Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica

Dentro de la temática a llevar en el siguiente trabajo, se entiende que la determinación de errores de medicación se puede mitigar y reducir de manera efectiva por medio de un procedimiento que se conoce como Conciliación Farmacoterapéutica, el cual consiste en la formación y ejecución de actividade...

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Autores:: Montañez Romero, Brayan
Zabala Rodriguez, Paula Natalia

Tipo de recurso:: https://purl.org/coar/resource_type/c_7a1f

Fecha de publicación:: 2024

Institución:: Universidad El Bosque

Repositorio:: Repositorio U. El Bosque

Idioma:: spa

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dc.title.none.fl_str_mv	Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica
dc.title.translated.none.fl_str_mv	Pharmacotherapeutic reconciliation at hospital discharge in older adults: An overview review
title	Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica
spellingShingle	Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica Conciliación farmacoterapéutica Discrepancias Adulto mayor Egreso hospitalario 615.19 Pharmacotherapeutic conciliation Discrepancies Elderly Hospital discharge
title_short	Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica
title_full	Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica
title_fullStr	Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica
title_full_unstemmed	Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica
title_sort	Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica
dc.creator.fl_str_mv	Montañez Romero, Brayan Zabala Rodriguez, Paula Natalia
dc.contributor.advisor.none.fl_str_mv	Amaya Mendez, Sergio
dc.contributor.author.none.fl_str_mv	Montañez Romero, Brayan Zabala Rodriguez, Paula Natalia
dc.subject.none.fl_str_mv	Conciliación farmacoterapéutica Discrepancias Adulto mayor Egreso hospitalario
topic	Conciliación farmacoterapéutica Discrepancias Adulto mayor Egreso hospitalario 615.19 Pharmacotherapeutic conciliation Discrepancies Elderly Hospital discharge
dc.subject.ddc.none.fl_str_mv	615.19
dc.subject.keywords.none.fl_str_mv	Pharmacotherapeutic conciliation Discrepancies Elderly Hospital discharge
description	Dentro de la temática a llevar en el siguiente trabajo, se entiende que la determinación de errores de medicación se puede mitigar y reducir de manera efectiva por medio de un procedimiento que se conoce como Conciliación Farmacoterapéutica, el cual consiste en la formación y ejecución de actividades que permitan revelar el perfil farmacoterapéutico (control medicamentoso de acuerdo a la necesidad actual del paciente), conllevando el registro pertinente de terapias que el paciente esté llevando a cabo y otro tipo de datos que puedan aportar información sobre las mismas (enfermedades actuales, riesgos del paciente, perfil hereditario, etc.). Sin embargo, en este tipo de conciliaciones farmacoterapéuticas, no se tienen en cuenta las variables que genera la creación de una administración medicamentosa adicional en la instancia hospitalaria a la que se somete al paciente, específicamente al egreso, sobretodo en poblaciones altamente expuestas a la polimedicación y agudización de efectos adversos como lo son los adultos mayores, asociado a cambios farmacocinéticos y farmacodinámicos relativos a su edad, además del uso que se dará a estos medicamentos al egreso hospitalario. La misión de este trabajo se centrará en la realización de una revisión panorámica para determinar el alcance que puede llegar a tener la ejecución de la conciliación farmacoterapéutica al egreso por medio de diferentes herramientas para identificar y corregir discrepancias de medicamentos y la correlación que puedan tener respecto la generación, agudización y relación directa de efectos adversos o daño causado por medicamentos, luego de un periodo de hospitalización (egreso). La revisión se enfocará en la población del adulto mayor y en las dificultades generadas en el seguimiento post-egreso hospitalario de este grupo, contando así los tipos de fallos relativos a la farmacovigilancia, fallos en la educación farmacoterapéutica al paciente y se estudiará la relación de efectos adversos o fallas medicamentosas relacionada directamente con los egresos hospitalarios.
