De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalario

Los medicamentos de alto riesgo son aquellos que pueden ocasionar daños significativos o incluso la muerte si no se utilizan correctamente, representando una de las principales causas de eventos adversos prevenibles en la atención sanitaria. A pesar de que existen estrategias de seguridad del pacien...

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Autores:: Villanueva García, Santiago Adolfo

Tipo de recurso:: https://purl.org/coar/resource_type/c_7a1f

Fecha de publicación:: 2025

Institución:: Universidad El Bosque

Repositorio:: Repositorio U. El Bosque

Idioma:: spa

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dc.title.none.fl_str_mv	De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalario
dc.title.translated.none.fl_str_mv	From prescription to patient safety: an educational strategy for promoting the safe use of high-alert medications upon hospital discharge
title	De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalario
spellingShingle	De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalario Seguridad del Paciente Medicamentos de Alto Riesgo Estrategia Educativa Conciliación Medicamentosa Egreso Hospitalario Patient Safety High-risk medications Educational strategy Medication reconciliation Hospital discharge W 84
title_short	De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalario
title_full	De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalario
title_fullStr	De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalario
title_full_unstemmed	De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalario
title_sort	De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalario
dc.creator.fl_str_mv	Villanueva García, Santiago Adolfo
dc.contributor.advisor.none.fl_str_mv	Jácome Liévano, Sofía del Socorro
dc.contributor.author.none.fl_str_mv	Villanueva García, Santiago Adolfo
dc.subject.none.fl_str_mv	Seguridad del Paciente Medicamentos de Alto Riesgo Estrategia Educativa Conciliación Medicamentosa Egreso Hospitalario
topic	Seguridad del Paciente Medicamentos de Alto Riesgo Estrategia Educativa Conciliación Medicamentosa Egreso Hospitalario Patient Safety High-risk medications Educational strategy Medication reconciliation Hospital discharge W 84
dc.subject.keywords.none.fl_str_mv	Patient Safety High-risk medications Educational strategy Medication reconciliation Hospital discharge
dc.subject.nlm.none.fl_str_mv	W 84
description	Los medicamentos de alto riesgo son aquellos que pueden ocasionar daños significativos o incluso la muerte si no se utilizan correctamente, representando una de las principales causas de eventos adversos prevenibles en la atención sanitaria. A pesar de que existen estrategias de seguridad del paciente enfocadas en los procesos de reconciliación medicamentosa, tanto al ingreso como al egreso hospitalario, en Colombia son escasos los estudios sobre esta temática y, particularmente, sobre estrategias educativas dirigidas a pacientes dados de alta con este tipo de medicamentos. En este contexto, el presente estudio, de tipo observacional descriptivo con enfoque cualitativo, se propuso diseñar una estrategia educativa impartida por farmacéuticos orientada al uso seguro de medicamentos de alto riesgo en los pacientes dados de alta, con el fin de mejorar el conocimiento sobre su patología y el uso seguro de la medicación, reduciendo así el riesgo de eventos adversos y reingresos hospitalarios. Para ello, se realizó una búsqueda sistemática, seleccionando artículos publicados en los últimos siete años (2017-2024), que abordaran estrategias educativas impartidas por farmacéuticos sobre el uso seguro de medicamentos en el momento del egreso hospitalario. Los resultados evidenciaron que los anticoagulantes, opioides e hipoglucemiantes presentan el mayor potencial de riesgo, siendo los adultos mayores con múltiples comorbilidades quienes más se beneficiarían de intervenciones educativas estructuradas. Con base en estos hallazgos, se diseñó una estrategia integral fundamentada en modelos pedagógicos del constructivismo social, andragogía y aprendizaje experiencial, que incluye componentes estructurales, educativos, instrumentales e institucionales, con indicadores específicos para su monitoreo y evaluación. La implementación de esta estrategia podría contribuir significativamente a la mejora de la seguridad del paciente, la reducción de eventos adversos relacionados con medicamentos y la optimización de la eficiencia del Sistema de Salud.
publishDate	2025
dc.date.accessioned.none.fl_str_mv	2025-07-24T16:34:16Z
dc.date.available.none.fl_str_mv	2025-07-24T16:34:16Z
dc.date.issued.none.fl_str_mv	2025-07
dc.type.coar.fl_str_mv	http://purl.org/coar/resource_type/c_7a1f
dc.type.local.spa.fl_str_mv	Tesis/Trabajo de grado - Monografía - Especialización
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dc.type.driver.none.fl_str_mv	info:eu-repo/semantics/bachelorThesis
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dc.identifier.uri.none.fl_str_mv	https://hdl.handle.net/20.500.12495/15111
dc.identifier.instname.spa.fl_str_mv	instname:Universidad El Bosque
dc.identifier.reponame.spa.fl_str_mv	reponame:Repositorio Institucional Universidad El Bosque
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url	https://hdl.handle.net/20.500.12495/15111
identifier_str_mv	instname:Universidad El Bosque reponame:Repositorio Institucional Universidad El Bosque repourl:https://repositorio.unbosque.edu.co
dc.language.iso.fl_str_mv	spa
language	spa
