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Pharmacist-managed intravenous to oral step-down program

K A Hunter1, G K Dormaier

  • 1Washington State University College of Pharmacy, Spokane, USA.

Clinical Therapeutics
|May 1, 1995
PubMed
Summary
This summary is machine-generated.

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A pharmacist-led program successfully transitioned patients from intravenous to oral medications, achieving significant cost savings and improving physician awareness of appropriate oral drug use.

Area of Science:

  • Pharmaceutical care
  • Health economics
  • Clinical pharmacy

Background:

  • Hospitals aim for cost-effective pharmaceutical care.
  • Intravenous to oral step-down programs can reduce medication costs.
  • Pharmacist involvement is key to optimizing medication use.

Purpose of the Study:

  • To implement and evaluate a pharmacist-managed intravenous to oral step-down program.
  • To assess the cost-effectiveness and physician acceptance of the program.
  • To determine the impact on physician awareness of oral medication appropriateness.

Main Methods:

  • A pharmacist-managed program was developed in a 650-bed community hospital.
  • Satellite pharmacists reviewed patient charts for 10 targeted intravenous drugs.

Related Experiment Videos

  • Recommendations for switching to oral formulations were made based on criteria and clinical judgment.

    • Main Results:

    • Over 7 months, 223 recommendations were made, with 190 implemented.
    • This resulted in $21,596.00 in cost savings, projected to annualize to $37,000.00.
    • The program was well-accepted by physicians and pharmacists.

    Conclusions:

    • Pharmacist-managed intravenous to oral step-down programs are effective for cost savings.
    • Such programs enhance physician awareness of appropriate oral medication use.
    • This model demonstrates a positive impact on pharmaceutical care and hospital finances.