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Pharmacy-based distribution system for enteral nutrition products
American Journal of Hospital Pharmacy
|December 1, 1985
Summary
A hospital pharmacy improved enteral nutrition product distribution by taking over from central distribution. A proposed admixture service was deferred due to inconclusive cost-effectiveness and bacteriologic data.
Area of Science:
- Hospital Pharmacy
- Nutritional Support
- Healthcare Management
Background:
- Central distribution of enteral nutrition products led to issues with inventory control, billing, and administration.
- A multidisciplinary approach identified further problems necessitating a change in product management.
Purpose of the Study:
- To describe the implementation of a pharmacy-led enteral nutrition product distribution system.
- To evaluate the feasibility and cost-effectiveness of a pharmacy-based enteral nutrition admixture service.
Main Methods:
- Transferring enteral nutrition product distribution responsibility to the hospital pharmacy department.
- Developing a formulary for enteral nutrition products.
- Conducting a cost-effectiveness evaluation and random bacteriologic monitoring for a proposed admixture service.
Main Results:
- Pharmacy-based distribution resolved issues with inaccurate patient charges and excessive stock on nursing units.
- Data from cost-effectiveness and bacteriologic monitoring did not support the immediate implementation of an admixture service.
Conclusions:
- Pharmacy-led distribution of enteral nutrition products effectively addressed previous logistical and financial problems.
- Further evaluation is needed to justify the development of a pharmacy-based enteral nutrition admixture program for potential cost savings.