Application of the Basel Statements self-assessment questionnaire in eight hospitals in Latin America

Zavaleta-Monestel E.; Villalobos-Madriz A.; Fallas-Mora A.; Martínez-Vargas E.; Munich-Calvo A.; Teixeira V.; Dalmaso-Neto S.; Sánchez C.; Morales-Vallespín J.; Milano-Gil A.; Arroyo-Monterroza D.; Delgado-Pérez G.; Stepanovic M.; Eckel S.; Ivey M. · Farmacia Hospitalaria (2026) · DOI: 10.1016/j.farma.2025.11.013

Resumen

The standardization of hospital pharmacy practice remains a challenge in Latin America due to the heterogeneity of healthcare systems. The Basel Statements, developed by the International Pharmaceutical Federation, provide guidelines aimed at improving patient safety and medication management; however, their implementation across the region is inconsistent. Objective: To evaluate the application of the Basel Statements Self-Assessment Questionnaire in hospitals across Latin America and identify priority areas for improvement. Method: A multicenter study was conducted in eight hospitals from eight countries. A 33-item questionnaire based on the Basel Statements was electronically distributed to clinical and hospital pharmacists. A descriptive analysis was performed. Results: Only 25% of hospitals reported effective integration of pharmacists into clinical decision-making. Fewer than one-third had adequate medication traceability systems. Additionally, only 37.5% reported having regulations for the use of dietary supplements. Lack of standardization in medication storage and administration was also observed, increasing the risk of medication errors. Conclusions: Implementation of the Basel Statements in Latin America is heterogeneous and requires targeted interventions. Strengthening pharmacists' involvement in multidisciplinary teams, improving traceability systems, and developing stronger regulations to support the safe use of medications are essential steps to enhance patient safety in the region.