Pharmaceutical care: pharmacy involvement in prescribing in an acute-care hospital.

摘要: Background: Pharmaceutical care implies reaching a consensus with physicians on prescriptions in cases that call for the substitution of one active ingredient another, modification dose, frequency, route administration, etc., through unit‐dose distribution system. The goal pharmacist interventions hospital should be to achieve rational use drugs; ensure this, daily review patient by is necessary. Most incidence drug‐related morbidity and mortality predictable can avoided, thus reducing overall cost health duration hospitalization while improving quality care. optimum physician or achieved would which maximizes benefits minimizes risks costs.Objective: this study was evaluate at Hospital Barcelona over six‐month period their clinical economic repercussions degree compliance. Method: were recorded card classified type: antibiotic thromboembolic prophylaxis; an principle not included hospital's Pharmacotherapeutic Guide; change dose administration; therapeutic duplication; adjustment aminoglycosides vancomycin; inappropriate treatment duration. evaluation considered average stay procedures diagnostics 1998 applied data published probability rates drug costs.Results: A total 3,136 analyzed prospectively during period. represented savings 129,058.31 euros. Those contributed most these recommendations prophylaxis, prophylaxis pharmacokinetics studies: 49.4, 47 5.7% interventions, respectively, 79, 3.6 15% savings, respectively. Conclusion: In general, acceptance high (88.8%), as result growing compliance established protocols. It concluded have been useful improve important help educate therapy.