Desarrollo de un programa piloto de farmacovigilancia en el hospital San Juan de Dios de Zipaquirá
Pharmacovigilance hospital programs play a key role in the consolidation of a national program and the continuous improvement of health care. The goal of this study was to develop a pharmacovigilance pilot program in a level two hospital and identify the salient clinical features of the adverse reac...
- Autores:
-
Tribiño E., Gabriel
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2008
- Institución:
- Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
- Repositorio:
- Repositorio Institucional UDCA
- Idioma:
- spa
- OAI Identifier:
- oai:repository.udca.edu.co:11158/2679
- Acceso en línea:
- https://revistas.udca.edu.co/index.php/ruadc/article/view/623
https://doi.org/10.31910/rudca.v11.n2.2008.623
- Palabra clave:
- Farmacología - Efectos adversos
Farmacoepidemiología
Efectos adversos
Vigilancia epidemiológica
Proyectos piloto
Hospitales
- Rights
- openAccess
- License
- Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales
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dc.title.spa.fl_str_mv |
Desarrollo de un programa piloto de farmacovigilancia en el hospital San Juan de Dios de Zipaquirá |
dc.title.alternative.eng.fl_str_mv |
Development of a pharmacovigilance pilot program in the San Juan de Dios hospital of Zipaquira |
title |
Desarrollo de un programa piloto de farmacovigilancia en el hospital San Juan de Dios de Zipaquirá |
spellingShingle |
Desarrollo de un programa piloto de farmacovigilancia en el hospital San Juan de Dios de Zipaquirá Farmacología - Efectos adversos Farmacoepidemiología Efectos adversos Vigilancia epidemiológica Proyectos piloto Hospitales |
title_short |
Desarrollo de un programa piloto de farmacovigilancia en el hospital San Juan de Dios de Zipaquirá |
title_full |
Desarrollo de un programa piloto de farmacovigilancia en el hospital San Juan de Dios de Zipaquirá |
title_fullStr |
Desarrollo de un programa piloto de farmacovigilancia en el hospital San Juan de Dios de Zipaquirá |
title_full_unstemmed |
Desarrollo de un programa piloto de farmacovigilancia en el hospital San Juan de Dios de Zipaquirá |
title_sort |
Desarrollo de un programa piloto de farmacovigilancia en el hospital San Juan de Dios de Zipaquirá |
dc.creator.fl_str_mv |
Tribiño E., Gabriel |
dc.contributor.author.spa.fl_str_mv |
Tribiño E., Gabriel |
dc.subject.lemb.spa.fl_str_mv |
Farmacología - Efectos adversos |
topic |
Farmacología - Efectos adversos Farmacoepidemiología Efectos adversos Vigilancia epidemiológica Proyectos piloto Hospitales |
dc.subject.proposal.spa.fl_str_mv |
Farmacoepidemiología Efectos adversos Vigilancia epidemiológica Proyectos piloto |
dc.subject.agrovoc.spa.fl_str_mv |
Hospitales |
description |
Pharmacovigilance hospital programs play a key role in the consolidation of a national program and the continuous improvement of health care. The goal of this study was to develop a pharmacovigilance pilot program in a level two hospital and identify the salient clinical features of the adverse reactions detected. The program was presented before the hospital’s Epidemiologic Surveillance Committee and the professionals of the wards included (internal medicine, surgery, obstetrics and gynecology and emergency). Information was collected by spontaneous reporting by the medical staff and intensive follow-up, carried out by the researcher during a six month period (march-september 2006). A format based on the INVIMA reporting sheet was used. Reports presented periodically to the committee were produced. Sixty adverse drug reactions were detected, of which 48 occurred in hospitalized patients (incidence 19X1000); eight led to hospitalization and four were detected in the emergency ward. Adverse reactions affecting gastrointestinal system were the most frequent ones reported in hospitalized patients (27%). Hypoglycemia was the adverse reaction that more often led to hospitalization (62.5%). 82% of the adverse reactions were reported by the author and 18% by the medical staff. Some of the clinical features of the adverse reactions detected are similar to those found in studies performed at level three hospitals. The rate of spontaneous notification was low. The features of the program match those of a second level hospital and allow its continuity. |
publishDate |
2008 |
dc.date.issued.spa.fl_str_mv |
2008-07 |
dc.date.accessioned.spa.fl_str_mv |
2020-01-24T13:32:06Z |
dc.date.available.spa.fl_str_mv |
2020-01-24T13:32:06Z |
dc.type.spa.fl_str_mv |
