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Navigating Drug Shortages in Obstetric Care
Gillian Piltch1, David Rochelson1, Burton Rochelson1
1Northwell, New Hyde Park, New York; Department of Obstetrics and Gynecology, North Shore University Hospital, Manhasset, New York; Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York; and Garwin Gerstein & Fisher LLP, New York, New York.
Long-duration drug shortages are rising, impacting patient care and straining healthcare systems. Proactive strategies and teams are essential to mitigate risks and ensure patient safety during these critical supply chain disruptions.
Area of Science:
- Pharmacology and Health Services Research
Background:
- Increasing annual incidence of long-duration drug shortages in the United States.
- Drug shortages pose significant risks to patient care, including compromised or delayed treatment.
- These shortages create operational and financial strain on healthcare systems.
Purpose of the Study:
- To define drug shortages, explore their causes, and discuss prediction and response strategies.
- To review causes and responses for five specific drugs used in obstetric care.
- To emphasize the need for preparedness in anticipation of future drug shortages.
Main Methods:
- This clinical perspective synthesizes existing knowledge on drug shortages.
- It includes a review of causes and responses pertinent to obstetric medications.
- The study explores definitions, causes, prediction, and response mechanisms.
Main Results:
- Drug shortages are a growing concern with multifaceted impacts on patient care and healthcare operations.
- Specific obstetric drugs have experienced shortages, highlighting vulnerabilities in maternal healthcare.
- Preparedness is identified as a critical factor in managing shortage impacts.
Conclusions:
- Healthcare professionals and systems must establish robust mechanisms for advance preparation for drug shortages.
- Developing necessary teams and systems is crucial to protect the health and safety of all patients, particularly pregnant individuals.
- Proactive strategies are vital in the current era of frequent and unanticipated drug supply disruptions.
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