publishDate	2024
dc.date.accessioned.none.fl_str_mv	2024-05-15T00:52:37Z
dc.date.available.none.fl_str_mv	2024-05-15T00:52:37Z
dc.date.issued.none.fl_str_mv	2024-04
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dc.type.local.none.fl_str_mv	Tesis/Trabajo de grado - Monografía - Pregrado
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dc.identifier.instname.spa.fl_str_mv	Universidad El Bosque
dc.identifier.reponame.spa.fl_str_mv	reponame:Repositorio Institucional Universidad El Bosque
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dc.relation.references.none.fl_str_mv	N. Parekh, K. Ali, A. Page, T. Roper y C. Rajkumar, «Incidence of Medication-Related Harm in Older Adults After Hospital Discharge: A Systematic Review,» Journal of the American Geriatrics Society, 2018 The American Geriatrics Society, «American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults,» Journal of the American Geriatrics Society, pp. 616-631, 2012. M. Weng, C. Tsai, K. Sheu, Y. Lee, S. Tzeng , K. Ueng, C. Chen y S. Chen, «The impact of number of drugs prescribed on the risk of potentially inappropriate medication among outpatient older adults with chronic diseases,» QJM: An International Journal of Medicine, vol. 16, p. 1009–1015, 2013 A. Castro, J. Orozco y D. Marin, «Polifarmacia y prescripción de medicamentos potencialmente no apropiados en ancianos,» Rev. Méd. Risaralda, vol. 22, nº 1, pp. 52-57, 2015. E. Homero, «Polifarmacia y morbilidad en adultos mayores,» Revista Médica Clínica Las Condes, vol. 23, nº 1, pp. 31-35, 2012. C. Eisenhower, «Impact of Pharmacist-Conducted Medication Reconciliation at Discharge on Readmissions of Elderly Patients With COPD,» Annals of Pharmacotherapy, vol. 48, pp. 203-208, 2013. O. Denis , A. Cherubini, A. Renom, M. Denkinger, J.-B. Beuscart, G. Onder, A. Gudmundsson , A. Cruz-Jentoft, W. Knol, G. Bahat, N. van der Velde, M. Petrovic y D. Curtin , «STOPP/START criteria for potentially inappropriate prescribing in older people: version 3,» European geriatric medicine, vol. 14, pp. 625-632, 2023. P. Renaudin, K. Baumstarck, A. Daumas, M.-A. Esteve, S. Gayet, P. Auquier, M. Tsimaratos, P. Villani y S. Honore , «Impact of a pharmacist-led medication review on hospital readmission in a pediatric and elderly population: study protocol for a randomized open-label controlled trial,» Trials, vol. 18, 2017. F. Akram, P. J. Huggan, V. Lim, Y. Huang, F. J. Siddiqui, P. N. Assam y R. A. Merchant, «Medication discrepancies and associated risk factors identified among elderly patients discharged from a tertiary hospital in Singapore,» Singapore medical journal, vol. 56, pp. 379-384, 2015. M. Montaleytang, F. Correard, C. Spiteri, P. Boutier, S. Gayet, S. Honore, P. Villani y A. Daumas, «Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions,» International Journal of Clinical Pharmacy , vol. 43, p. 1183–1190, 2021. H. Shin, N. Kim, J. Cha, G. J. Kim, . J. H. Kim, J.-Y. Kim y S. Lee, «Geriatrics on beers criteria medications at risk of adverse drug events using real-world data,» International Journal of Medical Informatics, 2021. A. T. Nguyen, J. Wisniewski, . D. W. Leang, M. S. Keller, . S. Rosen, R. Shane y . J. M. Pevnick, «Effect of the population health inpatient Medicare Advantage pharmacist intervention on hospital readmissions: A quasi-experimental controlled study,» Journal of managed care & specialty pharmacy, vol. 29, p. 266–275, 2023. L. Heyworth, J. Clark, T. B. Marcello, A. M. Paquin, M. Stewart, C. Archambeault y S. R. Simon, «Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives,» Journal of medical Internet research, vol. 15, 2013. K. Berquist, S. A. Linnebur y D. R. Fixen, «Incorporation of Clinical Pharmacy Into a Geriatric Transitional Care Management Program,» Journal of pharmacy practice, vol. 33, nº 5, p. 661–665, 2020. A. Lagerin, A. C. Carlsson, G. Nilsson , J. Westman y L. Törnkvist, «District nurses' preventive home visits to 75-year-olds: an opportunity to identify factors related to unsafe medication management,» Scandinavian