dc.relation.references.none.fl_str_mv	48th ESCP Symposium on Clinical Pharmacy. (2020). Abstracts of 48th ESCP symposium on clinical pharmacy, 23–25 October 2019, Ljubljana (Slovenia), including Evaluation of an educational program concerning anticoagulants (ETAP) after five years in a cardiology department by Leclerc, E., Cuquel, A.-C., Cavagna, P., Idjeri, N., Henry, A., Leplay, C., Brito, E., Cohen, A., & Antignac, M. International Journal of Clinical Pharmacy, 42(1), 217–292. https://doi.org/10.1007/s11096-019-00945-w Al-Mahroos, M. I., Abdulridha, M. K., & Alhaleem, M. R. (2017). Evaluation of a designed community-based post-discharge warfarin management protocol on Iraqi patients. International Journal of Pharmaceutical Sciences and Research, 8(5), 2323–2332. https://doi.org/10.13040/IJPSR.0975-8232.8(5).2323-32 Athiyah, U. ., Rahem, A. ., Setiawan, C. D. ., & Hermansyah, A. . (2021). IAI CONFERENCE: Role of pharmacist in providing drug information and education for patients with chronic diseases during Transition of Care . Pharmacy Education, 21(2), p. 275–280. https://doi.org/10.46542/pe.2021.212.275280 Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Servi D, Laffel G, Sweitzer BJ, Shea BF, Hallisey R, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995 Jul 5;274(1):29-34. PMID: 7791255. Boyd, A. N., Walroth, T. A., & Hartman, B. C. (2022). Implementation of a collaborative drug therapy management protocol in an adult burn clinic. Journal of Burn Care & Research, 43(Suppl. 1), S153–S154. https://doi.org/10.1093/jbcr/irac012.252 Castro-Rodríguez, J. Alejandro, Orozco-Hernández, Juan P, & Marín-Medina, Daniel S. (2015). Polifarmacia y prescripción de medicamentos potencialmente no apropiados en ancianos. Revista Médica de Risaralda, 21(2), 52-57. Retrieved September 26, 2024, from http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0122-06672015000200011&lng=en&tlng=es Chedepudi, P. R., Mounika, O., Chandrika, G., Franklin, A., M, R., Rani, N. V., & P, T. (2017). Impact of pharmacist-led anticoagulation monitoring and patient education on oral anticoagulation therapy with acenocoumarol. Asian Journal of Pharmaceutical and Clinical Research, 10(10), 314–317. https://doi.org/10.22159/ajpcr.2017.v10i10.16459 Contreras Sierra, Emigdio Rafael, El concepto de estrategia como fundamento de la planeación estratégica, Pensamiento & Gestión, núm. 35, julio-diciembre, 2013, pp. 152-181, Universidad del Norte Barranquilla, Colombia. Daliri, S., Boujarfi, S., El Mokaddam, A., Scholte Op Reimer, W. J. M., Ter Riet, G., den Haan, C., Buurman, B. M., & Karapinar-Çarkit, F. (2021). Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. BMJ quality & safety, 30(2), 146–156. https://doi.org/10.1136/bmjqs-2020-010927 DuPree, E., Anderson, R. and Nash, I.S. (2011), Improving Quality in Healthcare: Start With the Patient. Mt Sinai J Med, 78: 813-819. https://doi.org/10.1002/msj.20297 Emanuel L, Berwick D, Conway J, et al. What Exactly Is Patient Safety? In: Henriksen K, Battles JB, Keyes MA, et al., editors. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment). Rockville (MD): Agency for Healthcare Research and Quality; 2008 Aug. Available from: https://www.ncbi.nlm.nih.gov/books/NBK43629/ Enver, C., Şengel, B. E., Sancar, M., Korten, V., & Okuyan, B. (2021). Clinical pharmacist-led medication reconciliation service in patients with infectious disease during COVID-19 pandemic. International Journal of Clinical Pharmacy, 43, 1736–1801. https://doi.org/10.1007/s11096-021-01352-w Fonseca, Camilo, Hernández, Carol (2020). Reconciliación Medicamentosa como estrategia para la atención segura de Pacientes. Universidad El Bosque; Recuperado de: http://hdl.handle.net/20.500.12495/4500 García-Subirats, I., Vargas, I., Mogollón-Pérez, A. S., De Paepe, P., da Silva, M. R. F., Unger, J. P., & Vázquez, M. L. (2014). Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil. Social Science & Medicine, 106, 204-213. https://doi.org/10.1016/j.socscimed.2014.01.054 Grillitsch, T., & Lagoja, I. (2022). Clinical-pharmaceutical medication counselling for pneumological patients in outpatient and inpatient areas. European Journal of Hospital Pharmacy, 29, A191–A19 https://doi-org.ezproxy.unbosque.edu.co/10.1136/ejhpharm-2022-eahp.402 Guerrero, R., Gallego, A. I., Becerril-Montekio, V., & Vásquez, J. (2011). Sistema de salud de Colombia. Salud Pública de México, 53, s144-s155. Hardmeier, Beat; Braunschweig, Suzanne; Cavallaro, Marzia; Roos, Malgorzata; Pauli-Magnus, Christiane; Giger, Max; Meier, Peter J; Fattinger, Karin (2004). Adverse drug events caused by medication errors in medical inpatients. Swiss Medical Weekly, 134(45-46):664-670. Hepler, C. D., & Strand, L. M. (1990). Opportunities and responsibilities in pharmaceutical care. American Journal of Hospital Pharmacy, 47(3), 533-543. Herledan, C., Baudouin, A., Larbre, V., & et al. (2020). Clinical and economic impact of medication reconciliation in cancer patients: A systematic review. Supportive Care in Cancer, 28, 3557–3569. https://doi.org/10.1007/s00520-020-05400-5 Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academy Press. Jahangir Moini, Anthony Logalbo, Jennifer G Schnellmann, Chapter 6 - Medication errors and risk reduction, Editor(s): Jahangir Moini, Anthony Logalbo, Jennifer G Schnellmann, Neuropsychopharmacology, Academic Press, 2023, Pages 97-110. Janice L. Kwan, Lisha Lo, Margaret Sampson, et al. Medication Reconciliation During Transitions of Care as a Patient Safety Strategy: A Systematic Review. Ann Intern Med.2013; 158:397-403. [Epub 5 March 2013]. doi:10.7326/0003-4819-158-5-201303051-00006 Jasińska-Stroschein, M., & Waszyk-Nowaczyk, M. (2023). Multidimensional Interventions on Supporting Disease Management for Hospitalized Patients with Heart Failure: The Role of Clinical and Community Pharmacists. Journal of Clinical Medicine, 12(8), 3037. https://doi.org/10.3390/jcm12083037 Khalil, V. Evaluating