Objective: To reduce the number and duration of discrepancies between the patient's chronic medication and that prescribed on admission. Method: Quasi-experimental prospective study conducted in two stages over a nine-month period in a 800-bed hospital. We identified the number and type of discrepancies between the usual and hospital's medication, communicating any possible differences to the responsible medical staff. Result: We performed pharmaceutical interventions in 73 patients with an acceptance degree of 62.61%, producing a 42.54% reduction in unjustified discrepancies. The number and type of unjustified discrepancies were primarily due to medication omission (81.68%), and pathway, dose or pattern differences (12.98%). Conclusions: The healthcare professional focuses his prescription on a severe pathology, leaving as secondary the chronic medication. This fact could prolong hospitalization due to a worsening of the underlying pathology.
|Publication status||Published - 1 May 2012|
- Chronic medication
- Surgical patient