journal of public health, vol. 42, nº 8, p. 786–794, 2014. L. Lapointe-Shaw, C. M. Bell, P. C. Austin, L. Abrahamyan, N. M. Ivers, P. Li, P. Pechlivanoglou, D. A. Redelmeier y L. Dolovich, «Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study,» BMJ quality & safety, vol. 29, p. 41–51, 2020. P. M. Mannucci, A. Nobili y L. Pasina, «Polypharmacy in older people: lessons from 10 years of experience with the REPOSI register,» Internal and Emergency Medicine , vol. 13, p. 1191–1200, 2018. G. Carrillo, B. Sanchez, O. Gomez, S. Carreño y L. Chaparro, «Metodología de implementación del “plan de egreso hospitalario” para personas con enfermedad crónica en Colombia,» Revista Med., vol. 25, nº 2, pp. 55-62, 2017. A. Meurant, P. Lescure, C. Lafont , W. Pommier, C. Delmas, P. Descatoire, M. Baudon, A. Muzard, C. Villain y J.-P. Jourdan, «Implementation of clinical medication review in a geriatric ward to reduce potentially inappropriate prescriptions among older adults,» European journal of clinical pharmacology, vol. 79, p. 1391–1400, 2023. A. M. Paquin, M. Salow y J. L. Rudolph, «Pharmacist calls to older adults with cognitive difficulties after discharge in a Tertiary Veterans Administration Medical Center: a quality improvement program,» Journal of the American Geriatrics Society, vol. 63, nº 3, p. 571–577, 2015. A. Sorensen, J. F. Grotts , C.-H. Tseng, G. Moreno, R. Maranon, N. Whitmire, O. Viramontes, S. Atkins, E. Sefilyan, J. W. Simmons y C. M. Mangione, «A Collaboration Among Primary Care-Based Clinical Pharmacists and Community-Based Health Coaches,» Journal of the American Geriatrics Society, vol. 69, p. 68–76, 2021. M. Montaleytang, F. Correard, C. Spiteri, P. Boutier, S. Gayet, S. Honore, P. Villani y A. Daumas, «Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions,» International journal of clinical pharmacy, vol. 43, nº 5, p. 1183–1190, 2021. H. Ramsbottom, R. Fitzpatrick y P. Rutter, «Hospital referral of older patients to community pharmacy: outcome measures in a feasibility study,» International journal of clinical pharmacy, vol. 42, nº 1, pp. 18-22, 2020. C. Debacq, J. Bourgueil, A. Aidoud, J. Bleuet, M. Mennecart, . V. Dardaine-Giraud y B. Fougère , «Persistence of Effect of Medication Review on Potentially Inappropriate Prescriptions in Older Patients Following Hospital Discharge,» Drugs & Aging, vol. 38, pp. 243-252, 2021. T. Nuckols, C. Berdahl, A. Henreid, J. Schnipper, J. Fanikos, J.-H. Kim, D. Leang, L. Matta, K. Mulligan, A. Ray, R. Shane, K. Wassef y J. Pevnick, «Comprehensive Pharmacist-led Transitions-of-care Medication Management around Hospital Discharge Adds Modest Cost Relative to Usual Care: Time-and-Motion Cost Analysis,» Inquiry : a journal of medical care organization, provision and financing, vol. 60, 2023. S. Sabharwal, H. Wilson, P. Reilly y C. M. Gupte, «Heterogeneity of the definition of elderly age in current orthopaedic research,» Springerplus, vol. 4, 2015. N. Rousselot, J.-P. Joseph, P. Noïze, D. Berdaï , A. Fourrier-Réglat y P. Bosco-Levy, «Ambulatory drug changes in the elderly after hospital discharge: A cohort study,» Therapie, vol. 76, nº 6, pp. 587-595, 2021. S. Lee, Y. M. Yu, E. Han, M. S. Park, J.-H. Lee y M. J. Chang, «Effect of Pharmacist-Led Intervention in Elderly Patients through a Comprehensive Medication Reconciliation: A Randomized Clinical Trial,» Yonsei medical journal, vol. 64, nº 5, pp. 336-343, 2023. B. Park, A. Baek, Y. Kim, Y. Suh, J. Lee, E. Lee, J.