the impact of various medication safety risk reduction strategies on medication errors in an Australian Health Service. Int J Clin Pharm 42, 1515–1520 (2020). https://doi.org/10.1007/s11096-020-01142-w Khettar, S., Jacquin-Courtois, S., Luaute, J., & et al. (2022). Multiprofessional intervention to improve adherence to medication in stroke patients: A study protocol for a randomised controlled trial (ADMED AVC study). European Journal of Hospital Pharmacy, 29(3), 169-175 http://orcid.org/0000-0002-7061-1662 Knowles, M. S. (1984). Andragogy in action: Applying modern principles of adult learning. Jossey-Bass. Kreckman J, Wasey W, Wise S, et alImproving medication reconciliation at hospital admission, discharge and ambulatory care through a transition of care teamBMJ Open Quality 2018;7:e000281. doi: 10.1136/bmjoq-2017-000281 Lavanya, S., Patel, N., Purani, A., & Patel, K. (2022). Impact of clinical pharmacist intervention on medication adherence in patients with cardiovascular disease. The Thai Journal of Pharmaceutical Sciences, 46(4), Article 13. https://doi.org/10.56808/3027-7922.2629 Marušić, S., Meliš, P., Lucijanić, M., Grgurević, I., Turčić, P., Neto, P. R. O., & Bilić-Ćurčić, I. (2018). Impact of pharmacotherapeutic education on medication adherence and adverse outcomes in patients with type 2 diabetes mellitus: a prospective, randomized study. Croatian medical journal, 59(6), 290–297. https://doi.org/10.3325/cmj.2018.59.290 McGrane, I. R., Nuebel, M. J., & Shooshtari, J. N. H. (2024). Inpatient psychiatry patient medication education groups: A retrospective observational case series evaluating education provided on prescribed psychiatric medications at discharge and documentation practices. Journal of the American College of Clinical Pharmacy, 7(2), 95-100. https://doi.org/10.1002/jac5.1891 McNeely, E. B. (2017). Treatment considerations and the role of the clinical pharmacist throughout transitions of care for patients with acute heart failure. Journal of Pharmacy Practice, 30(4), 441–450. https://doi.org/10.1177/0897190016645435 Melo-Becerra, L. A., Ramos-Forero, J. E., & Hernández-Santamaría, P. O. (2020). La educación superior en Colombia: situación actual y análisis de eficiencia. Revista Desarrollo y Sociedad, 84, 169-217. https://doi.org/10.13043/dys.78.2 Michael R. Cohen, Judy L. Smetzer, Allen J. Vaida, ASHP guidelines on preventing medication errors in hospitals: Advancing medication safety to the next level, American Journal of Health-System Pharmacy, Volume 75, Issue 19, 1 October 2018, Pages 1444–1445, https://doi.org/10.2146/ajhp180283 Michael R. Cohen, Judy L. Smetzer, Allen J. Vaida, ASHP guidelines on preventing medication errors in hospitals: Advancing medication safety to the next level, American Journal of Health-System Pharmacy, Volume 75, Issue 19, 1 October 2018, Pages 1444–1445, https://doi.org/10.2146/ajhp180283 Ministerio de Salud y Protección Social. (2010). Resultados del Estudio IBEAS: prevalencia de efectos adversos en hospitales de Latinoamérica - Colombia. Ministerio de Salud y Protección Social. Ministerio de Salud y Protección Social. (2012). Política Farmacéutica Nacional. Ministerio de Salud y Protección Social. Ministerio de Salud y Protección Social. (2016). Decreto 780 de 2016. Por medio del cual se expide el Decreto Único Reglamentario del Sector Salud y Protección Social. Ministerio de Salud y Protección Social. (2016). Política de Atención Integral en Salud. Ministerio de Salud y Protección Social. Ministerio de Salud y Protección Social. Parte 5, Titulo 1, Capitulo 1 del Decreto 780 de 2016 Por el cual se establece el Sistema Obligatorio de Garantía de Calidad de la Atención de Salud del Sistema General de Seguridad. Montañez Romero, Brayan, Zabala Rodríguez, Paula Natalia (2024) Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica Universidad El Bosque; Recuperado de: https://hdl.handle.net/20.500.12495/12116 Morimoto T, Gandhi TK, Seger AC, et alAdverse drug events and medication errors: detection and classification methodsBMJ Quality & Safety 2004;13:306-314. Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259 Nystrom, N., Miller, J., Mallory, L., Bourqe, J., Diminick, N., Lord, M., Bryden, M., McElwain, L., & St Onge, I. (2017). Improving the patient experience using a collaborative team approach to provide discharge prescriptions, bedside delivery, and pharmacist medication teaching prior to discharge. Journal of the American Pharmacists Association, 57(3), e1–e142. https://doi.org/10.1016/j.japh.2017.04.011 Patton, A. P., Liu, Y., Hartwig, D. M., May, J. R., Moon, J., Stoner, S. C., & Guthrie, K. D. (2017). Community pharmacy transition of care services and rural hospital readmissions: A case study. Journal of the American Pharmacists Association, 57(3, Suppl.), S252–S258.e3. https://doi.org/10.1016/j.japh.2017.02.019 Peter Pronovost, Brad Weast, Mandalyn Schwarz, Rhonda M Wyskiel, Donna Prow, Shelley N Milanovich, Sean Berenholtz, Todd Dorman, Pamela Lipsett, Medication reconciliation: a practical tool to reduce the risk of medication errors, Journal of Critical Care, Volume 18, Issue 4, 2003, Pages 201-205, ISSN 0883-9441, https://doi.org/10.1016/j.jcrc.2003.10.001. Pham, H., Gangoo-Dookhan, T., Hale, G., Perez, A., & Joseph, T. (2023). Impact of Student Pharmacist-Led Transition-of-Care Services on 30-Day Hospital Readmissions at a University Call Center. The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians, 39(5), 207–211. https://doi.org/10.1177/87551225231187832 Pithara, C., Pufulete, M., Johnson, T. W., & Redwood, S. (2020). Patient perspectives of nuisance bleeding and adherence to dual antiplatelet therapy: a qualitative study. Open heart, 