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Background and Importance Clinical pharmacist activity is fundamental in the hospitalised patient, since it prevents medication errors, participates in the selection of medication and facilitates medication compliance in terms of dispensing and administration. Aim and Objectives To analyse the profile of the clinical pharmacist's interventions in patients hospitalised in a second-level hospital. Therefore, clinical needs can be discovered and preventive actions promoted. Material and Methods Retrospective multidisciplinary, interventional study, from 08/2023 to 09/2023. Acute-hospitalised patients from medical and surgical areas were selected. The variables recorded were intervention/day ratio, medications prevalence and their incidences and reasons for intervention. A descriptive analysis was performed using absolute frequencies and percentages. Results 1555 pharmaceutical interventions were recorded, with a 12.34 interventions/day ratio and 7.05 implemented interventions/day/100 patients, considering 175 hospital beds. Medications with more than 10 interventions and their incidence were: non-guide oral medications (183, hospital admission conciliation), intravenous dexketoprofen (33, kidney-failure adjustment), intravenous acetaminophen (31, therapeutic duplicity), piperacillin-tazobactam (31, treatment duration, kidney-failure adjustment), oral allopurinol (30, hospital admission conciliation), non-guide inhaled medications (25, hospital admission conciliation), intravenous potassium chloride (24, improper dosage, frequency not compatible with fluid therapy), intravenous metamizole (22, excessive dose), among others. Of the implemented interventions, 50.48% corresponded to surgical areas and 49.52% to medical areas. Conclusion and Relevance The task carried out by the clinical pharmacist is fundamental in the hospital environment, since it ensures the proper use of medications to maximise their effectiveness, minimise the side effects and prevent medication errors. This study shows that the registry of interventions is crucial to carry out preventive strategies with a population impact in the most prevalent interventions. Thanks to this, strategies were implemented such as mandatory allergy registration, assisted prescription modification to avoid overdoses (e.g. metamizole, dexketoprofen) or expanding the hospital's pharmacotherapeutic guide. References and/or Acknowledgements Conflict of Interest No conflict of interest.
Gómez et al. (Fri,) studied this question.