-Y. Lee, E. Lee, J. Lee, H. S. Park, E. S. Kim , Y. Lim, N. Kim, J. H. Ohn y H. W. Kim, «Clinical and economic impact of medication reconciliation by designated ward pharmacists in a hospitalist-managed acute medical unit,» Research in social & administrative pharmacy : RSAP, vol. 18, nº 4, p. 2683–2690, 2022 A. Magallón, A. Pinilla, P. Casajús, A. García, M. d. C. Bueno, R. Caballero, M. Sevil y M. Abad, «Atención farmacéutica al paciente ingresado en una unidad multidisciplinar de paciente crónico complejo,» Revista Farmacia Hospitalaria, vol. 47, nº 3, pp. t106-t112, 2023. E. H. Bowman, K. Flood y A. Arbaje, «Models of Care to Transition from Hospital to Home,» de Acute Care for Elders, Humana Press, 2014, pp. 175-202. P. Midlöv, L. Bahrani, M. Seyfali, P. Höglund, E. Rickhag y T. Eriksson, «The effect of medication reconciliation in elderly patients at hospital discharge.,» International journal of clinical pharmacy, vol. 34, pp. 113-119, 2012. M. Rojas Ocaña, B. García Navarro, S. Garcia Navarro, M. Macías Colorado, S. Baz Montero y M. Araujo Hernandez, «Influence of the COVID-19 Pandemic on Medication Reconciliation in Frail Elderly People at Hospital Discharge: Perception of Healthcare Professionals.,» International journal of environmental research and public health, vol. 19, nº 16, 2022. L. Ying, L. Li, C. Hui, T. Kang, H. Pei, F. Jung, C. Hsing, J. Hung, C. Chien y C. Chien, «Impact of Computer-Based and Pharmacist-Assisted Medication Review Initiated in the Emergency Department.,» Journal of the American Geriatrics Society, vol. 67, nº 11, pp. 2298-2304, 2019. E. Kiesel, M. Drey y Y. Pudritz, «Influence of a ward-based pharmacist on the medication quality of geriatric inpatients: a before-after study.,» International journal of clinical pharmacy, vol. 44, nº 2, pp. 480-488, 2022. J. Allen, A. M. Hutchinson, R. Brown y P. M. Livingston, «User experience and care for older people transitioning from hospital to home: Patients' and carers' perspectives,» Health expectations : an international journal of public participation in health care and health policy, vol. 21, nº 2, pp. 518-527, 2018. D. Weir, A. Motulsky, M. Abrahamowicz, T. Lee, S. Morgan, D. Buckeridge y R. Tamblyn, «Challenges at Care Transitions: Failure to Follow Medication Changes Made at Hospital Discharge,» The American journal of medicine, vol. 132, nº 10, pp. 1216-1224, 2019. P. Rutter, H. Ramsbottom y R. Fitzpatrick, «Community pharmacist perceptions of delivering post-hospital discharge Medicines Use Reviews for elderly patients.,» International journal of clinical pharmacy, vol. 39, nº 1, pp. 33-36, 2017. E. Sarzynski, M. Ensberg, A. Parkinson, K. Shahar, K. Brooks y C. Given, «Health Information Exchange of Medication Lists: Hospital Discharge to Home Healthcare,» Home healthcare now, vol. 37, nº 1, pp. 33-35, 2019. N. M. Stall, H. D. Fischer, F. Wu, A. Bierman, S. Brener, S. Bronskill, E. Etchells, O. Fernandes, D. Lau, M. M. Mamdani, P. Rochon, D. R. Urbach y C. M. Bell, «Unintentional Discontinuation of Chronic Medications for Seniors in Nursing Homes: Evaluation of a National Medication Reconciliation Accreditation Requirement Using a Population-Based Cohort Study,» Medicine, vol. 94, nº 25, 2015. P. Midlöv, L. Bahrani, M. Seyfali, P. Höglund, E. Rickhag y T. Eriksson, «The effect of medication reconciliation in elderly patients at hospital discharge,» International journal of clinical pharmacy, vol. 34, nº 1, pp. 113-119, 2012. T. Kostas, A. Paquin, K. Zimmerman, M. Simone, L. Skarf y J. Rudolph, «Characterizing medication discrepancies among older adults during transitions of care: a systematic review focusing on discrepancy synonyms, data sources and classification terms,» AGING HEALTH, vol. 9, nº 5, 2013. I. Marinović, V. Bačić Vrca , I. Samardžić , S. Marušić , I. Grgurević, I. Papić, D. Grgurević, M. Brkić, N. Jambrek y J. Mesarić , «Impact of an integrated medication reconciliation model led by a hospital clinical pharmacist on the reduction of post-discharge unintentional discrepancies,» Journal of clinical pharmacy and therapeutics, vol. 46, nº 5, pp. 1326-1333, 2021. K. Laugaland, K. Aase y J. Waring, «Hospital discharge of the elderly-an observational case study of functions, variability and performance-shaping factors,» BMC Health Serv Res, vol. 14, 2014. F. Pereira, M. Bieri, M. Carral, M. Martins y H. Verloo, «Collaborative medication management for older adults after hospital discharge: a qualitative descriptive study,» BMC Nurs, vol. 21, 2022. S. Fadaleh, T. L. Charrois, T. Makhinova, D. Eurich, S. Rahman y C. A. Sadowski, «The effect of home