incorporated into primary care centers and the other two into community pharmacies. The population observed was made up of patients aged 65 and above whose treatment included at least 4 orally administered pharmaceuticals. The pharmaceutical intervention in the health centers consisted of pharmacological follow-ups. In the pharmacies, adherence to pharmacological treatment was recorded and the degree of patient compliance with pharmacological treatment was considered. Results: A total of 311 medication-related problems (MRP) were identified in the primary care centers. Safety problems were the most numerous and resulted in a 39,9% increase of side-effect notifications to the Regional Pharmacovigilance Center. 77,2% of pharmaceutical interventions on PRMs were accepted by the prescribing doctor. Evaluated adherence among observed patients (n=280) was of 82,8%. 50,4% of observed patients showed therapeutic non-compliance. A progressive decrease in said non-compliance was detected as the number of interventions increased. Patient satisfaction was reflected in that 83% of them considered the pharmacists intervention on their medication as highly beneficial. Conclusion: A pharmacists direct intervention in the primary care fields and community pharmacies and his intercommunication improve the effectiveness and safety of patients pharmacological treatment (AU)
Subject(s)
Humans , Middle Aged , Aged , Aged, 80 and over , Drug Utilization/standards , Primary Health Care/methods , Products Commerce , Pharmaceutical Services/methods , Medicine-Dispensing Establishments , Patient Compliance , Patient SatisfactionABSTRACT
BACKGROUND: Accidents in childhood are an important health problem, mainly in situations of social and environmental risk. Additionally, the lack of studies in primary health care, encouraged us to set up a study in order to establish the characteristics of accidents in childhood attended in a health center, their relation with the child's socio-familiar situation and medical care delivered. METHODS: We describe children's accidents occurred in our area (2,543 children 0-14 years old, 788 of them living in deprived neighbourhoods) during 1992 attended in the health center. Study data was collected from data included in emergencies and medical records of the health center. We included information on: age, sex, socio-familiar situation, accident, lesion, and health care delivered characteristics. RESULTS: We include 623 accidents: annual cumulated incidence = 245/1,000 children; males were more affected (58.4%); the accidents occurred mainly in the household (35.6%); the most frequent causes were blows (39.9%) and falls (30.5%); the most frequent lesions were injuries (29.7%) and blows (25.7%). Location of the lesions were the superior limbs (33.5%) and head and neck (25.98%). About 12.5% were delivered to the hospital, 17.8% of them required inpatient care, one died. Children of deprived boroughs have a relative risk of being attended for accident in our center of 4.2 (CI 95% = 3.64-4.84) compared with the rest of the area. 79 children have had repeated accidents, they occurred mainly in only 27 families, 92.6% of whom live in deprived areas. CONCLUSIONS: Our health center is attending a high frequency of children's accidents, most of them can be treated in the health center, the cases are concentrated in deprived boroughs and in risk families.