Artículo de revista |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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http://purl.org/coar/resource_type/c_6501 |
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info:eu-repo/semantics/article |
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info:eu-repo/semantics/publishedVersion |
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Text |
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http://purl.org/redcol/resource_type/ART |
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0123-4226 |
dc.identifier.uri.spa.fl_str_mv |
https://revistas.udca.edu.co/index.php/ruadc/article/view/623 |
dc.identifier.doi.spa.fl_str_mv |
https://doi.org/10.31910/rudca.v11.n2.2008.623 |
dc.identifier.local.spa.fl_str_mv |
305284 |
identifier_str_mv |
0123-4226 305284 |
url |
https://revistas.udca.edu.co/index.php/ruadc/article/view/623 https://doi.org/10.31910/rudca.v11.n2.2008.623 |
dc.language.iso.spa.fl_str_mv |
spa |
language |
spa |
dc.relation.ispartofseries.spa.fl_str_mv |
Revista UDCA : Actualidad & Divulgación Científica (Bogotá). -- Vol. 11 No. 2 (Jul.-Dic., 2008). -- páginas 51-60 |
dc.rights.spa.fl_str_mv |
Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales |
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http://purl.org/coar/access_right/c_abf2 |
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Atribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0) |
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Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales https://creativecommons.org/licenses/by-nc-sa/4.0/ Atribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0) http://purl.org/coar/access_right/c_abf2 |
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Bogotá : Universidad de Ciencias Aplicadas y Ambientales, 2008 |
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Tribiño E., Gabriel2020-01-24T13:32:06Z2020-01-24T13:32:06Z2008-070123-4226https://revistas.udca.edu.co/index.php/ruadc/article/view/623https://doi.org/10.31910/rudca.v11.n2.2008.623305284Pharmacovigilance hospital programs play a key role in the consolidation of a national program and the continuous improvement of health care. The goal of this study was to develop a pharmacovigilance pilot program in a level two hospital and identify the salient clinical features of the adverse reactions detected. The program was presented before the hospital’s Epidemiologic Surveillance Committee and the professionals of the wards included (internal medicine, surgery, obstetrics and gynecology and emergency). Information was collected by spontaneous reporting by the medical staff and intensive follow-up, carried out by the researcher during a six month period (march-september 2006). A format based on the INVIMA reporting sheet was used. Reports presented periodically to the committee were produced. Sixty adverse drug reactions were detected, of which 48 occurred in hospitalized patients (incidence 19X1000); eight led to hospitalization and four were detected in the emergency ward. Adverse reactions affecting gastrointestinal system were the most frequent ones reported in hospitalized patients (27%). Hypoglycemia was the adverse reaction that more often led to hospitalization (62.5%). 82% of the adverse reactions were reported by the author and 18% by the medical staff. Some of the clinical features of the adverse reactions detected are similar to those found in studies performed at level three hospitals. The rate of spontaneous notification was low. The features of the program match those of a second level hospital and allow its continuity.Los programas hospitalarios de farmacovigilancia son indispensables para la consolidación de un programa nacional y para el mejoramiento continuo de la calidad de la atención hospitalaria. El presente estudio tuvo como objetivo desarrollar un programa piloto en un hospital de segundo nivel y caracterizar las reacciones adversas detectadas. El programa se presentó ante el Comité de Vigilancia Epidemiológica y los profesionales de los servicios incluidos (medicina interna, cirugía, ginecoobstetricia y urgencias). La información, se recolectó mediante notificación espontánea suministrada por profesionales del hospital y seguimiento intensivo por parte del investigador durante un período de seis meses (marzo-septiembre de 2006), empleando un formulario basado en el formato de reporte del INIVIMA. Se elaboraron reportes que se discutieron periódicamente en el comité. Se detectaron 60 reacciones adversas, de los cuales 48 ocurrieron en pacientes hospitalizados (incidencia acumulada 19x1000); ocho causaron la