7(2), e001405. https://doi.org/10.1136/openhrt-2020-001405 Rahhal, A., Mahfouz, A., Al-Amri, M., & et al. (2021). Impact of discharge education by clinical pharmacists on patients' adherence to post-percutaneous coronary intervention medications: A retrospective cohort study using real-world data. Journal of the American College of Clinical Pharmacy, 4, 303–310. https://doi.org/10.1002/jac5.1369 Romero-Acosta, K., & Contreras-Arrieta, S. (2020). Una revisión sistemática de barreras percibidas para el acceso a servicios de salud mental en Latinoamérica y el Caribe. Revista de la Facultad de Ciencias de la Salud de la Universidad del Cauca, 22(1), 33-43. Schepel, L, Strategies for Medication Safety: An Organization-Based Approach Focusing on High-Alert Medications and Clinical Pharmacy Services in Helsinki University Hospital, Division of Pharmacology and Pharmacotherapy, Helsinki 2018. Recuperado de: https://helda.helsinki.fi/server/api/core/bitstreams/fb53a651-6e90-4ff1-a88e-c9801f57902f/content Schnipper JL, Reyes Nieva H, Yoon C, Mallouk M, Mixon AS, Rennke S, Chu ES, Mueller SK, Smith GR Jr, Williams MV, Wetterneck TB, Stein J, Dalal AK, Labonville S, Sridharan A, Stolldorf DP, Orav EJ, Gresham M, Goldstein J, Platt S, Nyenpan CT, Howell E, Kripalani S; MARQUIS2 Site Leaders for the MARQUIS2 Study Group; MARQUIS2 Site Leaders. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023 Aug;32(8):457-469. doi: 10.1136/bmjqs-2022-014806. Epub 2023 Mar 22. PMID: 36948542; PMCID: PMC11046420. Skelly CL, Cassagnol M, Munakomi S. Adverse Events. [Updated 2023 Aug 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK558963/ Smith, K., Dowd-Green, C., Emerson, A., Bertram, A., & Stewart, R. (2021). Does an encounter with the ambulatory clinical pharmacist in the transitional setting play a role in clinic attendance and patient engagement?. Journal of the American Pharmacists Association : JAPhA, 61(2), e171–e175. https://doi.org/10.1016/j.japh.2020.11.021 Solar, O., & Irwin, A. (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). World Health Organization. Sundararajan, S., Thukani Sathanantham, S., & Palani, S. (2020). The Effects of Clinical Pharmacist Education on Lifestyle Modifications of Postmyocardial Infarction Patients in South India: A Prospective Interventional Study. Current therapeutic research, clinical and experimental, 92, 100577. https://doi.org/10.1016/j.curtheres.2020.100577 Tang, T., Zhang, X., Tao, L., Sun, A., Qiu, S., Zhang, F., Xie, B., Jiao, X., Liu, X., & Tan, L. (2017). Impact of the disease management model of “treatment-education-follow-up” on anticoagulant therapy in patients with stroke and atrial fibrillation. Biomedical Research (India, 28(16), 7195–7201. Thurston, M. M., Liao, T. V., Lim, T., Pounds, T., & Moye-Dickerson, P. M. (2019). Utilization of a multidisciplinary team to reduce the rate of hospital readmissions in high-risk heart failure patients at a community teaching hospital: The pharmacist's role in transitions of care. Journal of the American College of Clinical Pharmacy, 2, 281–287. https://doi.org/10.1002/jac5.1072 Triana Palomino, M. V., Acero Barbosa, R. B., Acosta Triviño, G. M., & Hernández-Zambrano, S. M. (2020). Efectividad de una intervención educativa sobre conciliación medicamentosa en la reducción de discrepancias no intencionadas durante las transiciones asistenciales. Paraninfo Digital, 14(32), e32124d. Recuperado a partir de https://ciberindex.com/c/pd/e32124d Vacca, C., Vargas, C., Cañás, M., & Reveiz, L. (2017). Publicidad y promoción de medicamentos: regulaciones y grado de acatamiento en cinco países de América Latina. Revista Panamericana de Salud Pública, 41, e14. https://doi.org/10.26633/RPSP.2017.14 Vygotsky, L. S. (1978). Mind in society: The development of higher psychological processes. Harvard University Press. Wang, J., Wang, J., Qiu, S., Zhou, C., Zhang, H., Li, Q., & Sun, S. (2021). Pharmaceutical care program for ischemic stroke patients: a randomized controlled trial. International journal of clinical pharmacy, 43(5), 1412–1419. https://doi.org/10.1007/s11096-021-01272-9 Weng, A., Su, X., Yang, C., Zheng, B., Zheng, L., Jian, C., & Fang, J. (2022). Telephone follow-up by clinical pharmacists can improve treatment outcomes in patients with peptic ulcers: A prospective randomized study. Medicine, 101(42), e31150. https://doi.org/10.1097/MD.0000000000031150 White CM, Schoettker PJ, Conway PH, et alUtilising improvement science methods to optimise medication reconciliationBMJ Quality & Safety 2011;20:372-380. Wilcock, M., Bastian, L., & Lee, F. (2020). Evaluation of the Royal Cornwall Hospitals NHS Trust community pharmacy transfer of care around medicines service. The Pharmaceutical Journal, 305(7944). https://doi.org/10.1211/PJ.2020.20208580 Xu, H., Zou, J., Ye, X., Han, J., Gao, L., Luo, S., Wang, J., Huang, C., Yan, X., & Dai, H. (2019). Impacts of clinical pharmacist intervention on the secondary prevention of coronary heart disease: A randomized controlled clinical study. Frontiers in Pharmacology, 10, 1112. https://doi.org/10.3389/fphar.2019.01112 Yin, D., Guo, Q., Geng, X., et al. (2020). The effect of inpatient pharmaceutical care on nephrotic syndrome patients after discharge: A randomized controlled trial. International Journal of Clinical Pharmacy, 42(2), 617–624. https://doi.org/10.1007/s11096-020-00975-9 Zanetti, M. O. B., Rodrigues, J. P. V., Varallo, F. R., Cunha, R. L. G., Simões, B. P., & Pereira, L. R. L. (2023). Impact of the insertion of the clinical pharmacist in the Allogeneic Hematopoietic Stem Cells Transplantation team. Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners, 29(2), 375–385. https://doi.org/10.1177/10781552211073797 Zdyb, E. G., Courtney, D. M., Malik, S., Schmidt, M. J., & Lyden, A. E. (2017). Impact of discharge anticoagulation education by emergency department pharmacists at a tertiary academic medical center. The Journal of Emergency Medicine, 53(6), 896–903. https://doi.org/10.1016/j.jemermed.2017.06.008
