title: Multidisciplinary teams involved: detection of drug-related problems through continuity of care.
abstract: OBJECTIVE
  To quantify Drug-Related problems (DRPs) by establishing a Strategic Continuity of Care Program (e-Conecta- Concilia Program; e-CC) focused on the drug therapy of patients within an Integrated Management Structure, in order to guarantee the therapeutical efficiency, safety and traceability of patients.
  
  
  METHODS
  A prospective study at 8 months. The project included 22 Hospital Pharmacists and 12 Primary Care Pharmacists. Electronic clinical records were used, which can be accessed by all healthcare levels. Those interventions required in order to create a Standard Operating Procedure (SOP) were carried out (creation of working groups, computing, meeting points), for coordination among pharmacists in different care levels through a common communication system. The working groups formed by pharmacists of both care levels established the following inclusion criteria: patients with chronic diseases and polymedicated, patients for whom drug-related problems (DRP) had been detected, detection of any off-label use in Primary Care, or discrepancies in the standardization of medical prescriptions.
  
  
  RESULTS
  In the setting of the e-CC program, interventions were unified and discrepancies were identified. During this project, 245 drug-related problems were detected; the majority regarding inadequate dosing, regimen, or duration (24%), and involving Group B medications (33%), according to the ATC classification.
  
  
  CONCLUSIONS
  The implementation of a Continuity of Care SOP between pharmacists allowed to detect and solve DRPs and discrepancies in patient pharmacotherapy, with a high rate of acceptance (84.1%) of interventions.
authors.affiliation: Pharmacy Unit, Hospital Álvaro Cunqueiro, Vigo. Pontevedra.. yaiza_romero@hotmail.com.
authors.forename: Elena Yaiza
authors.initials: EY
authors.lastname: Romero-Ventosa
authors.affiliation: Pharmacy Unit, Hospital Álvaro Cunqueiro, Vigo. Pontevedra.. Marisol.Samartin.Ucha@sergas.es.
authors.forename: Marisol
authors.initials: M
authors.lastname: Samartín-Ucha
authors.affiliation: Pharmacy Unit, Hospital Álvaro Cunqueiro, Vigo. Pontevedra.. alicia.martin.vila@sergas.es.
authors.forename: Alicia
authors.initials: A
authors.lastname: Martín-Vila
authors.affiliation: Primary Care in the Vigo Healthcare Area. Redondela Health Centre, Vigo. Pontevedra.. M.Lucia.Martinez.Sanchez@sergas.es.
authors.forename: María Lucía
authors.initials: ML
authors.lastname: Martínez-Sánchez
authors.affiliation: Primary Care in the Vigo Healthcare Area. Department of Cases without Hospitalization and Emergencies, Vigo. Pontevedra. Spain. isabel.rey.gomez.serranillos@sergas.es.
authors.forename: Isabel
authors.initials: I
authors.lastname: Rey Gómez-Serranillos
authors.affiliation: Pharmacy Unit, Hospital Álvaro Cunqueiro, Vigo. Pontevedra.. guadalupe.pineiro.corrales@sergas.es.
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Pineiro-Corrales
mesh_terms: D003266:Continuity of Patient Care / Q000458:organization & administration*; D064420:Drug-Related Side Effects and Adverse Reactions / Q000175:diagnosis*; D006801:Humans; D054539:Medication Therapy Management / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D010595:Pharmacists; D010607:Pharmacy Service, Hospital; D011446:Prospective Studies