[Medication Review with Follow-up Service provided by the Community Pharmacy as a care practice for the optimization of pharmacotherapy in patient with urticaria and pruritus]. / Servicio de Seguimiento Farmacoterapéutico prestado desde la farmacia comunitaria como práctica asistencial para la optimización de la farmacoterapia en paciente con urticaria y prurito.

A 66-year-old woman, ex-smoker, diagnosed with hypertension, hypercholesterolemia, asthma, anxiety and migraine, who presented pruritus and urticaria, was given Medication Review with Follow-Up Service (MRF). She was taking 5 medications.After the review of the pharmacotherapy and conducting an in-depth interview, the presence of pruritus and urticaria was determined as a Negative Outcomes Releated to Medicines (NOM) and a Drug Related Problem (DRP) derived from the use of Rosuvastatin/Ezetimibe, and a possible DRPs of probability of adverse effects and prescription error.It was proposed to the patient to suspend the treatment and a referral was made to the Primary Care Physician (PCP) by means of a referral report that was submitted by the patient at the medical appointment to assess a pharmacological alternative to treat hypercholesterolemia.The proposal was accepted by the PCP. A follow-up of the case was carried out, which allowed verifying the resolution of the DRPs and NOMs detected, achieving an improvement in the patient's health and favoring adherence to treatment.

[Patient safety during the dispensing service in community pharmacies in the event of a prescribing error. A case report]. / Seguridad del paciente durante el servicio de dispensación en farmacia comunitaria ante un error de prescripción. A propósito de un caso.

A 63-year-old patient, diagnosed with diabetes, hypertension, and hypercholesterolemia, with myocardial infarction background who takes 9 different medications. She goes to the Community Pharmacy (CP) to pick up the prescribed treatment from the Emergency Department to treat a diagnosed conjunctivitis.During the Dispensing Service, a potential Drug-Related Problem (DRP) of prescription error is detected, which could be related with a Negative Outcomes Related to Medicines (NOM) when prescribing ear drops for ophthalmic use, compromising patient safety .The patient was referred to the Emergency Department to modify the treatment due to a potential risk, following the indications of the Summary of products Characteristics (SmPC). In the Emergency Department, the proposed intervention was rejected and the patient was sent back to withdraw the drug again to the CP. The patient decides to wait two days for a face-to-face medical appointment with her Primary Care Physician (MAP). The proposal made by the FC was accepted by the General Practitioner (GP).Follow-up of the case is carried out, which allows verifying the resolution of the Health Problem as well as the DRP and NRM detected, achieving an improvement in the patient's health and thus guaranteeing rational, safe and effective use of the medication.

[Strategy to optimize patient safety in the community pharmacy dispensing service. Proposed checklists]. / Estrategia para optimizar la seguridad del paciente en el servicio de dispensación en farmacia comunitaria. Propuesta de listados de verificación.

Dispensing is the most requested and important service within the tasks performed by the pharmacist, in his day-to-day work, in the community pharmacy. The aim of dispensing is to guarantee the patient's access to the medicine in an adequate and controlled manner. During that process, the community pharmacist has the obligation, as a healthcare professional, to actively participate in a committed manner in the detection of possible medication or medication-related errors.SEFAC´s patient safety group has developed, as the beginning of a series of future projects, checklists and best guidelines for medicines formulated as transdermal patches, modified release forms or orodispersible tablets. The aim of this initiative is to minimize as far as possible, by means of a prior interview with the patient and the use of these tools, any errors or problems that might arise with these drugs, thereby ensuring patient safety.A pilot project is expected to begin throughout 2023 in community pharmacies that collaborate with SEFAC's patient safety group. Therefore, they will be able to collect and report the results obtained.