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spelling	Jácome Liévano, Sofía del SocorroVillanueva García, Santiago Adolfo2025-07-24T16:34:16Z2025-07-24T16:34:16Z2025-07https://hdl.handle.net/20.500.12495/15111instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coLos medicamentos de alto riesgo son aquellos que pueden ocasionar daños significativos o incluso la muerte si no se utilizan correctamente, representando una de las principales causas de eventos adversos prevenibles en la atención sanitaria. A pesar de que existen estrategias de seguridad del paciente enfocadas en los procesos de reconciliación medicamentosa, tanto al ingreso como al egreso hospitalario, en Colombia son escasos los estudios sobre esta temática y, particularmente, sobre estrategias educativas dirigidas a pacientes dados de alta con este tipo de medicamentos. En este contexto, el presente estudio, de tipo observacional descriptivo con enfoque cualitativo, se propuso diseñar una estrategia educativa impartida por farmacéuticos orientada al uso seguro de medicamentos de alto riesgo en los pacientes dados de alta, con el fin de mejorar el conocimiento sobre su patología y el uso seguro de la medicación, reduciendo así el riesgo de eventos adversos y reingresos hospitalarios. Para ello, se realizó una búsqueda sistemática, seleccionando artículos publicados en los últimos siete años (2017-2024), que abordaran estrategias educativas impartidas por farmacéuticos sobre el uso seguro de medicamentos en el momento del egreso hospitalario. Los resultados evidenciaron que los anticoagulantes, opioides e hipoglucemiantes presentan el mayor potencial de riesgo, siendo los adultos mayores con múltiples comorbilidades quienes más se beneficiarían de intervenciones educativas estructuradas. Con base en estos hallazgos, se diseñó una estrategia integral fundamentada en modelos pedagógicos del constructivismo social, andragogía y aprendizaje experiencial, que incluye componentes estructurales, educativos, instrumentales e institucionales, con indicadores específicos para su monitoreo y evaluación. La implementación de esta estrategia podría contribuir significativamente a la mejora de la seguridad del paciente, la reducción de eventos adversos relacionados con medicamentos y la optimización de la eficiencia del Sistema de Salud.Especialista en Gerencia de la Calidad en SaludEspecializaciónHigh-risk medications are those that can cause significant harm or even death if not used correctly, representing one of the main causes of preventable adverse events in healthcare. Although there are patient safety strategies focused on medication reconciliation processes, both at admission and discharge, in Colombia there are few studies on this subject and, particularly, on educational strategies aimed at patients discharged with this type of medication. In this context, this observational descriptive study with qualitative approach aimed to design an educational strategy delivered by pharmacists oriented towards the safe use of high-risk medications in discharged patients, in order to improve knowledge about their pathology and the safe use of medication, thus reducing the risk of adverse events and hospital readmissions. To this end, a systematic search was conducted, selecting articles published in the last seven years (2017-2024) that addressed educational strategies delivered by pharmacists on the safe use of medications at the time of hospital discharge. The results showed that anticoagulants, opioids and hypoglycemic agents present the highest risk potential, with elderly patients with multiple comorbidities being those who would benefit most from structured educational interventions. Based on these findings, a comprehensive strategy was designed based on pedagogical models of social constructivism, andragogy and experiential learning, which includes structural, educational, instrumental and institutional components, with specific indicators for its monitoring and evaluation. The implementation of this strategy could contribute significantly to improving patient safety, reducing medication-related adverse events and optimizing the efficiency of the Health System.application/pdfAttribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/Acceso abiertohttps://purl.org/coar/access_right/c_abf2http://purl.org/coar/access_right/c_abf2Seguridad del PacienteMedicamentos de Alto RiesgoEstrategia EducativaConciliación MedicamentosaEgreso HospitalarioPatient SafetyHigh-risk medicationsEducational strategyMedication reconciliationHospital dischargeW 84De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalarioFrom prescription to patient safety: an educational strategy for promoting the safe use of high-alert medications upon hospital dischargeEspecialización en Gerencia de la Calidad en SaludUniversidad El BosqueFacultad de MedicinaTesis/Trabajo de grado - Monografía - Especializaciónhttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aa48th ESCP Symposium on Clinical Pharmacy. (2020). Abstracts of 48th ESCP symposium on clinical pharmacy, 23–25 October 2019, Ljubljana (Slovenia), including Evaluation of an educational program concerning anticoagulants (ETAP) after five years in a cardiology department by Leclerc, E., Cuquel, A.