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Strategic design of a pharmacological monitoring system in Atlántico to strengthen medication safety
This research analyzes the feasibility of implementing a regional pharmacovigilance system in the Department of Atlántico, with the purpose of optimizing medication safety monitoring and strengthening public health. Through a pre-investment study structured in three phases—profile, prefeasibility, and feasibility—and supported by project management tools, the creation of a decentralized observatory with technical autonomy and real-time epidemiological analysis capacity is proposed. The methodology adopted an exploratory-descriptive mixed approach, combining the use of the PMBOK® Guide as a management framework with qualitative and quantitative techniques. Technical and financial feasibility analyses were carried out, together with a strategic SWOT analysis and consultations with key stakeholders through surveys and interviews with professionals from health care institutions in Atlántico. The results reveal critical deficiencies in current pharmacovigilance processes, particularly in the quality of adverse event reports, which in many cases lack essential information such as drug imputability, event severity, and patient characteristics. This situation, together with institutional fragmentation and a weak reporting culture, limits the health system’s capacity for timely response. The proposed observatory would help reduce the incidence of preventable adverse events, improve clinical and administrative decision-making, and strengthen a patient safety culture based on evidence. Moreover, it represents a replicable model that could be applied in other regions of the country, aligned with WHO guidelines on medication safety.
