Diseño y pilotaje de un proceso estructurado para el servicio de dispensación de medicamentos

R, Abaurre; García-Delgado, Pilar; Maurandi, M. Dolores; Arrebola, Cristóbal; Gastelurrutia, Miguel Ángel; Martínez-Mart́inez, Fernando

doi:10.1016/j.aprim.2014.01.005

Cited by 9 publications

(29 citation statements)

References 18 publications

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“…After reading the abstracts, 336 articles were preselected for the evaluation of full text. At the end of the article selection process, 26 articles met the specific inclusion criteria. Figure illustrates the progressive selection of the studies used for this review.…”

Section: Resultsmentioning

confidence: 99%

“…In the studies, 16 articles used a non‐electronic system for documentation, nine articles used electronic systems, and one article did not report the type of instrument. Only eight studies included the instrument in the article.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty studies showed the effects of documentation in the working process of dispensing practice and, of these, 23 studies included statistical evidence (Table ). According to the methodological analysis of the studies, no article fully met the STROBE and CONSORT criteria.…”

Section: Resultsmentioning

confidence: 99%

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Can we document the practice of dispensing? A systematic review

et al. 2016

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SUMMARYWhat is known: Documentation is a process indicator utilized to evaluate quality clinical pharmacist services. In this framework, documentation of dispensing, besides supporting patient care, allows evaluation of the impact of counselling. Objective: To identify and assess studies of documentation by pharmacists in the dispensing process. Method: A systematic review was carried out according to the following steps: (i) identification of studies in the following databases: PubMed/Medline, Web of Science, Scopus and Lilacs, using the descriptors 'counselling', 'dispensing', 'community pharmacy services', 'pharmacies' and 'pharmacists' in different combinations; (ii) evaluation of studies, in which the title, abstract and full text of the studies, and the evaluation of the methodological quality of the selected studies were analysed. Results: In total, 26 articles met the specific criteria. Few studies addressed documentation as part of the dispensing working process (3), and 16 articles reported documentation using nonelectronic systems. The main variables documented were patient information, drug therapy problems and clinical interventions. Furthermore, 20 studies showed the effects of documentation in the dispensing process and 23 studies included statistical evidence. Eight articles met between 42% and 75% of the 28 items recommended by the STROBE initiative, and two articles met approximately 60% of the 36 items recommended by the CONSORT initiative.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Can we document the practice of dispensing? A systematic review

et al. 2016

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“…Records must be kept describing all the dispensed medicines and interventions made by the pharmacist. 14 However, in some countries, the absence of the medical history of patients in community pharmacies has been identified as a barrier to performing qualified dispensing. 13 In this sense, dispensing cannot be viewed as a business-orientated model but as a clinical activity centred on the patient's health.…”

Section: What Is K Nown and Objec Tivementioning

confidence: 99%

Development and content validation of an instrument to document the dispensing of prescribed medicines

et al. 2019

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Summary What is known and objective Qualified dispensing is fundamental for the promotion of the rational use of medicines. Documentation is an indicator of quality and one of the essential steps in the care process. However, in Brazil, there are no models of clinical documentation applicable to dispensing practices. Thus, the objective of this study was to develop and validate an instrument to document the dispensing process of prescribed medicines. Methods A methodological development study was carried out from February 2017 to October 2017 in two stages, which were (i) the development of the instrument and (ii) content validation of the proposed instrument. The development phase comprised three stages, which were (i) the elaboration of the prototype based on a previously performed systematic review, (ii) academic brainstorming and (iii) a pre‐Delphi consensus. The content validation process was performed using the Delphi technique. The instrument was sent to 40 experts with experience in dispensing, and the consensus among them was calculated using the content validity index (CVI). The study was approved by the Ethics Committee, and all participants signed an informed consent document detailing the terms of the study. Results In the development stage, three versions of the instrument were generated, which were the prototype, version 1 (changed after academic brainstorming) and version 2 (changed after the pre‐Delphi). In the content validation process of version 2 of the instrument, 23 experts returned their evaluation in the first round of the Delphi process and 17 in the second. All the items obtained a CVI >0.83, which resulted in the validation of the instrument. The final instrument comprised the following sections: general information, the identification of technical and legal problems of prescriptions, the conduct for the resolution of the technical and legal problems of prescriptions, medication dispensed, suspected drug‐related problems, verbal guidance, written guidance, referral and the referral result. What is new and conclusion The developed and validated instrument presents the main variables that should be documented during the dispensing process.

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“…En la propia consulta, el marido nos solicita que le dispensemos el medicamento Trialmin® 600 mg que su esposa tiene prescrito, ante esta situación intentamos obtener más información, siguiendo el procedimiento normalizado de trabajo (PNT) de dispensación [1] Ofrecemos derivar al servicio de seguimiento farmacoterapéutico para hacer un estudio exhaustivo de los medicamentos y ver si encontramos la causa de la diarrea, pero para ello debe acudir la paciente. Media hora más tarde, el marido vuelve enfadado porque su esposa lo ha hecho volver a la farmacia ya que el medicamento que ella "necesita" no es Tirodril® sino Trialmin®, que según ella es el del tiroides.…”

Section: Presentaciónunclassified

Consulta farmacéutica: intoxicación por gemfibrozilo

Elvira¹

2017

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RESUMENPaciente de 46 años diagnosticada de depresión, hipertiroidismo e hipertrigliceridemia. En el último mes y medio ha tenido que acudir al servicio de urgencias del hospital en varias ocasiones por presentar cuadros diarreicos importantes acompañados de náuseas y malestar general. Los médicos le diagnosticaron gastroenteritis, administraron suero intravenoso con antieméticos y pautaron paracetamol 1g cada 8 horas.En la propia consulta, el marido solicita le dispensemos Trialmin® 600 mg, que su esposa "tiene prescrito para el tiroides" y del que toma 6 comprimidos diarios.Detectamos un resultado negativo de la medicación por error en la pauta e indicación del medicamento para la hipertrigliceridemia. Intervenimos explicándole que Tirodril® es el medicamento que le han prescrito para el hipertiroidismo y no Trialmin®, que está indicado en hipertrigliceridemias. Se deriva al servicio de urgencias con un informe por escrito de la situación dirigido al médico. Pharmaceutical consultation: gemfibrozil poisoning ABSTRACTForty-six-year-old patient diagnosed with depression, hyperthyroidism and hypertriglyceridemia. Over the last month and a half, she has had to go to the emergency service several times due to major diarrhea symptoms, nausea and malaise. The doctors diagnosed gastroenteritis, administered intravenous fluid with antiemetics and prescribed paracetamol 1 g every 8 hours.During the consultation, her husband asked to be given Trialmin® 600 mg, which had been "prescribed for [his wife's] thyroid" at a dose 6 pills per day.We detected a negative drug result stemming from a prescription error and the drug's indicated use for hypertriglyceridemia. We acted by explaining that Tirodril® is the drug that had been prescribed for hyperthyroidism, rather than Trialmin®, which is indicated for hypertriglyceridemia. The patient is directed to the emergency service with a written report for the doctor.

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Diseño y pilotaje de un proceso estructurado para el servicio de dispensación de medicamentos

Abstract: The designed protocol helped to detect deficiencies in the information to the patients about their medications, as well as the PRM and RNM, and is shown to be tool that is easy to use and apply.

Cited by 9 publications

References 18 publications

Can we document the practice of dispensing? A systematic review

Can we document the practice of dispensing? A systematic review

Development and content validation of an instrument to document the dispensing of prescribed medicines

Consulta farmacéutica: intoxicación por gemfibrozilo

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