-C., Cavagna, P., Idjeri, N., Henry, A., Leplay, C., Brito, E., Cohen, A., & Antignac, M. International Journal of Clinical Pharmacy, 42(1), 217–292. https://doi.org/10.1007/s11096-019-00945-wAl-Mahroos, M. I., Abdulridha, M. K., & Alhaleem, M. R. (2017). Evaluation of a designed community-based post-discharge warfarin management protocol on Iraqi patients. International Journal of Pharmaceutical Sciences and Research, 8(5), 2323–2332. https://doi.org/10.13040/IJPSR.0975-8232.8(5).2323-32Athiyah, U. ., Rahem, A. ., Setiawan, C. D. ., & Hermansyah, A. . (2021). IAI CONFERENCE: Role of pharmacist in providing drug information and education for patients with chronic diseases during Transition of Care . Pharmacy Education, 21(2), p. 275–280. https://doi.org/10.46542/pe.2021.212.275280Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Servi D, Laffel G, Sweitzer BJ, Shea BF, Hallisey R, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995 Jul 5;274(1):29-34. PMID: 7791255.Boyd, A. N., Walroth, T. A., & Hartman, B. C. (2022). Implementation of a collaborative drug therapy management protocol in an adult burn clinic. Journal of Burn Care & Research, 43(Suppl. 1), S153–S154. https://doi.org/10.1093/jbcr/irac012.252Castro-Rodríguez, J. Alejandro, Orozco-Hernández, Juan P, & Marín-Medina, Daniel S. (2015). Polifarmacia y prescripción de medicamentos potencialmente no apropiados en ancianos. Revista Médica de Risaralda, 21(2), 52-57. Retrieved September 26, 2024, from http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0122-06672015000200011&lng=en&tlng=esChedepudi, P. R., Mounika, O., Chandrika, G., Franklin, A., M, R., Rani, N. V., & P, T. (2017). Impact of pharmacist-led anticoagulation monitoring and patient education on oral anticoagulation therapy with acenocoumarol. Asian Journal of Pharmaceutical and Clinical Research, 10(10), 314–317. https://doi.org/10.22159/ajpcr.2017.v10i10.16459Contreras Sierra, Emigdio Rafael, El concepto de estrategia como fundamento de la planeación estratégica, Pensamiento & Gestión, núm. 35, julio-diciembre, 2013, pp. 152-181, Universidad del Norte Barranquilla, Colombia.Daliri, S., Boujarfi, S., El Mokaddam, A., Scholte Op Reimer, W. J. M., Ter Riet, G., den Haan, C., Buurman, B. M., & Karapinar-Çarkit, F. (2021). Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. BMJ quality & safety, 30(2), 146–156. https://doi.org/10.1136/bmjqs-2020-010927DuPree, E., Anderson, R. and Nash, I.S. (2011), Improving Quality in Healthcare: Start With the Patient. Mt Sinai J Med, 78: 813-819. https://doi.org/10.1002/msj.20297Emanuel L, Berwick D, Conway J, et al. What Exactly Is Patient Safety? In: Henriksen K, Battles JB, Keyes MA, et al., editors. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment). Rockville (MD): Agency for Healthcare Research and Quality; 2008 Aug. Available from: https://www.ncbi.nlm.nih.gov/books/NBK43629/Enver, C., Şengel, B. E., Sancar, M., Korten, V., & Okuyan, B. (2021). Clinical pharmacist-led medication reconciliation service in patients with infectious disease during COVID-19 pandemic. International Journal of Clinical Pharmacy, 43, 1736–1801. https://doi.org/10.1007/s11096-021-01352-wFonseca, Camilo, Hernández, Carol (2020). Reconciliación Medicamentosa como estrategia para la atención segura de Pacientes. Universidad El Bosque; Recuperado de: http://hdl.handle.net/20.500.12495/4500García-Subirats, I., Vargas, I., Mogollón-Pérez, A. S., De Paepe, P., da Silva, M. R. F., Unger, J. P., & Vázquez, M. L. (2014). Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil. Social Science & Medicine, 106, 204-213. https://doi.org/10.1016/j.socscimed.2014.01.054Grillitsch, T., & Lagoja, I. (2022). Clinical-pharmaceutical medication counselling for pneumological patients in outpatient and inpatient areas. European Journal of Hospital Pharmacy, 29, A191–A19 https://doi-org.ezproxy.unbosque.edu.co/10.1136/ejhpharm-2022-eahp.402Guerrero, R., Gallego, A. I., Becerril-Montekio, V., & Vásquez, J. (2011). Sistema de salud de Colombia. Salud Pública de México, 53, s144-s155.Hardmeier, Beat; Braunschweig, Suzanne; Cavallaro, Marzia; Roos, Malgorzata; Pauli-Magnus, Christiane; Giger, Max; Meier, Peter J; Fattinger, Karin (2004). Adverse drug events caused by medication errors in medical inpatients. Swiss Medical Weekly, 134(45-46):664-670.Hepler, C. D., & Strand, L. M. (1990). Opportunities and responsibilities in pharmaceutical care. American Journal of Hospital Pharmacy, 47(3), 533-543.Herledan, C., Baudouin, A., Larbre, V., & et al. (2020). Clinical and economic impact of medication reconciliation in cancer patients: A systematic review. Supportive Care in Cancer, 28, 3557–3569. https://doi.org/10.1007/s00520-020-05400-5Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academy Press.Jahangir Moini, Anthony Logalbo, Jennifer G Schnellmann, Chapter 6 - Medication errors and risk reduction, Editor(s): Jahangir Moini, Anthony Logalbo, Jennifer G Schnellmann, Neuropsychopharmacology, Academic Press, 2023, Pages 97-110.Janice L. Kwan, Lisha Lo, Margaret Sampson, et al. Medication Reconciliation During Transitions of Care as a Patient Safety Strategy: A Systematic Review. Ann Intern Med.2013; 158:397-403. [Epub 5 March 2013]. doi:10.7326/0003-4819-158-5-201303051-00006Jasińska-Stroschein, M., & Waszyk-Nowaczyk, M. (2023). Multidimensional Interventions on Supporting Disease Management for Hospitalized Patients with Heart Failure: The Role of Clinical and Community Pharmacists. Journal of Clinical Medicine, 12(8), 3037. https://doi.org/10.3390/jcm12083037Khalil, V. Evaluating the impact of various medication safety risk reduction strategies on medication errors in an Australian Health Service. Int J Clin Pharm 42, 1515–1520 (2020). https://doi.org/10.1007/s11096-020-01142-wKhettar, S., Jacquin-Courtois, S., Luaute, J., & et al. (2022). Multiprofessional intervention to improve adherence to medication in stroke patients: A study protocol for a