medication review in community-dwelling older adults: a systematic review,» Journal of Public Health, vol. 30, p. 1857–1872 , 2022. A. Nguyen, J. Wisniewski, D. W. Leang, M. S. Keller, . S. Rosen, R. Shane y J. Pevnick, «Effect of the population health inpatient Medicare Advantage pharmacist intervention on hospital readmissions: A quasi-experimental controlled study,» Journal of managed care & specialty pharmacy, vol. 29, nº 3, pp. 266-175, 2023. J. Schultz, K. Halvorsen, K. Svendsen, K. Havnes, E. Robinson, H. Ljones, S. Haustreis, L. Småbrekke, E. Kamycheva y B. Garcia, «Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial,» BMC health services research, vol. 22, nº 1, 2022. E. Manias, T. Bucknall, C. Hughes, C. Jorm y R. Woodward-Kron, «Family involvement in managing medications of older patients across transitions of care: a systematic review,» BMC geriatrics, vol. 19, nº 1, 2019. K. Kokorelias, M. Nelson, T. Tang, C. Steele, M. Ellen, D. Plett, C. Jarach, J. Nie, K. Thavorn y H. Singh, «Inclusion of Older Adults in Digital Health Technologies to Support Hospital-to-Home Transitions: Secondary Analysis of a Rapid Review and Equity-Informed Recommendations,» JMIR aging, vol. 5, nº 2, 2022. N. Moore, D. Berdaï, P. Blin y C. Droz, «Pharmacovigilance - The next chapter,» Therapie, vol. 74, nº 6, pp. 557-567, 2019. B. Sánchez, G. Carrillo y L. Barrera, «El plan de transición y egreso hospitalario y su efecto en el cuidado de la salud: una revisión integrada,» Revista U.D.C.A Actualidad & Divulgación Científica, vol. 17, nº 1, pp. 13-23, 2014.
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spelling	Amaya Mendez, SergioMontañez Romero, BrayanZabala Rodriguez, Paula Natalia2024-05-15T00:52:37Z2024-05-15T00:52:37Z2024-04https://hdl.handle.net/20.500.12495/12116Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coDentro de la temática a llevar en el siguiente trabajo, se entiende que la determinación de errores de medicación se puede mitigar y reducir de manera efectiva por medio de un procedimiento que se conoce como Conciliación Farmacoterapéutica, el cual consiste en la formación y ejecución de actividades que permitan revelar el perfil farmacoterapéutico (control medicamentoso de acuerdo a la necesidad actual del paciente), conllevando el registro pertinente de terapias que el paciente esté llevando a cabo y otro tipo de datos que puedan aportar información sobre las mismas (enfermedades actuales, riesgos del paciente, perfil hereditario, etc.). Sin embargo, en este tipo de conciliaciones farmacoterapéuticas, no se tienen en cuenta las variables que genera la creación de una administración medicamentosa adicional en la instancia hospitalaria a la que se somete al paciente, específicamente al egreso, sobretodo en poblaciones altamente expuestas a la polimedicación y agudización de efectos adversos como lo son los adultos mayores, asociado a cambios farmacocinéticos y farmacodinámicos relativos a su edad, además del uso que se dará a estos medicamentos al egreso hospitalario. La misión de este trabajo se centrará en la realización de una revisión panorámica para determinar el alcance que puede llegar a tener la ejecución de la conciliación farmacoterapéutica al egreso por medio de diferentes herramientas para identificar y corregir discrepancias de medicamentos y la correlación que puedan tener respecto la generación, agudización y relación directa de efectos adversos o daño causado por medicamentos, luego de un periodo de hospitalización (egreso). La revisión se enfocará en la población del adulto mayor y en las dificultades generadas en el seguimiento post-egreso hospitalario de este grupo, contando así los tipos de fallos relativos a la farmacovigilancia, fallos en la educación farmacoterapéutica al paciente y se estudiará la relación de efectos adversos o fallas medicamentosas relacionada directamente con los egresos hospitalarios.PregradoQuímico FarmacéuticoIt is understood that the determination of medication errors can be effectively mitigated and reduced by means of a