Resultados de Servicio de Indicación Farmacéutica y Servicio de Seguimiento Farmacoterapéutico en Farmacia Comunitaria como herramienta de optimización de la farmacoterapia en paciente polimedicado con tos persistente / Results of Minor Ailment Service and Pharmacotherapeutic Follow-up Service in Community Pharmacy as an optimization tool of the pharmacotherapy on a polymedicated patient with persistent cough

Se brindó Servicio de Indicación Farmacéutica y Seguimiento Farmacoterapéutico (SFT) a una mujer de 61 años, exfumadora, diagnosticada de hipertensión y cáncer de mama, que presentaba tos persistente. Tomaba 4 medicamentos.Tras revisión de la farmacoterapia y análisis de narrativas extraídas de entrevistas en profundidad, se determinó la presencia de tos como Problema Relacionado con Medicamentos (PRM) derivado del uso de un IECA (Inhibidor de la Enzima Conver-tidora de Angiotensina). Se realizaron derivaciones al Médico de Atención Primaria (MAP) proponiendo sustitución farmacológica por ARAII (Antagonista de Receptor de Angiotensina II), que fueron declina-das por no existir similitud de criterio clínico.Durante este periodo la paciente acudió a médi-cos privados, probando diferentes tratamientos farmacológicos, así como a sesiones de medicina tradicional (acupuntura) sin obtener mejoría.Tras un año de SFT, se logra aceptación de la pro-puesta del farmacéutico por el MAP, lo cual derivó en una resolución del PRM, un proceso de desme-dicalización y una mejora en salud que permitió a la paciente retomar sus actividades cotidianas. (AU)

Minor Ailment Service and Pharmacotherapeutic Follow-up (PFU) was provided to a 61-year-old woman, ex-smoker, diagnosed with hypertension and breast cancer, who presented persistent cough. She was taking 4 medications.After the review of the pharmacotherapy and analy-sis of narratives extracted from in-depth interviews, the presence of cough was determined as a Drug Related Problem (DRP) derived from the use of an ACEI (Angiotensin-converting enzyme inhibitors). Referrals to the Primary Care Physician (PCP) were made, proposing pharmacological substitution for ARBs Angiotensin II receptor blocker), which were declined because there was no similarity in clinical criteria.During this period, the patient went to private doc-tors, trying different pharmacological treatments, as well as traditional medicine sessions (acupunc-ture) without obtaining improvement.After a year of PFU, acceptance of the pharmacist's proposal was achieved by the PCP, which led to a resolution of the DRP, a deprescription process and an improvement in health that allowed the patient to resume her daily activities. (AU)

Entrevistas en profundidad: técnica complementaria a las entrevistas clínicas en las intervenciones basadas en necesidades del paciente / In-depth interviews: complementary technique to the clinical interviews in the interventions based on the patient’s needs

Se brindó Comprehensive Medication Management a una mujer de 78 años, con antecedentes de trombosis venosa profunda y fractura de cadera. Diagnosticada de hidrocefalia, artrosis, hipertensión arterial y dislipemia, que tomaba 12 medicamentos. Se evaluaron las necesidades farmacoterapéuticas integrando aspectos biomédicos y psicosociales, a través de un análisis clínico, que permitió detectar 7 necesidades y un análisis complementario de narrativas extraídas de entrevistas en profundidad, que permitió la detección de 5 necesidades adicionales. Utilizar entrevistas en profundidad para interrelacionar aspectos cualitativos de la experiencia personal al evaluar la farmacoterapia, permitió plantear intervenciones biopsicosociales adaptadas a la resolución integral de necesidades farmacoterapéuticas, que fueron recogidas en un plan de cuidados, donde se incluyó un informe al médico de atención primaria con 4 recomendaciones de las cuales 2 fueron aceptadas y otras 4 fueron propuestas y aceptadas por la paciente y su cuidador, consiguiéndose la resolución de 8 necesidades farmacoterapéuticas.(AU)

Comprehensive Medication Management was provided to a 78-year-old woman. Medical history: deep vein thrombosis, hip fracture, hydrocephalus, arthrosis, arterial hypertension and dyslipidemia. She was taking 12 medications. Patient’s medication-related needs were evaluated integrating biomedical and psychosocial aspects, through a clinical analysis, which allowed the de-tection of 7 medication-related needs. Complemen-tary analysis of narratives extracted from in-depth interviews allowed detection of 5 additional medi-cation-related needs. Using in-depth interviews to interrelate qualitative aspects of personal experience when evaluating pharmacotherapy, allowed to propose biopsycho-social interventions adapted to the comprehensive resolution of medication-related needs, collected in a care plan. Included a medical report with 4 recommendations whereby 2 were accepted by the primary care physician. Another 4 medication-re-lated needs were proposed and accepted by the patient and her caregiver, achieving the resolution of 8 medication-related needs.(AU)