title: [Drug therapy follow-up in patients admitted to a Surgery Department].
abstract: BACKGROUND
  Patients admitted to surgery departments receive multiple drugs before, during and after surgical procedures. Anti-infectious therapy, anesthetics, anti-embolic agents, and analgesics stand out amongst others. Our objective was to implement pharmacotherapeutic follow-up as a means to detect, prevent, and solve medication-related problems (MRPs) in inpatients, and to establish consensus strategies to solve avoidable MRPs.
  
  
  METHODS
  An observational prospective study of 22 patients hospitalized in a Surgery Department, Hospital Infanta Margarita, Cabra (Córdoba) was conducted. Dader methodology was adapted for drug therapy follow-up in the hospital setting.
  
  
  RESULTS
  In all, 108 MRPs were detected; 22.04% were associated with medication needs (MRP1:13.6% and MRP2: 8.5%), 40.68% with ineffectiveness (MRP3: 22.0% and MRP4: 18.6%), and 37.28% with lack of safety (MRP5: 10.2% and MRP6: 27.1%). Out of 108 MRPs found, 64 (59.3%) were avoidable; 97 pharmaceutical interventions were carried out (89.8% of cases), acting in 63 (58%) MRPs detected in cooperation with physicians, while 46 MRPs were solved (42%). We found 1 MRP in each 2.6 patients -- admission days, and 1 MRP per 4.5 patients -- admission days occurred after pharmaceutical intervention during the study period.
  
  
  CONCLUSIONS
  The use of pharmacotherapeutic follow-up in patients admitted to this department has improved the quality of health care.
authors.affiliation: Universidad Nacional de Colombia.
authors.forename: M M
authors.initials: MM
authors.lastname: Silva Castro
authors.forename: M A
authors.initials: MA
authors.lastname: Calleja Hernández
authors.forename: L
authors.initials: L
authors.lastname: Tuneu i Valls
authors.forename: B
authors.initials: B
authors.lastname: Fuentes Caparrós
authors.forename: J
authors.initials: J
authors.lastname: Gutiérrez Sáinz
authors.forename: M J
authors.initials: MJ
authors.lastname: Faus Dader
mesh_terms: D004358:Drug Therapy; D005260:Female; D006801:Humans; D008297:Male; D008508:Medication Errors / Q000517:prevention & control*; D008875:Middle Aged; D004364:Pharmaceutical Preparations / Q000008:administration & dosage*; D010607:Pharmacy Service, Hospital / Q000458:organization & administration* / Q000706:statistics & numerical data; D011446:Prospective Studies; D013503:Surgery Department, Hospital; D011795:Surveys and Questionnaires
chemical_list: D004364:Pharmaceutical Preparations