Integrating a pharmacist into the perioperative setting.

Area of Science:

• Pharmacy Practice
• Health Economics
• Quality Improvement

Background:

• Medication management in operating theatres (OT) at a tertiary hospital exhibited deficiencies.
• A pilot program was initiated to address these issues and evaluate potential benefits.

Purpose of the Study:

• To assess the quality and economic impact of integrating a pharmacist into the perioperative environment.
• To determine if cost savings and improved medication management justify a permanent role.

Main Methods:

• A pharmacist was employed for a 6-month pilot period.
• A multidisciplinary committee set goals and drove strategic initiatives.
• Pharmaceutical expenditure, cost savings, and staff satisfaction were measured.

Main Results:

• Achieved A$63,884 in savings during the 6-month pilot through optimized pricing, stock review, and redesigned management strategies.
• Improved medication access, reduced wastage, and implemented protocols for high-cost/risk medications.
• 97% of theatre staff supported continuation; extended role demonstrated A$157,265 savings at 12 months.

Conclusions:

• Integration of a perioperative pharmacist yields significant cost savings and enhances medication management in the OT.
• The demonstrated benefits supported the establishment of a permanent, funded position.