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Controlled substances system change provides increased accountability.

R A Proksch, A N Riley

    Hospital Pharmacy
    |December 12, 1981
    PubMed
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    A new controlled substance distribution system was developed and implemented in an 800-bed hospital. This enhanced system improved drug control and provided insights into operational efficiency.

    Area of Science:

    • Pharmacy Practice
    • Hospital Administration
    • Drug Control Systems

    Background:

    • Evaluating existing controlled substance distribution and control systems is crucial for hospital pharmacies.
    • Decentralized pharmacy systems present unique challenges in managing controlled substances.
    • Previous systems may not adequately meet the needs of large, modern hospitals.

    Purpose of the Study:

    • To design and implement an improved controlled substance distribution and control system for an 800-bed hospital.
    • To replace an outdated system with a comprehensive solution tailored to a decentralized pharmacy.
    • To enhance drug security and operational efficiency within the hospital pharmacy.

    Main Methods:

    • Conducted a mail survey of other hospitals to gather data on existing control substance systems and procedures.

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  • Designed a new system based on survey data and prior experience, specifically for an 800-bed decentralized pharmacy.
  • Implemented the new system in a phased, stepwise approach over 14 weeks in two-week increments.

    • Main Results:

    • The new distribution and control system was fully implemented, replacing the prior system.
    • The implementation process involved generating new forms and procedures.
    • The enhanced system led to increased control over substances and identified key areas for workload, inventory, and problem management.

    Conclusions:

    • A well-designed, decentralized controlled substance system can significantly improve drug management in large hospitals.
    • Phased implementation is an effective strategy for transitioning to a new hospital-wide system.
    • The new system provides valuable data for optimizing pharmacy operations and drug security.