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Related Experiment Videos

Comprehensive pharmaceutical services in the emergency room

R W Spigiel, R J Anderson

    American Journal of Hospital Pharmacy
    |January 1, 1979
    PubMed
    Summary

    A decentralized hospital pharmacy service using a mobile cart in the emergency room is cost-effective. This system efficiently fills prescriptions, generating profit and supporting clinical services.

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    Area of Science:

    • Pharmacy Practice
    • Hospital Pharmacy Services
    • Emergency Medicine Pharmacy

    Background:

    • Decentralized pharmaceutical services can improve efficiency in hospital settings.
    • Emergency rooms present unique challenges for timely medication dispensing.
    • Limited inventory systems require careful planning for optimal coverage.

    Purpose of the Study:

    • To describe a decentralized pharmaceutical service in a hospital emergency room.
    • To evaluate the cost-effectiveness and operational efficiency of this model.
    • To assess the impact on clinical services and pharmacy education.

    Main Methods:

    • Implementation of a mobile medication cart with prepackaged medications in the emergency room.
    • Operation of the service from 4 p.m. to midnight daily.
    • A nine-month survey to collect data on prescription volume, costs, and revenue.

    Main Results:

    • Start-up costs were under $2,200.
    • The system could fill approximately 94% of emergency room prescriptions.
    • An average daily profit of $60.51 over drug expense was achieved, exceeding pharmacist salary costs.

    Conclusions:

    • A decentralized, mobile medication cart system is a cost-effective pharmaceutical service model for hospital emergency rooms.
    • This model can successfully integrate traditional dispensing with clinical services and educational activities.
    • The service demonstrated financial viability and operational efficiency.

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