Evaluación de la intervención farmacéutica y beneficio económico de la aplicación del sistema de dispensación de medicamentos por dosis unitaria en el Hospital Vicente Corral Moscoso de la ciudad de Cuenca, Ecuador

Abstract

Introduction: The misuse of drugs is a public health problem, which can cause harm to the patient and causes high costs, the unit dose distribution system contributes to the rational use of drugs, generating savings and positioning the pharmacist in the multidisciplinary team of Health. The objective of this work is to evaluate the pharmaceutical intervention and the savings generated with the unit dose system, at the Vicente Corral Moscoso Hospital during the first semester of 2021.

Methodology: An observational cross-sectional study was carried out, the sample was the hospitalization area, where a unit dose is applied, data were obtained from the reports of pharmaceutical interventions, drug readmissions and returns, information between January and June 2021. The analysis it was performed using descriptive statistics.

Results: The main interventions reported were shared doses (67.34%), therapeutic intervention (14.57%), and prescription intervention (6.07%). The hospital services with the highest number of interventions were neonatology-pediatrics (58.82%) and emergency (16.44%). The savings were USD 27,018.68, corresponding to 5.36% of the total consumption of the hospitalization area in the first semester of 2021. The main reasons for returning medicines were order errors (36.4%) and suspended medicines (16.16%). The most regularly returned therapeutic subgroups were antibacterial for systemic use (42.78%) and analgesics (10.79%). Conclusion: The pharmacist actively intervenes together with the rest of the health professionals, for decision-making in the pharmacological treatment, in addition, significant savings were generated.