randomised controlled trial (ADMED AVC study). European Journal of Hospital Pharmacy, 29(3), 169-175 http://orcid.org/0000-0002-7061-1662Knowles, M. S. (1984). Andragogy in action: Applying modern principles of adult learning. Jossey-Bass.Kreckman J, Wasey W, Wise S, et alImproving medication reconciliation at hospital admission, discharge and ambulatory care through a transition of care teamBMJ Open Quality 2018;7:e000281. doi: 10.1136/bmjoq-2017-000281Lavanya, S., Patel, N., Purani, A., & Patel, K. (2022). Impact of clinical pharmacist intervention on medication adherence in patients with cardiovascular disease. The Thai Journal of Pharmaceutical Sciences, 46(4), Article 13. https://doi.org/10.56808/3027-7922.2629Marušić, S., Meliš, P., Lucijanić, M., Grgurević, I., Turčić, P., Neto, P. R. O., & Bilić-Ćurčić, I. (2018). Impact of pharmacotherapeutic education on medication adherence and adverse outcomes in patients with type 2 diabetes mellitus: a prospective, randomized study. Croatian medical journal, 59(6), 290–297. https://doi.org/10.3325/cmj.2018.59.290McGrane, I. R., Nuebel, M. J., & Shooshtari, J. N. H. (2024). Inpatient psychiatry patient medication education groups: A retrospective observational case series evaluating education provided on prescribed psychiatric medications at discharge and documentation practices. Journal of the American College of Clinical Pharmacy, 7(2), 95-100. https://doi.org/10.1002/jac5.1891McNeely, E. B. (2017). Treatment considerations and the role of the clinical pharmacist throughout transitions of care for patients with acute heart failure. Journal of Pharmacy Practice, 30(4), 441–450. https://doi.org/10.1177/0897190016645435Melo-Becerra, L. A., Ramos-Forero, J. E., & Hernández-Santamaría, P. O. (2020). La educación superior en Colombia: situación actual y análisis de eficiencia. Revista Desarrollo y Sociedad, 84, 169-217. https://doi.org/10.13043/dys.78.2Michael R. Cohen, Judy L. Smetzer, Allen J. Vaida, ASHP guidelines on preventing medication errors in hospitals: Advancing medication safety to the next level, American Journal of Health-System Pharmacy, Volume 75, Issue 19, 1 October 2018, Pages 1444–1445, https://doi.org/10.2146/ajhp180283Michael R. Cohen, Judy L. Smetzer, Allen J. Vaida, ASHP guidelines on preventing medication errors in hospitals: Advancing medication safety to the next level, American Journal of Health-System Pharmacy, Volume 75, Issue 19, 1 October 2018, Pages 1444–1445, https://doi.org/10.2146/ajhp180283Ministerio de Salud y Protección Social. (2010). Resultados del Estudio IBEAS: prevalencia de efectos adversos en hospitales de Latinoamérica - Colombia. Ministerio de Salud y Protección Social.Ministerio de Salud y Protección Social. (2012). Política Farmacéutica Nacional. Ministerio de Salud y Protección Social.Ministerio de Salud y Protección Social. (2016). Decreto 780 de 2016. Por medio del cual se expide el Decreto Único Reglamentario del Sector Salud y Protección Social.Ministerio de Salud y Protección Social. (2016). Política de Atención Integral en Salud. Ministerio de Salud y Protección Social.Ministerio de Salud y Protección Social. Parte 5, Titulo 1, Capitulo 1 del Decreto 780 de 2016 Por el cual se establece el Sistema Obligatorio de Garantía de Calidad de la Atención de Salud del Sistema General de Seguridad.Montañez Romero, Brayan, Zabala Rodríguez, Paula Natalia (2024) Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica Universidad El Bosque; Recuperado de: https://hdl.handle.net/20.500.12495/12116Morimoto T, Gandhi TK, Seger AC, et alAdverse drug events and medication errors: detection and classification methodsBMJ Quality & Safety 2004;13:306-314.Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259Nystrom, N., Miller, J., Mallory, L., Bourqe, J., Diminick, N., Lord, M., Bryden, M., McElwain, L., & St Onge, I. (2017). Improving the patient experience using a collaborative team approach to provide discharge prescriptions, bedside delivery, and pharmacist medication teaching prior to discharge. Journal of the American Pharmacists Association, 57(3), e1–e142. https://doi.org/10.1016/j.japh.2017.04.011Patton, A. P., Liu, Y., Hartwig, D. M., May, J. R., Moon, J., Stoner, S. C., & Guthrie, K. D. (2017). Community pharmacy transition of care services and rural hospital readmissions: A case study. Journal of the American Pharmacists Association, 57(3, Suppl.), S252–S258.e3. https://doi.org/10.1016/j.japh.2017.02.019Peter Pronovost, Brad Weast, Mandalyn Schwarz, Rhonda M Wyskiel, Donna Prow, Shelley N Milanovich, Sean Berenholtz, Todd Dorman, Pamela Lipsett, Medication reconciliation: a practical tool to reduce the risk of medication errors, Journal of Critical Care, Volume 18, Issue 4, 2003, Pages 201-205, ISSN 0883-9441, https://doi.org/10.1016/j.jcrc.2003.10.001.Pham, H., Gangoo-Dookhan, T., Hale, G., Perez, A., & Joseph, T. (2023). Impact of Student Pharmacist-Led Transition-of-Care Services on 30-Day Hospital Readmissions at a University Call Center. The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians, 39(5), 207–211. https://doi.org/10.1177/87551225231187832Pithara, C., Pufulete, M., Johnson, T. W., & Redwood, S. (2020). Patient perspectives of nuisance bleeding and adherence to dual antiplatelet therapy: a qualitative study. Open heart, 7(2), e001405. https://doi.org/10.1136/openhrt-2020-001405Rahhal, A., Mahfouz, A., Al-Amri, M., & et al. (2021). Impact of discharge education by clinical pharmacists on patients' adherence to post-percutaneous coronary intervention medications: A retrospective cohort study using real-world data. Journal of the American College of Clinical Pharmacy, 4, 303–310. https://doi.org/10.1002/jac5.1369Romero-Acosta, K., & Contreras-Arrieta, S. (2020). Una