hospitalización del paciente y cuatro se detectaron en el servicio de urgencias. Las reacciones adversas a nivel gastrointestinal fueron las más reportadas en pacientes hospitalizados (27%). La hipoglicemia fue la reacción adversa que con mayor frecuencia causó hospitalización (62,5%). El 82% de los eventos adversos fueron reportados por el investigador y el 18% por personal del hospital. Algunas de las características clínicas de las reacciones adversas detectadas son similares a las reportadas en estudios realizados en instituciones de tercer nivel. El índice de notificación espontánea fue bajo. Las características del programa, se adaptan a las condiciones de una institución de segundo nivel y permiten su continuidad.Incluye referencias bibliográficasapplication/pdfspaBogotá : Universidad de Ciencias Aplicadas y Ambientales, 2008Revista UDCA : Actualidad & Divulgación Científica (Bogotá). -- Vol. 11 No. 2 (Jul.-Dic., 2008). -- páginas 51-60Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientaleshttps://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessAtribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0)http://purl.org/coar/access_right/c_abf2Desarrollo de un programa piloto de farmacovigilancia en el hospital San Juan de Dios de ZipaquiráDevelopment of a pharmacovigilance pilot program in the San Juan de Dios hospital of ZipaquiraArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionTexthttp://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85Farmacología - Efectos adversosFarmacoepidemiologíaEfectos adversosVigilancia epidemiológicaProyectos pilotoHospitalesPublicationORIGINAL623-Texto del artículo-1413-1-10-20180815.pdf623-Texto del artículo-1413-1-10-20180815.pdfapplication/pdf292624https://repository.udca.edu.co/bitstreams/cf29aed6-a3ab-4e89-a93e-d376609cdc1b/downloade7bdd395bf3e7d691cfd96a528e60580MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-814775https://repository.udca.edu.co/bitstreams/f935642b-8e5e-4ff8-80c3-4c8d3231273a/downloadf661acf14bedbf9f5d13897a0387e751MD52TEXT623-Texto del artículo-1413-1-10-20180815.pdf.txt623-Texto del artículo-1413-1-10-20180815.pdf.txtExtracted 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en las Obras Colectivas;
b.	Distribuir copias o fonogramas de las Obras, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública, incluyéndolas como incorporadas en Obras Colectivas, según corresponda;
c.	Distribuir copias de las Obras Derivadas que se generen, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública.
Los derechos mencionados anteriormente pueden ser ejercidos en todos los medios y formatos, actualmente conocidos o que se inventen en el futuro. Los derechos antes mencionados incluyen el derecho a realizar dichas modificaciones en la medida que sean técnicamente necesarias para ejercer los derechos en otro medio o formatos, pero de otra manera usted no está autorizado para realizar obras derivadas.Todos los derechos no otorgados expresamente por el Licenciante quedan por este medio reservados, incluyendo pero sin limitarse a aquellos que se mencionan en las secciones 4(d) y 4(e).
4. Restricciones.
La licencia otorgada en la anterior Sección 3 está expresamente sujeta y limitada por las siguientes restricciones:
a.	Usted puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra sólo bajo las condiciones de esta Licencia, y Usted debe incluir una copia de esta licencia o del Identificador Universal de Recursos de la misma con cada copia de la Obra que distribuya, exhiba públicamente, ejecute públicamente o ponga a disposición pública. No es posible ofrecer o imponer ninguna condición sobre la Obra que altere o limite las condiciones de esta Licencia o el ejercicio de los derechos de los destinatarios otorgados en este documento. No es posible sublicenciar la Obra. Usted debe mantener intactos todos los avisos que hagan referencia a esta Licencia y a la cláusula de limitación de garantías. Usted no puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra con alguna medida tecnológica que controle el acceso o la utilización de ella de una forma que sea inconsistente con las condiciones de esta Licencia. Lo anterior se aplica a la Obra incorporada a una Obra Colectiva, pero esto no exige que la Obra Colectiva aparte de la obra misma quede sujeta a las condiciones de esta Licencia. Si Usted crea una Obra Colectiva, previo aviso de cualquier Licenciante debe, en la medida de lo posible, eliminar de la Obra Colectiva cualquier referencia a dicho Licenciante o al Autor Original, según lo solicitado por el Licenciante y conforme lo exige la cláusula 4(c).
