OBJECTIVES: A new activity, the management of medicines and in residential socio-health centers (SSC) from hospital pharmacy service was implemented.

Kardex vertical systems (KV) for dispensing and storing drugs were configured based on previous consumption of a university teaching hospital.

When implementing the new activity, we observed the need to identify drugs required by the unit dose dispensing circuit, external to KV, to optimize the efficiency of human resources for the preparation and dispensing of drugs per unit dose, reducing errors and improving patient safety in the SSC.

METHODS: A retrospective observational study was conducted. A database was designed with the following parameters:list of KV external drugs and frequency of these medications in unit dose circuit SSC

RESULTS

: We had established the recent inclusion in the SSC pharmaceutical guide, as well as multidose presentations such as inhalers, syrups or drops as external products. In addition, it was observed that some drugs previously included in KV, whose consumption has increased with SSC activity, since we attended to 120 residents, sending a single dose for 7 days.

The presentations with the highest incidence of appearance as external products were vildagliptin(5,27%), acetaminophen/tramadol(3,07%), dobesilate(3,07%), Pregabalin 75mg (2,05%) and 25mg (1,46%), Pitavastatine 2mg(1,90%) 1mg (1,61%) and Zolpidem10 mg (1,17%), about new inclusions guide.

Among the drugs already included whose consumption increased we found some like omeprazole (9,95%), losartan 50mg (3,07%), pentoxifylline (2,63%), bisoprolol 2,5mg (1,76%) and hydrochlorothiazide 25mg (1,76%)

CONCLUSIONS

: this study detected opportunities for improvement, introducing the management in KV of 13 medicines of new inclusion in guide and adapting the stocks of 15 previously included

With this improvement, we aim to increase the speed of work and improve staff activity to reduce errors in the development of the unit dose, thus increasing service productivity and patient safety.