revisión sistemática de barreras percibidas para el acceso a servicios de salud mental en Latinoamérica y el Caribe. Revista de la Facultad de Ciencias de la Salud de la Universidad del Cauca, 22(1), 33-43.Schepel, L, Strategies for Medication Safety: An Organization-Based Approach Focusing on High-Alert Medications and Clinical Pharmacy Services in Helsinki University Hospital, Division of Pharmacology and Pharmacotherapy, Helsinki 2018. Recuperado de: https://helda.helsinki.fi/server/api/core/bitstreams/fb53a651-6e90-4ff1-a88e-c9801f57902f/contentSchnipper JL, Reyes Nieva H, Yoon C, Mallouk M, Mixon AS, Rennke S, Chu ES, Mueller SK, Smith GR Jr, Williams MV, Wetterneck TB, Stein J, Dalal AK, Labonville S, Sridharan A, Stolldorf DP, Orav EJ, Gresham M, Goldstein J, Platt S, Nyenpan CT, Howell E, Kripalani S; MARQUIS2 Site Leaders for the MARQUIS2 Study Group; MARQUIS2 Site Leaders. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023 Aug;32(8):457-469. doi: 10.1136/bmjqs-2022-014806. Epub 2023 Mar 22. PMID: 36948542; PMCID: PMC11046420.Skelly CL, Cassagnol M, Munakomi S. Adverse Events. [Updated 2023 Aug 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK558963/Smith, K., Dowd-Green, C., Emerson, A., Bertram, A., & Stewart, R. (2021). Does an encounter with the ambulatory clinical pharmacist in the transitional setting play a role in clinic attendance and patient engagement?. Journal of the American Pharmacists Association : JAPhA, 61(2), e171–e175. https://doi.org/10.1016/j.japh.2020.11.021Solar, O., & Irwin, A. (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). World Health Organization.Sundararajan, S., Thukani Sathanantham, S., & Palani, S. (2020). The Effects of Clinical Pharmacist Education on Lifestyle Modifications of Postmyocardial Infarction Patients in South India: A Prospective Interventional Study. Current therapeutic research, clinical and experimental, 92, 100577. https://doi.org/10.1016/j.curtheres.2020.100577Tang, T., Zhang, X., Tao, L., Sun, A., Qiu, S., Zhang, F., Xie, B., Jiao, X., Liu, X., & Tan, L. (2017). Impact of the disease management model of “treatment-education-follow-up” on anticoagulant therapy in patients with stroke and atrial fibrillation. Biomedical Research (India, 28(16), 7195–7201.Thurston, M. M., Liao, T. V., Lim, T., Pounds, T., & Moye-Dickerson, P. M. (2019). Utilization of a multidisciplinary team to reduce the rate of hospital readmissions in high-risk heart failure patients at a community teaching hospital: The pharmacist's role in transitions of care. Journal of the American College of Clinical Pharmacy, 2, 281–287. https://doi.org/10.1002/jac5.1072Triana Palomino, M. V., Acero Barbosa, R. B., Acosta Triviño, G. M., & Hernández-Zambrano, S. M. (2020). Efectividad de una intervención educativa sobre conciliación medicamentosa en la reducción de discrepancias no intencionadas durante las transiciones asistenciales. Paraninfo Digital, 14(32), e32124d. Recuperado a partir de https://ciberindex.com/c/pd/e32124dVacca, C., Vargas, C., Cañás, M., & Reveiz, L. (2017). Publicidad y promoción de medicamentos: regulaciones y grado de acatamiento en cinco países de América Latina. Revista Panamericana de Salud Pública, 41, e14. https://doi.org/10.26633/RPSP.2017.14Vygotsky, L. S. (1978). Mind in society: The development of higher psychological processes. Harvard University Press.Wang, J., Wang, J., Qiu, S., Zhou, C., Zhang, H., Li, Q., & Sun, S. (2021). Pharmaceutical care program for ischemic stroke patients: a randomized controlled trial. International journal of clinical pharmacy, 43(5), 1412–1419. https://doi.org/10.1007/s11096-021-01272-9Weng, A., Su, X., Yang, C., Zheng, B., Zheng, L., Jian, C., & Fang, J. (2022). Telephone follow-up by clinical pharmacists can improve treatment outcomes in patients with peptic ulcers: A prospective randomized study. Medicine, 101(42), e31150. https://doi.org/10.1097/MD.0000000000031150White CM, Schoettker PJ, Conway PH, et alUtilising improvement science methods to optimise medication reconciliationBMJ Quality & Safety 2011;20:372-380.Wilcock, M., Bastian, L., & Lee, F. (2020). Evaluation of the Royal Cornwall Hospitals NHS Trust community pharmacy transfer of care around medicines service. The Pharmaceutical Journal, 305(7944). https://doi.org/10.1211/PJ.2020.20208580Xu, H., Zou, J., Ye, X., Han, J., Gao, L., Luo, S., Wang, J., Huang, C., Yan, X., & Dai, H. (2019). Impacts of clinical pharmacist intervention on the secondary prevention of coronary heart disease: A randomized controlled clinical study. Frontiers in Pharmacology, 10, 1112. https://doi.org/10.3389/fphar.2019.01112Yin, D., Guo, Q., Geng, X., et al. (2020). The effect of inpatient pharmaceutical care on nephrotic syndrome patients after discharge: A randomized controlled trial. International Journal of Clinical Pharmacy, 42(2), 617–624. https://doi.org/10.1007/s11096-020-00975-9Zanetti, M. O. B., Rodrigues, J. P. V., Varallo, F. R., Cunha, R. L. G., Simões, B. P., & Pereira, L. R. L. (2023). Impact of the insertion of the clinical pharmacist in the Allogeneic Hematopoietic Stem Cells Transplantation team. Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners, 29(2), 375–385. https://doi.org/10.1177/10781552211073797Zdyb, E. G., Courtney, D. M., Malik, S., Schmidt, M. J., & Lyden, A. E. (2017). Impact of discharge anticoagulation education by emergency department pharmacists at a tertiary academic medical center. 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De la prescripción a la seguridad: estrategia educativa orientada al uso seguro de medicamentos de alto riesgo destinada a los pacientes en su egreso hospitalario

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