b.	Usted no puede ejercer ninguno de los derechos que le han sido otorgados en la Sección 3 precedente de modo que estén principalmente destinados o directamente dirigidos a conseguir un provecho comercial o una compensación monetaria privada. El intercambio de la Obra por otras obras protegidas por derechos de autor, ya sea a través de un sistema para compartir archivos digitales (digital file-sharing) o de cualquier otra manera no será considerado como estar destinado principalmente o dirigido directamente a conseguir un provecho comercial o una compensación monetaria privada, siempre que no se realice un pago mediante una compensación monetaria en relación con el intercambio de obras protegidas por el derecho de autor.
c.	Si usted distribuye, exhibe públicamente, ejecuta públicamente o ejecuta públicamente en forma digital la Obra o cualquier Obra Derivada u Obra Colectiva, Usted debe mantener intacta toda la información de derecho de autor de la Obra y proporcionar, de forma razonable según el medio o manera que Usted esté utilizando: (i) el nombre del Autor Original si está provisto (o seudónimo, si fuere aplicable), y/o (ii) el nombre de la parte o las partes que el Autor Original y/o el Licenciante hubieren designado para la atribución (v.g., un instituto patrocinador, editorial, publicación) en la información de los derechos de autor del Licenciante, términos de servicios o de otras formas razonables; el título de la Obra si está provisto; en la medida de lo razonablemente factible y, si está provisto, el Identificador Uniforme de Recursos (Uniform Resource Identifier) que el Licenciante especifica para ser asociado con la Obra, salvo que tal URI no se refiera a la nota sobre los derechos de autor o a la información sobre el licenciamiento de la Obra; y en el caso de una Obra Derivada, atribuir el crédito identificando el uso de la Obra en la Obra Derivada (v.g., "Traducción Francesa de la Obra del Autor Original," o "Guión Cinematográfico basado en la Obra original del Autor Original"). Tal crédito puede ser implementado de cualquier forma razonable; en el caso, sin embargo, de Obras Derivadas u Obras Colectivas, tal crédito aparecerá, como mínimo, donde aparece el crédito de cualquier otro autor comparable y de una manera, al menos, tan destacada como el crédito de otro autor comparable.
d.	Para evitar toda confusión, el Licenciante aclara que, cuando la obra es una composición musical:
i.	Regalías por interpretación y ejecución bajo licencias generales. El Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública o la ejecución pública digital de la obra y de recolectar, sea individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), las regalías por la ejecución pública o por la ejecución pública digital de la obra (por ejemplo Webcast) licenciada bajo licencias generales, si la interpretación o ejecución de la obra está primordialmente orientada por o dirigida a la obtención de una ventaja comercial o una compensación monetaria privada.
ii.	Regalías por Fonogramas. El Licenciante se reserva el derecho exclusivo de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), una agencia de derechos musicales o algún agente designado, las regalías por cualquier fonograma que Usted cree a partir de la obra (“versión cover”) y distribuya, en los términos del régimen de derechos de autor, si la creación o distribución de esa versión cover está primordialmente destinada o dirigida a obtener una ventaja comercial o una compensación monetaria privada.
e.	Gestión de Derechos de Autor sobre Interpretaciones y Ejecuciones Digitales (WebCasting). Para evitar toda confusión, el Licenciante aclara que, cuando la obra sea un fonograma, el Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública digital de la obra (por ejemplo, webcast) y de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, Acinpro), las regalías por la ejecución pública digital de la obra (por ejemplo, webcast), sujeta a las disposiciones aplicables del régimen de Derecho de Autor, si esta ejecución pública digital está primordialmente dirigida a obtener una ventaja comercial o una compensación monetaria privada.
