在非自动化领域实施和评估标准化药物过期过程
Nathan J Oblizajek1, Marc A Phillips1, David A Cecere1
1WVU Medicine, Morgantown, WV, USA.
Hospital pharmacy
|May 20, 2024
概括
实施系统的药物再分配工作流程显著减少了13.6%的过期药物浪费和19.7%的成本. 这项质量改进倡议展示了医疗保健系统有效的药物管理策略.
科学领域:
- 医疗保健管理的管理
- 药房运营 药房运营 药房运营
- 提高质量 提高质量
背景情况:
- 由于过期而造成的药物浪费在医疗保健机构中构成了巨大的财务负担和运营挑战.
- 现有的药物管理系统往往缺乏积极的战略来重新分配即将到期的库存.
- 无法退还的过期药物导致了大量的财务损失和环境问题.
研究的目的:
- 实施和评估一个系统的工作流程,将即将到期的药物重新分配到高利用率地区.
- 减少卫星药房区域内过期药物的数量和相关成本.
- 提高药物管理的整体效率和资源分配.
主要方法:
- 在两个卫星药房区域实施了一项质量改善计划,涉及标准化药物管理工作流.
- 在实施前和之后收集过期药物的数据 (数量和批发采购成本) (基线:2022年1月至12月;后期:2023年1月至3月).
- 制定和执行工作流程协议,文档和人员培训.
主要成果:
- 已过期药物的年度估计数量下降了13.6% (减少了284种药物),成本降低了19.7% (5075美元).
- 第一季度实施后的数据显示,与去年相比,过期药物数量减少了31.1% (减少了203种药物),成本降低了33.0% (2548美元).
- 标准化再分配过程在减轻药物浪费方面被证明是有效的.
结论:
- 在药物到期前进行药物再分配的积极,标准化的方法有利于医疗机构.
- 这一策略有效地减少了药物浪费,相关成本,并改善了库存利用率.
- 在医院所在地和整个企业范围内更广泛地实施可能会带来显著的好处.
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