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Comprehensive therapeutic interchange program in a community hospital.

T Oh1, T G Franko

  • 1Department of Pharmacy, Mercy Hospital, Miami, FL 33133.

American Journal of Hospital Pharmacy
|July 1, 1991
PubMed
Summary

This study details an automatic therapeutic interchange program implemented in a community hospital. The program successfully reduced physician calls and drug costs while maintaining therapeutic effectiveness.

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Area of Science:

  • Pharmacy Practice
  • Health Services Research
  • Drug Utilization

Background:

  • Hospitals face challenges with nonformulary drug orders, leading to increased physician calls and costs.
  • Optimizing drug therapy effectiveness is crucial for patient care and hospital efficiency.

Purpose of the Study:

  • To describe the implementation and outcomes of an automatic therapeutic interchange program.
  • To reduce administrative burden and drug expenditures in a community hospital setting.

Main Methods:

  • Developed and implemented an automatic therapeutic interchange program for nonformulary drugs.
  • Involved pharmacists, physicians, and the pharmacy and therapeutics committee in program design and approval.
  • Utilized a physician override system for "medically necessary" nonformulary agents.
  • Phased in more controversial agents after initial success and demonstrated cost efficiencies.

Main Results:

  • Successfully reduced telephone calls to physicians regarding nonformulary drug orders.
  • Achieved significant cost savings through drug cost reduction.
  • Demonstrated minimal noncompliance and confusion among medical staff.
  • Program has been effective since its institution in 1986.

Conclusions:

  • Automatic therapeutic interchange programs can be successfully implemented in community hospitals.
  • Such programs can enhance efficiency, reduce costs, and maintain drug therapy effectiveness.
  • Careful planning, stakeholder involvement, and phased implementation are key to success.

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