5. Representaciones, Garantías y Limitaciones de Responsabilidad.
A MENOS QUE LAS PARTES LO ACORDARAN DE OTRA FORMA POR ESCRITO, EL LICENCIANTE OFRECE LA OBRA (EN EL ESTADO EN EL QUE SE ENCUENTRA) “TAL CUAL”, SIN BRINDAR GARANTÍAS DE CLASE ALGUNA RESPECTO DE LA OBRA, YA SEA EXPRESA, IMPLÍCITA, LEGAL O CUALQUIERA OTRA, INCLUYENDO, SIN LIMITARSE A ELLAS, GARANTÍAS DE TITULARIDAD, COMERCIABILIDAD, ADAPTABILIDAD O ADECUACIÓN A PROPÓSITO DETERMINADO, AUSENCIA DE INFRACCIÓN, DE AUSENCIA DE DEFECTOS LATENTES O DE OTRO TIPO, O LA PRESENCIA O AUSENCIA DE ERRORES, SEAN O NO DESCUBRIBLES (PUEDAN O NO SER ESTOS DESCUBIERTOS). ALGUNAS JURISDICCIONES NO PERMITEN LA EXCLUSIÓN DE GARANTÍAS IMPLÍCITAS, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.
6. Limitación de responsabilidad.
A MENOS QUE LO EXIJA EXPRESAMENTE LA LEY APLICABLE, EL LICENCIANTE NO SERÁ RESPONSABLE ANTE USTED POR DAÑO ALGUNO, SEA POR RESPONSABILIDAD EXTRACONTRACTUAL, PRECONTRACTUAL O CONTRACTUAL, OBJETIVA O SUBJETIVA, SE TRATE DE DAÑOS MORALES O PATRIMONIALES, DIRECTOS O INDIRECTOS, PREVISTOS O IMPREVISTOS PRODUCIDOS POR EL USO DE ESTA LICENCIA O DE LA OBRA, AUN CUANDO EL LICENCIANTE HAYA SIDO ADVERTIDO DE LA POSIBILIDAD DE DICHOS DAÑOS. ALGUNAS LEYES NO PERMITEN LA EXCLUSIÓN DE CIERTA RESPONSABILIDAD, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.
7. Término.
a.	Esta Licencia y los derechos otorgados en virtud de ella terminarán automáticamente si Usted infringe alguna condición establecida en ella. Sin embargo, los individuos o entidades que han recibido Obras Derivadas o Colectivas de Usted de conformidad con esta Licencia, no verán terminadas sus licencias, siempre que estos individuos o entidades sigan cumpliendo íntegramente las condiciones de estas licencias. Las Secciones 1, 2, 5, 6, 7, y 8 subsistirán a cualquier terminación de esta Licencia.
b.	Sujeta a las condiciones y términos anteriores, la licencia otorgada aquí es perpetua (durante el período de vigencia de los derechos de autor de la obra). No obstante lo anterior, el Licenciante se reserva el derecho a publicar y/o estrenar la Obra bajo condiciones de licencia diferentes o a dejar de distribuirla en los términos de esta Licencia en cualquier momento; en el entendido, sin embargo, que esa elección no servirá para revocar esta licencia o que deba ser otorgada , bajo los términos de esta licencia), y esta licencia continuará en pleno vigor y efecto a menos que sea terminada como se expresa atrás. La Licencia revocada continuará siendo plenamente vigente y efectiva si no se le da término en las condiciones indicadas anteriormente.
8. Varios.
a.	Cada vez que Usted distribuya o ponga a disposición pública la Obra o una Obra Colectiva, el Licenciante ofrecerá al destinatario una licencia en los mismos términos y condiciones que la licencia otorgada a Usted bajo esta Licencia.
b.	Si alguna disposición de esta Licencia resulta invalidada o no exigible, según la legislación vigente, esto no afectará ni la validez ni la aplicabilidad del resto de condiciones de esta Licencia y, sin acción adicional por parte de los sujetos de este acuerdo, aquélla se entenderá reformada lo mínimo necesario para hacer que dicha disposición sea válida y exigible.
c.	Ningún término o disposición de esta Licencia se estimará renunciada y ninguna violación de ella será consentida a menos que esa renuncia o consentimiento sea otorgado por escrito y firmado por la parte que renuncie o consienta.
d.	Esta Licencia refleja el acuerdo pleno entre las partes respecto a la Obra aquí licenciada. No hay arreglos, acuerdos o declaraciones respecto a la Obra que no estén especificados en este documento. El Licenciante no se verá limitado por ninguna disposición adicional que pueda surgir en alguna comunicación emanada de Usted. Esta Licencia no puede ser modificada sin el consentimiento mutuo por escrito del Licenciante y Usted.

 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