In 2020 80% of Spanish hospitals have electronic prescribing, which will avoid many errors in the administration of drugs.

• In the future we must determine a policy of zero tolerance for errors related to the use of medication in the hospital.
• The most common errors are to be administered an inadequate dose, wrong patient, route of administration or the indication for which it was established that treatment is not the most appropriate.
• Currently, only 10% of Spanish hospitals with electronic prescribing. In the United States, 7%. This system helps to minimize errors in the distribution process, administration and prescribing of drugs.
• In this day have been the foundation to produce a major transformation of services and management of the hospital pharmacy.


Nearly a hundred Canadian pharmacists have attended the day I applied to the management of Hospital Pharmacy sponsored by Gilead Sciences, which was held in Puerto de Santa María, Cádiz. Under the slogan "The leap from a good management to good management", has highlighted the importance of pharmacy services in hospitals incorporate elements of both security of medicines and sanitary materials, and that these services are a great willingness and ability to innovate, to be transferred to the field of every aspect of hospital pharmacy.

Dr. Jose Luis Poveda, president of the Spanish Society of Hospital Pharmacy, Head of Pharmacy Services, Hospital Universitario La Fe Hospital in Valencia and member of the Scientific Committee of the Conference, explained that "at present, is establishing a new development framework that is allowing us to acquire new responsibilities in patient care and contribute to the optimization of resources, proper treatment of them and be a key to ensure sustainability and contribute to the health system. " In this regard, Dr qualifies Poveda who are developing new strategies and incorporating new technologies, automated systems for dispensing medicines, the incorporation of bar codes to identify drugs or the incorporation of automation and electronic prescribing " . Technological elements, all aimed at achieving the efficient and safe medication. "We now have the challenge of transferring to our routine," he explains.

Avoid mistakes

Since the Spanish Society of Hospital Pharmacy is developing a plan of action that has been marked as a primary objective "in 2020 to 80% of hospitals have electronic prescribing. This is a very ambitious goal, as an example in which currently only 7% of U.S. hospitals have this technology in our country and around the 10% ".
Electronic prescribing will help reduce many errors in the prescribing of drugs and will help the process of collaboration with the clinical team. The specialist said that Valencia is very important to minimize errors in the distribution process, administration and prescribing of drugs, "something that is happening globally, even in those countries more advanced than our health , so we are trying to develop strategies that improve the safety of the drug. We would like in the future to determine a policy of zero tolerance for errors related to use of the product. "

Err in prescribing a medication is an important clinical consequence, the potential adverse effects for the patient and its impact on morbidity and mortality figures. The most common faults are that "producta is a mistake because the patient does not give the correct dose, wrong patient, the manner of administering the drug is most appropriate because orally administered intravenously to, or that the indication for it was established that treatment is not the best. " Commit such an error leads to an impact on pharmaceutical expenditure is very significant.

Establishing processes for electronic prescription, it is not only addressing the electronic record that medication, if not to develop databases of knowledge related to the drug when prescribed is known, for example, what is the maximum dose, if the conditions of the patient need to modify the dose, possible interactions that can take the drug that is prescribed in the patient or what the most appropriate route of administration.

In this sense, the hospital pharmacy services are working together with the addresses and addresses of medical resources to try to optimize the use of resources. In the choice of drugs is still a very rigorous process to select those to be used in the hospital. Dr. Poveda said that "the entire range of products is available on the market we selected those active principles which we believe meets the criteria that will give better results. Besides participating in the process of distributing drugs through unit dose to prevent the inappropriate use of doses that will not be administered to patients. "In turn, the monitoring is key to which the drug and the search for results in terms of health and contribution to the multidisciplinary clinicians at the time to bring those elements of abuse of these drugs so they can be changed or choose other more effective and to ensure maximum result of the resources that are are investing.

Ability to innovate

Small innovators get great results. For the management of the hospital pharmacy is necessary to continue learning to improve its management. Dr. Joaquin Giráldez, Director of Pharmacy Department of the University Clinic of Navarra and Coordinator of the Day I Management applied to hospital pharmacy, which qualifies in this reunion will have the foundation to produce a large transformation services and management of the hospital pharmacy. Many of the hospitals in Spain are stagnating, with an operating system that old work does not meet the needs and opportunities of today and it is urgent to undertake a series of changes that will update the management of hospital pharmacies. "

Dr. Giráldez ensures that "no one should be unchanging. We must adapt to new resources, integrate them into our system and make the most of the team that makes up the hospital pharmacy.

In this sense, the specialist of Navarre that he should meet personally with our team, as if each of them, to try to be as effective as possible in carrying out their work. Each person has a computer must be in appropriate locations, one in which they can develop their attitudes and qualities, giving each a role and they feel involved with the work done and they are playing. "