Comparison of the traditional pharmaceutical validation method versus an assisted pharmaceutical validation in hospitalized patients
Objective: To analyze pharmaceutical interventions that have been carried out with the support of an automated system for validation of treatments vs. the traditional method without computer support. Method: The automated program, ALTOMEDICAMENTOS® version 0, has 925 052 data with information regard...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-05-01
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| Series: | Farmacia Hospitalaria |
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| Online Access: | http://www.aulamedica.es/fh/pdf/9960.pdf |
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| author | D. García Marco M. V. Hernández Sánchez S. Sanz Márquez M. Pérez Encinas C. Fernández-Shaw Toda M. J. Jiménez Cerezo J. M. Ferrari Piquero M. Martínez Camacho |
| author_facet | D. García Marco M. V. Hernández Sánchez S. Sanz Márquez M. Pérez Encinas C. Fernández-Shaw Toda M. J. Jiménez Cerezo J. M. Ferrari Piquero M. Martínez Camacho |
| author_sort | D. García Marco |
| collection | DOAJ |
| description | Objective: To analyze pharmaceutical interventions that have been carried out with the support of an automated system for validation of treatments vs. the traditional method without computer support. Method: The automated program, ALTOMEDICAMENTOS® version 0, has 925 052 data with information regarding approximately 20 000 medicines, analyzing doses, administration routes, number of days with such a treatment, dosing in renal and liver failure, interactions control, similar drugs, and enteral medicines. During eight days, in four different hospitals (high complexity with over 1 000 beds, 400-bed intermediate, geriatric and monographic), the same patients and treatments were analyzed using both systems. Results: 3,490 patients were analyzed, with 42 155 different treatments. 238 interventions were performed using the traditional system (interventions 0.56% / possible interventions) vs. 580 (1.38%) with the automated one. Very significant pharmaceutical interventions were 0.14% vs. 0.46%; significant was 0.38% vs. 0.90%; non-significant was 0.05% vs. 0.01%, respectively. If both systems are simultaneously used, interventions are performed in 1.85% vs. 0.56% with just the traditional system. Using only the traditional model, 30.5% of
the possible interventions are detected, whereas without manual review and only the automated one, 84% of the possible interventions are detected. Conclusions: The automated system increases pharmaceutical interventions between 2.43 to 3.64 times. According to the results of this study the traditional validation system needs to be revised relying on automated systems. The automated program works correctly in different hospitals |
| format | Article |
| id | doaj-art-66b10a16b480403bb2a9b8e27e30199b |
| institution | Kabale University |
| issn | 1130-6343 2171-8695 |
| language | English |
| publishDate | 2016-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Farmacia Hospitalaria |
| spelling | doaj-art-66b10a16b480403bb2a9b8e27e30199b2024-12-02T04:55:28ZengElsevierFarmacia Hospitalaria1130-63432171-86952016-05-0140316517110.7399/fh.2016.40.3.9960Comparison of the traditional pharmaceutical validation method versus an assisted pharmaceutical validation in hospitalized patientsD. García Marco0M. V. Hernández Sánchez1S. Sanz Márquez2M. Pérez Encinas3C. Fernández-Shaw Toda4M. J. Jiménez Cerezo5J. M. Ferrari Piquero6M. Martínez Camacho7Hospital Nacional de Parapléjicos, ToledoHospital Universitario Fundación AlcorcónHospital Universitario Fundación AlcorcónHospital Universitario Fundación AlcorcónHospital Nacional de Parapléjicos, ToledoHospital Universitario 12 de Octubre, MadridHospital Universitario 12 de Octubre, MadridHospital Virgen Valle, Toledo. SpainObjective: To analyze pharmaceutical interventions that have been carried out with the support of an automated system for validation of treatments vs. the traditional method without computer support. Method: The automated program, ALTOMEDICAMENTOS® version 0, has 925 052 data with information regarding approximately 20 000 medicines, analyzing doses, administration routes, number of days with such a treatment, dosing in renal and liver failure, interactions control, similar drugs, and enteral medicines. During eight days, in four different hospitals (high complexity with over 1 000 beds, 400-bed intermediate, geriatric and monographic), the same patients and treatments were analyzed using both systems. Results: 3,490 patients were analyzed, with 42 155 different treatments. 238 interventions were performed using the traditional system (interventions 0.56% / possible interventions) vs. 580 (1.38%) with the automated one. Very significant pharmaceutical interventions were 0.14% vs. 0.46%; significant was 0.38% vs. 0.90%; non-significant was 0.05% vs. 0.01%, respectively. If both systems are simultaneously used, interventions are performed in 1.85% vs. 0.56% with just the traditional system. Using only the traditional model, 30.5% of the possible interventions are detected, whereas without manual review and only the automated one, 84% of the possible interventions are detected. Conclusions: The automated system increases pharmaceutical interventions between 2.43 to 3.64 times. According to the results of this study the traditional validation system needs to be revised relying on automated systems. The automated program works correctly in different hospitalshttp://www.aulamedica.es/fh/pdf/9960.pdfAutomation; Medication reviewDecision supportDrug prescriptionsMedications errorsClinical alarms |
| spellingShingle | D. García Marco M. V. Hernández Sánchez S. Sanz Márquez M. Pérez Encinas C. Fernández-Shaw Toda M. J. Jiménez Cerezo J. M. Ferrari Piquero M. Martínez Camacho Comparison of the traditional pharmaceutical validation method versus an assisted pharmaceutical validation in hospitalized patients Farmacia Hospitalaria Automation ; Medication review Decision support Drug prescriptions Medications errors Clinical alarms |
| title | Comparison of the traditional pharmaceutical validation method versus an assisted pharmaceutical validation in hospitalized patients |
| title_full | Comparison of the traditional pharmaceutical validation method versus an assisted pharmaceutical validation in hospitalized patients |
| title_fullStr | Comparison of the traditional pharmaceutical validation method versus an assisted pharmaceutical validation in hospitalized patients |
| title_full_unstemmed | Comparison of the traditional pharmaceutical validation method versus an assisted pharmaceutical validation in hospitalized patients |
| title_short | Comparison of the traditional pharmaceutical validation method versus an assisted pharmaceutical validation in hospitalized patients |
| title_sort | comparison of the traditional pharmaceutical validation method versus an assisted pharmaceutical validation in hospitalized patients |
| topic | Automation ; Medication review Decision support Drug prescriptions Medications errors Clinical alarms |
| url | http://www.aulamedica.es/fh/pdf/9960.pdf |
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