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KMID : 0869620000170010153
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Journal of Korean Society of Hospital Pharmacists
2000 Volume.17 No. 1 p.153 ~ p.166
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Assessment of Returned-Medication in Inpatient Pharmacy with Order Communication System
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오윤경/Oh, Yun Kyoung
김희수/이영미/손기호/최경업/Kim, Hie Sue/Lee, Young Mi/Son, Ki Ho/Choi, Kyung Up
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Abstract
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Information about returned-medications after preparing as prescribed may serve as a part medication history, and to patients that information may be associated with increased medical expenses. Therefore, it is very important that such information is handled rapidly and accurately among departments involved in a hospital. Furthermore, accurate medication administration history serves as a basic information pharmacists needs in order to expand the role of a pharmacist as patient-oriented drug therapy specialist. In Samsung Medical Center (SMC), the information about returned medications is done by written communication and the information delivered to pharmacists is inaccurate. So the purpose of this study was to analyze work related to returned medications in hospitals with Order Communication System (OCS).
First the problems with work related to processing returned-medications were identified. Based on this result, questionnaires were sent by mail to 50 tertiary hospitals all over the country. Finally, based on these, a new model for handling returned-mediations has been proposed.
In SMC, the biggest problem in work associated with returned-medications was inaccurate information on slips for returned-medications. This problem could not be solved by short-term education in such matter. Of 50 hospitals where questionnaires were mailed 50% replied. and among these hospitals, 60% were with OCS. But in most hospitals with OCS, inaccuracy of slip was not a problem, because slip was done by on-line program and not a hand-written one. However, accurate patient information was not shared between wards and pharmacy as in SMC. The workflow related to returned medications could be divided into two types; however they presented with different patterns of cost loss. A poor appreciation by pharmacist regarding workflow associated with returned-medications and a difficulty in sharing information between wards and pharmacy were listed as common problems.
The workflow related to returned medications must be managed by pharmacists. Thus we need to develop a new model for processing returned medications with accuracy and appropriate information.
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