Aranguren-Oyarzábal Ainhoa, Segura-Bedmar María, Calvo-Alcántara María José
Subdirección General de Farmacia y Productos Sanitarios, Servicio Madrileño de Salud, Madrid. España.
Farm Hosp. 2020 Jun 13;44(7):57-60. doi: 10.7399/fh.11491.
On the 20th of March 2020, triggered by the public health emergency declared, the Health Authorities in Madrid reported a legal instruction (Orden 371/2020) indicating the organization of a provisional hospital to admit patients with COVID-19 at the Trade Fair Institution (IFEMA). Several pharmacists working in the Pharmacy and Medical Devices Department of the Madrid Regional Health Service were called to manage the Pharmacy Department of the abovementioned hospital. Required permissions to set up a PD were here authorized urgently. Tackling human and material resources, and computer systems for drug purchase and electronic prescription, were some of the initial issues that hindered the pharmaceutical provision required for patients from the very day one. Once the purchase was assured, mainly by direct purchase from suppliers, drug dispensing up to 1,250 hospitalized patients (25 nursing units) and 8 ICU patients was taken on. Dispensing was carried out through either drug stocks in the nursing units or individual patient dispensing for certain drugs. Moreover, safety issues related to prescription were considered, and as the electronic prescription was implemented we attained 100% prescriptions review and validation. The constitution of a multidisciplinary Pharmacy and Therapeutics Committee let agree to a pharmacotherapy guide, pres cription protocols, therapeutic equivalences, interactions, and drug dispensing circuits. The Pharmacy Department strategy was to ensure a very quick response to basic tasks keeping the aim to offer a pharmaceutical care of the highest quality whenever possible. Working under a health emergency situation, with many uncertainties and continuous pressure was a plight. However, the spirit of collaboration in and out of the Pharmacy Department was aligned with the whole hospital motivation to offer the highest quality of healthcare. These were possibly the keys to allow caring for almost 4,000 patients during the 42 days that the hospital lasted.
2020年3月20日，在宣布公共卫生紧急状态后，马德里卫生当局发布了一项法律指令（第371/2020号命令），指示在马德里国际展览中心（IFEMA）设立一家临时医院，收治新冠肺炎患者。马德里地区卫生服务局药房和医疗设备部的几名药剂师被召集来管理上述医院的药房。在此紧急授权了设立药房所需的许可。从第一天起，人力和物力资源以及药品采购和电子处方的计算机系统等问题，就成为了阻碍为患者提供所需药品供应的一些初始问题。一旦采购得到保障，主要是通过直接从供应商处采购，药房开始为多达1250名住院患者（25个护理单元）和8名重症监护患者配药。配药通过护理单元的药品库存或为某些药品单独为患者配药来进行。此外，还考虑了与处方相关的安全问题，随着电子处方的实施，我们实现了100%的处方审核和验证。一个多学科的药房与治疗学委员会的组建，促成了一份药物治疗指南、处方协议、治疗等效性、相互作用以及药品配药流程的达成。药房部门的策略是确保对基本任务做出非常快速的反应，尽可能提供最高质量的药学服务。在卫生紧急情况下工作，面临诸多不确定性和持续压力，这是一种困境。然而，药房部门内外的协作精神与整个医院提供最高质量医疗服务的积极性是一致的。这些可能是在医院运营的42天里能够照顾近4000名患者的关键所在。
