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Management control of drug administration programs

G A Stewart, M A Covaleski, M S Taylor

    American Journal of Hospital Pharmacy
    |November 1, 1981
    PubMed
    Summary
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    Pharmacy technicians can be managed more efficiently than nurses for routine drug administration tasks. This study found no difference in medication errors or service quality between technicians and nurses.

    Area of Science:

    • Healthcare Management
    • Pharmacy Practice
    • Nursing Administration

    Background:

    • Managerial control systems are crucial for efficient healthcare delivery.
    • The role of pharmacy technicians in drug administration is expanding.
    • Understanding the impact of different personnel on managerial control is essential.

    Purpose of the Study:

    • To investigate the relationship between drug administration by pharmacy technicians versus nurses and managerial control systems.
    • To examine the influence of technology complexity and variability as moderators.
    • To assess the impact on medication errors and perceived control.

    Main Methods:

    • Hierarchical multiple regression analysis was employed.
    • Data collected from pharmacists, pharmacy technicians, and nurses via questionnaires.

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  • Study conducted in a hospital with mixed drug administration models.

    • Main Results:

    • No significant effect of drug administration type or technology on medication errors.
    • Pharmacists perceived greater behavioral control when supervising nurses compared to technicians.
    • Nurses and technicians perceived greater pharmacist control in low-variability nursing-administered tasks.

    Conclusions:

    • Pharmacy technicians can be managed more efficiently than nurses for routine drug administration.
    • Quality of drug administration services was similar between technicians and nurses.
    • Managerial strategies may need adaptation based on task variability and personnel involved.