Dispensación de medicación protocolizada en un servicio de urgencias de un hospital de tercer nivel / Dispensing Standardised Medication in a Tertiary Hospital Emergency Department

Introducción Existe una situación de descubierto en la continuidad asistencial de los pacientes que acuden a los servicios de urgencias, al no poder disponer del tratamiento prescrito hasta que no pasan por su médico de atención primaria, donde obtienen las recetas oficiales. Se diseña un programa que pretende proporcionar a dichos pacientes un protocolo terapéutico, que garantice su tratamiento, mejorando la coordinación interniveles entre el servicio de urgencias del hospital y atención primaria. Métodos Creación de un grupo multidisciplinario de trabajo. Selección de los diagnósticos más frecuentes en el servicio de urgencias susceptibles de protocolizar. Elaboración de protocolos terapéuticos adecuándose a los diagnósticos seleccionados. Creación de una base de datos, recogida, tratamiento y descripción de los mismos. Diseño de encuestas de satisfacción, para pacientes, a los que se les dispensó un protocolo terapéutico, y para facultativos involucrados en el programa. Resultados Se asignó protocolo terapéutico a los 9 diagnósticos más frecuentes en el servicio de urgencias, con tratamiento para 3 días. Los diagnósticos seleccionados cubrieron el 19,5% de la población atendida en el urgencias. Se dispensó un protocolo terapéutico al 17,3% de los pacientes con diagnóstico seleccionado. La satisfacción de los pacientes para con el programa fue excelente. Los médicos aprobaban el programa, pero la prescripción de protocolos terapéuticos no refleja concordancia con el grado de aprobación. Conclusiones Los resultados muestran que el programa tiene una aceptación excelente tanto en los pacientes como en los facultativos involucrados, aunque la cobertura que se da a las necesidades detectadas fue menor que la requerida(AU)

Introduction It is well-known that there is a lack of continuity in care received from the emergency department, as patients have to visit their physician in order to receive official prescriptions. A programme has been designed that aims to provide these patients with a therapeutic protocol to ensure that they are treated, thus improving coordination between the Hospital Emergency Department and Primary Care. Methods Creating a multidisciplinary team. Choosing the diagnoses that are most common in the emergency department and which are likely to be standardised. Developing treatment protocols, adapting them to the diagnoses selected. Creating a database, collecting, processing and analysing data. Designing satisfaction surveys, for patients given a therapeutic protocol, and for practitioners involved in the programme. Results Treatment protocols were assigned to the nine most common diagnoses in the emergency department, with three-day treatment. The selected diagnoses covered 19.5% of the population attending the Emergency Department. A treatment protocol was dispensed to 17.3% of patients with the selected diagnoses. Patient satisfaction was excellent. Physicians approved of the programme, but the treatment protocol prescription did not agree with the degree of approval. Conclusions The results show that the programme was excellently accepted by both patients and physicians, although the coverage given to the needs identified was lower than required (AU)

[Dispensing standardised medication in a tertiary hospital emergency department]. / Dispensación de medicación protocolizada en un servicio de urgencias de un hospital de tercer nivel.

INTRODUCTION: It is well-known that there is a lack of continuity in care received from the emergency department, as patients have to visit their physician in order to receive official prescriptions. A programme has been designed that aims to provide these patients with a therapeutic protocol to ensure that they are treated, thus improving coordination between the Hospital Emergency Department and Primary Care. METHODS: Creating a multidisciplinary team. Choosing the diagnoses that are most common in the emergency department and which are likely to be standardised. Developing treatment protocols, adapting them to the diagnoses selected. Creating a database, collecting, processing and analysing data. Designing satisfaction surveys, for patients given a therapeutic protocol, and for practitioners involved in the programme. RESULTS: Treatment protocols were assigned to the nine most common diagnoses in the emergency department, with three-day treatment. The selected diagnoses covered 19.5% of the population attending the Emergency Department. A treatment protocol was dispensed to 17.3% of patients with the selected diagnoses. Patient satisfaction was excellent. Physicians approved of the programme, but the treatment protocol prescription did not agree with the degree of approval. CONCLUSIONS: The results show that the programme was excellently accepted by both patients and physicians, although the coverage given to the needs identified was lower than required.