开发一种敏度评分系统,以主动解决药物短缺问题,提高供应链的弹性
Joanne Elizabeth Canedo1, Eric Andrews2, William A Mabry2
1Department of Pharmacy and Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, and Department of Pharmacy Administration, University of Mississippi, Oxford, MS, USA.
概括
药物短缺威胁到医疗保健的质量,尤其是儿童. 一个新的敏度评分系统优先考虑供应链冗余的药物,确定95种最关键的药物来缓解短缺.
科学领域:
- 医疗保健管理的管理
- 供应链管理 供应链管理
- 儿科药房 儿科药房
背景情况:
- 药物短缺严重影响患者护理质量,特别是在儿科环境中.
- 有效的药物供应链管理对于医疗保健的连续性至关重要.
- 针对药物短缺的积极规划对于保持患者安全至关重要.
研究的目的:
- 开发一种尖度评分系统,用于在供应链冗余计划中优先考虑药物.
- 识别那些缺乏药物会对患者护理造成最大破坏的药物.
- 建立一个框架,以缓解儿科医疗保健中的药物短缺问题.
主要方法:
- 在两轮中使用了德尔菲方法,以达成对药物评分的共识.
- 使用了四个主要标准:历史供应中断,药物单位成本,运营影响和临床影响.
- 根据供应链和成本数据,建立了95种药物和配方组合的清单.
主要成果:
- 敏度评分系统成功地根据药物在短缺期间的潜在影响对药物进行了排名.
- 通过代评分来达成共识,在第二轮中达成80%的协议.
- 十大最优先的药物表现出显著的操作和临床影响评分.
结论:
- 开发的敏度评分系统和算法可以被其他机构采用,以缓解短缺.
- 这种方法提高了供应链的弹性,并支持积极主动地管理药物短缺.
- 建议进行进一步的研究,以验证在不同的医疗保健环境中得分算法的可靠性.
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