VALIDATION OF A METHODOLOGY FOR INPATIENT PHARMACOTHERAPY FOLLOW-UP

Background: Pharmacotherapy follow-up is a practice in which the pharmacist assumes responsibility for the patient’s drug-related Problems. Its goal is to achieve positive clinical outcomes. Methods to perform pharmacotherapy follow-up have centered principally on ambulatory patients. Objective: The...

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Autores principales:	Jesus BECERA C. M.Sc., Fernando MARTÍNEZ M. Ph.D., Martha BOHORQUEZ C. M.Sc., Martha L. GUEVARA U. Q.F., Edgar RAMÍREZ N. Q.F.
Formato:	article
Lenguaje:	EN
Publicado:	Universidad de Antioquia 2013
Materias:	Pharmaceutical care pharmacists inpatient validation. Food processing and manufacture TP368-456 Pharmaceutical industry HD9665-9675
Acceso en línea:	https://doaj.org/article/aacc14086fc944febd45f0d21ed870db
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spelling	oai:doaj.org-article:aacc14086fc944febd45f0d21ed870db2021-11-19T04:12:46ZVALIDATION OF A METHODOLOGY FOR INPATIENT PHARMACOTHERAPY FOLLOW-UP0121-40042145-2660https://doaj.org/article/aacc14086fc944febd45f0d21ed870db2013-02-01T00:00:00Zhttps://revistas.udea.edu.co/index.php/vitae/article/view/11070https://doaj.org/toc/0121-4004https://doaj.org/toc/2145-2660Background: Pharmacotherapy follow-up is a practice in which the pharmacist assumes responsibility for the patient’s drug-related Problems. Its goal is to achieve positive clinical outcomes. Methods to perform pharmacotherapy follow-up have centered principally on ambulatory patients. Objective: The purpose of this study is to propose and validate a methodology for inpatient pharmacotherapy follow-up. Methods: A systematic review was performed. This consisted in a comprehensive search of databases containing studies published in English or Spanish during 1998 - 2008, and that sought to improve the transfer of accurate information about Pharmacotherapy follow-up in inpatients. The key terms used to conduct the search were identified in consultation with clinical experts and included: Pharmacotherapy follow-up methods, pharmacotherapy follow-up, drug therapy problems, and validation. A comparative table was elaborated to differentiate and evaluate the advantages of each of the proposed methodologies. The information gathered allowed to propose a sequence of general steps for inpatient Pharmacotherapy follow-up. To validate the methodology, a descriptive study was carried out with 32 randomly selected patients and was independently followed up by two pharmacists to assess the reproducibility of the process. Results: Pharmaceutical Care Practice: The Clinician’s Guide, proposed by Cipolle & Strand. Applied Therapeutics: The Clinical Use of Drugs, the DÁDER method, and the IASER program, were selected. 79 drug therapy problems (DTPs) were identified and resolved, where errors in necessity of medication had the highest incidence (46.6%), followed by effectiveness (24.5%) and safety (28.9%). The degree of agreement among researchers in the identification and resolution of DTPs was quantified using the kappa coefficient, showing a high concordance (90% CI). The Fisher’s exact test determined that DTPs are related to the duration of the follow up, number of medications, length of the stay and previous hospitalizations. Conclusions: The methodology allows identifying, preventing and resolving DTPs. It proved to be reproducible and have a high degree of concordance between applications. Jesus BECERA C. M.Sc.Fernando MARTÍNEZ M. Ph.D.Martha BOHORQUEZ C. M.Sc.Martha L. GUEVARA U. Q.F.Edgar RAMÍREZ N. Q.F.Universidad de AntioquiaarticlePharmaceutical carepharmacistsinpatientvalidation.Food processing and manufactureTP368-456Pharmaceutical industryHD9665-9675ENVitae, Vol 19, Iss 3 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pharmaceutical care pharmacists inpatient validation. Food processing and manufacture TP368-456 Pharmaceutical industry HD9665-9675