procedure known as Pharmacotherapeutic Reconciliation, which consists of the formation and execution of activities that allow revealing the pharmacotherapeutic profile, involving the relevant record of therapies that the patient is undergoing and other types of data that can provide information about them. However, in this type of pharmacotherapeutic conciliations, the variables generated by the creation of an additional drug administration in the hospital instance to which the patient is submitted, specifically at discharge, are not taken into account, especially in populations highly exposed to polymedication and aggravation of adverse effects such as the elderly, associated to pharmacokinetic and pharmacodynamic changes related to their age, in addition to the use that will be given to these drugs at discharge from the hospital. The mission of this work will focus on the realization of a panoramic review to determine the scope of the execution of pharmacotherapeutic reconciliation at discharge by means of different tools to identify and correct drug discrepancies and the correlation they may have regarding the generation, aggravation and direct relationship of adverse effects or damage caused by drugs, after a period of hospitalization (discharge).application/pdfAtribución-NoComercial-CompartirIgual 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-sa/4.0/Acceso abiertoinfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Conciliación farmacoterapéuticaDiscrepanciasAdulto mayorEgreso hospitalario615.19Pharmacotherapeutic conciliationDiscrepanciesElderlyHospital dischargeConciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámicaPharmacotherapeutic reconciliation at hospital discharge in older adults: An overview reviewQuímica FarmacéuticaUniversidad El BosqueFacultad de CienciasTesis/Trabajo de grado - Monografía - Pregradohttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aaN. 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Barrera, «El plan de transición y egreso hospitalario y su efecto en el cuidado de la salud: una revisión integrada,» Revista U.D.C.A Actualidad & Divulgación Científica, vol. 17, nº 1, pp. 13-23, 2014.spaORIGINALTrabajo de Grado.pdfTrabajo de Grado.pdfapplication/pdf538923https://repositorio.unbosque.edu.co/bitstreams/543a175b-6ca4-44d4-8693-f909bc03ff10/download8ba34e40fa729759990f47663ce4a32bMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-82000https://repositorio.unbosque.edu.co/bitstreams/4a62b85b-dcff-4514-bc4e-4ddb5994c750/download17cc15b951e7cc6b3728a574117320f9MD56Anexo 1 Acta de aprobacion.pdfapplication/pdf2514628https://repositorio.unbosque.edu.co/bitstreams/2f7d429a-e656-436e-b23c-2f818b26dd6e/downloadb77e6c5308b667ab1edc2745c02a7fa4MD514Carta de autorizacion.pdfapplication/pdf246791https://repositorio.unbosque.edu.co/bitstreams/b1108ce8-9e1f-4ffe-b4f1-0be4ddbfa110/download2b635bc9707cdd08ef1806992b9f08afMD515CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8893https://repositorio.unbosque.edu.co/bitstreams/9e380464-61a6-4588-9594-69d9e28ef606/download5310bb89a00d5ead086944535cc857c4MD57TEXTTrabajo de Grado.pdf.txtTrabajo de Grado.pdf.txtExtracted texttext/plain89932https://repositorio.unbosque.edu.co/bitstreams/6c06fb04-1dc5-46af-a27e-59f556c6917b/download8f27dcf903b890bcdf9b333ba6f837a8MD510THUMBNAILTrabajo de Grado.pdf.jpgTrabajo de Grado.pdf.jpgGenerated Thumbnailimage/jpeg4829https://repositorio.unbosque.edu.co/bitstreams/6a961ec7-3fe7-4ed1-a36e-163801dc68f3/download23792556c5b02a799b5f026556814ccfMD51120.500.12495/12116oai:repositorio.unbosque.edu.co:20.500.12495/121162024-07-04 12:01:54.722http://creativecommons.org/licenses/by-nc-sa/4.0/Atribución-NoComercial-CompartirIgual 4.0 Internacionalopen.accesshttps://repositorio.unbosque.edu.coRepositorio Institucional Universidad El Bosquebibliotecas@biteca.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

Conciliación farmacoterapéutica al egreso hospitalario de adultos mayores: Una revisión panorámica

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