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      Impacto de la pandemia por COVID-19 en la actividad de un Servicio de Farmacia a través de los indicadores de actividad y calidad Translated title: Impact of the COVID-19 pandemic on the activity of a Pharmacy Service through activity and quality indicators

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          Abstract

          Resumen Objetivo: El objetivo de este trabajo fue analizar el impacto de la situación de emergencia sanitaria por COVID-19 en la actividad del Servicio de Farmacia reflejado en los indicadores del sistema de gestión de calidad. Métodos: Estudio observacional, descriptivo y retrospectivo en el que se recogieron mensualmente, entre enero y junio de 2020, los indicadores de actividad y calidad según el sistema de gestión de calidad del Servicio de Farmacia Resultados: El 45,2% de los indicadores reflejaron un incremento de actividad en el mes de marzo y el 38,7% en el mes de abril. El aumento de actividad estuvo principalmente relacionado con el área de farmacotecnia (elaboraciones no estériles); reposición de SAD (sistemas automatizados de dispensación) en Cuidados Intensivos y Urgencias; dispensación en dosis unitaria y Urgencias; inicios y elaboraciones de ensayos clínicos en medicamentos para el tratamiento de casos COVID-19. Por otro lado, disminuyó la dispensación presencial a pacientes externos y la actividad de conciliación. Se analizaron los indicadores de calidad asociados a estas actividades y se observó que todos ellos se mantuvieron dentro del objetivo de referencia. Conclusiones: El Servicio de Farmacia ha atendido a la demanda de actividad del hospital y residencias asociadas con un incremento de actividad que no se ha visto afectado en la calidad del servicio.

          Translated abstract

          Abstract Objectives: To analyze the impact of health emergency situation due to COVID-19 on the activity of the Pharmacy Service reflected in quality management system. Methods: Observational, descriptive and retrospective study. Activity and quality indicators according to the quality management system of Pharmacy Service were collected each month between January and June 2020. Results: 45.2% of the indicators reflected an increase in activity in March and 38.7% in April. The increase in activity was mainly related to pharmaceutical preparations (non-sterile preparations); replacement of ADS (automated medication dispensing system) in Intensive Care Unit and Emergency Department; dispensing in unit dose and Emergency Department; beginnings and preparations of clinical trials in drugs for treatment of COVID-19. On the other hand, dispensing to outpatients and conciliation activity decreased. The quality indicators associated with these activities were analyzed and all of them remained within the reference objective. Conclusions: The Pharmacy Department met the demand for activity from the hospital and residences associated with an increase in activity without affecting the quality of the service.

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          A Cohort of Patients with COVID-19 in a Major Teaching Hospital in Europe

          Background: Since the confirmation of the first patient infected with SARS-CoV-2 in Spain in January 2020, the epidemic has grown rapidly, with the greatest impact on the region of Madrid. This article describes the first 2226 adult patients with COVID-19, consecutively admitted to La Paz University Hospital in Madrid. Methods: Our cohort included all patients consecutively hospitalized who had a final outcome (death or discharge) in a 1286-bed hospital of Madrid (Spain) from 25 February (first case admitted) to 19 April 2020. The data were manually entered into an electronic case report form, which was monitored prior to the analysis. Results: We consecutively included 2226 adult patients admitted to the hospital who either died (460) or were discharged (1766). The patients’ median age was 61 years, and 51.8% were women. The most common comorbidity was arterial hypertension (41.3%), and the most common symptom on admission was fever (71.2%). The median time from disease onset to hospital admission was 6 days. The overall mortality was 20.7% and was higher in men (26.6% vs. 15.1%). Seventy-five patients with a final outcome were transferred to the intensive care unit (ICU) (3.4%). Most patients admitted to the ICU were men, and the median age was 64 years. Baseline laboratory values on admission were consistent with an impaired immune-inflammatory profile. Conclusions: We provide a description of the first large cohort of hospitalized patients with COVID-19 in Europe. Advanced age, male sex, the presence of comorbidities and abnormal laboratory values were more common among the patients with fatal outcomes.
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            Hospital pharmacists’ pharmaceutical care for hospitalized patients with COVID-19: Recommendations and guidance from clinical experience

            Objective To discuss hospital pharmacists’ role in providing pharmaceutical care for hospitalized patients with COVID-19 to promote patient care and management during the pandemic. Method Based on the method of evidence-based pharmacy, clinical evidence of therapeutical drugs for COVID-19 were retrieved and summarized. Based on clinical experience Chinese hospital pharmacists gained from providing pharmaceutical care services during COVID-19 pandemic, taking COVID-19 hospitalized patients’ needs into consideration, the methods and strategies hospital pharmacists shall use to provide pharmaceutical care were analyzed and summarized. Results Hospital pharmacists shall support pharmaceutical care services by participating in making evidence-based decisions for medication, monitoring and evaluation of medication safety and efficacy, providing strengthened care for special population and patients with combined underlying diseases, monitoring and management of convalescent plasma therapy, providing emotional counselling and psychological support, and providing scientific information about COVID-19 vaccines. Conclusion The need of pharmaceutical care services in COVID-19 hospitalized patients during this pandemic was quite distinguished from the past. Hospital pharmacists shall join the collaborative multidisciplinary team to improve COVID-19 patients’ outcome and reduce mortality, and to facilitate the pandemic control.
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              Nutrition therapy in the patient with COVID-19 disease requiring ICU Care

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                Author and article information

                Journal
                ofil
                Revista de la OFIL
                Rev. OFIL·ILAPHAR
                Organización de Farmacéuticos Ibero-Latinoamericanos (Madrid, Madrid, Spain )
                1131-9429
                1699-714X
                June 2022
                : 32
                : 2
                : 121-128
                Affiliations
                [1] Madrid orgnameHospital Universitario La Paz orgdiv1Servicio de Farmacia Hospitalaria España margarita.ruano@ 123456salud.madrid.org
                Article
                S1699-714X2022000200003 S1699-714X(22)03200200003
                10.4321/s1699-714x2022000200003
                aae31ea7-3ae1-4dda-bd6e-688355255f51

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 03 October 2020
                : 02 November 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 24, Pages: 8
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                SciELO Spain

                Categories
                Originales

                indicadores de calidad,farmacia hospitalaria,calidad asistencial,COVID-19,healthcare quality indicator,healthcare quality management,Hospital Pharmacy Service

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