spellingShingle	Pharmaceutical care pharmacists inpatient validation. Food processing and manufacture TP368-456 Pharmaceutical industry HD9665-9675 Jesus BECERA C. M.Sc. Fernando MARTÍNEZ M. Ph.D. Martha BOHORQUEZ C. M.Sc. Martha L. GUEVARA U. Q.F. Edgar RAMÍREZ N. Q.F. VALIDATION OF A METHODOLOGY FOR INPATIENT PHARMACOTHERAPY FOLLOW-UP
description	Background: Pharmacotherapy follow-up is a practice in which the pharmacist assumes responsibility for the patient’s drug-related Problems. Its goal is to achieve positive clinical outcomes. Methods to perform pharmacotherapy follow-up have centered principally on ambulatory patients. Objective: The purpose of this study is to propose and validate a methodology for inpatient pharmacotherapy follow-up. Methods: A systematic review was performed. This consisted in a comprehensive search of databases containing studies published in English or Spanish during 1998 - 2008, and that sought to improve the transfer of accurate information about Pharmacotherapy follow-up in inpatients. The key terms used to conduct the search were identified in consultation with clinical experts and included: Pharmacotherapy follow-up methods, pharmacotherapy follow-up, drug therapy problems, and validation. A comparative table was elaborated to differentiate and evaluate the advantages of each of the proposed methodologies. The information gathered allowed to propose a sequence of general steps for inpatient Pharmacotherapy follow-up. To validate the methodology, a descriptive study was carried out with 32 randomly selected patients and was independently followed up by two pharmacists to assess the reproducibility of the process. Results: Pharmaceutical Care Practice: The Clinician’s Guide, proposed by Cipolle & Strand. Applied Therapeutics: The Clinical Use of Drugs, the DÁDER method, and the IASER program, were selected. 79 drug therapy problems (DTPs) were identified and resolved, where errors in necessity of medication had the highest incidence (46.6%), followed by effectiveness (24.5%) and safety (28.9%). The degree of agreement among researchers in the identification and resolution of DTPs was quantified using the kappa coefficient, showing a high concordance (90% CI). The Fisher’s exact test determined that DTPs are related to the duration of the follow up, number of medications, length of the stay and previous hospitalizations. Conclusions: The methodology allows identifying, preventing and resolving DTPs. It proved to be reproducible and have a high degree of concordance between applications.
format	article
author	Jesus BECERA C. M.Sc. Fernando MARTÍNEZ M. Ph.D. Martha BOHORQUEZ C. M.Sc. Martha L. GUEVARA U. Q.F. Edgar RAMÍREZ N. Q.F.
author_facet	Jesus BECERA C. M.Sc. Fernando MARTÍNEZ M. Ph.D. Martha BOHORQUEZ C. M.Sc. Martha L. GUEVARA U. Q.F. Edgar RAMÍREZ N. Q.F.
author_sort	Jesus BECERA C. M.Sc.
title	VALIDATION OF A METHODOLOGY FOR INPATIENT PHARMACOTHERAPY FOLLOW-UP
title_short	VALIDATION OF A METHODOLOGY FOR INPATIENT PHARMACOTHERAPY FOLLOW-UP
title_full	VALIDATION OF A METHODOLOGY FOR INPATIENT PHARMACOTHERAPY FOLLOW-UP
title_fullStr	VALIDATION OF A METHODOLOGY FOR INPATIENT PHARMACOTHERAPY FOLLOW-UP
title_full_unstemmed	VALIDATION OF A METHODOLOGY FOR INPATIENT PHARMACOTHERAPY FOLLOW-UP
title_sort	validation of a methodology for inpatient pharmacotherapy follow-up
publisher	Universidad de Antioquia
publishDate	2013
url	https://doaj.org/article/aacc14086fc944febd45f0d21ed870db
work_keys_str_mv	AT jesusbeceracmsc validationofamethodologyforinpatientpharmacotherapyfollowup AT fernandomartinezmphd validationofamethodologyforinpatientpharmacotherapyfollowup AT marthabohorquezcmsc validationofamethodologyforinpatientpharmacotherapyfollowup AT marthalguevarauqf validationofamethodologyforinpatientpharmacotherapyfollowup AT edgarramireznqf validationofamethodologyforinpatientpharmacotherapyfollowup
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VALIDATION OF A METHODOLOGY FOR INPATIENT PHARMACOTHERAPY FOLLOW-UP

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