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KMID : 0869620100270010064
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Journal of Korean Society of Hospital Pharmacists
2010 Volume.27 No. 1 p.64 ~ p.71
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Work activities of a clinical pharmacist through a Unit Dose System implementation
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Woo Ji-Yun
La Hyen-O
Han Ok-Youn
Kwon Sung-Hee
Gu Hyun-Jun
Han Young-Hyun
Yoon Jeong-Yi
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Abstract
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In a hospital pharmacy, traditional drug distribution system (TDS) was a combination of patient prescription system (PPS) and floor stock system (FSS). But, these systems can increase more medication error, drugs discarded, and wasteful nursing time. Therefore, we introduced Unit Dose System (UDS), which provides drugs for 24hr from noon to next day noon, in a trial ward from May 2008 and a clinical pharmacist managed patient medication profile and dispensing. To make a quality index for UDS extension, we evaluated administration-related improvements and analyzed medication intervention by a clinical pharmacist. Rate of regular medication order increased from 40.3% to 60.0% which implied the efficiency of pharmacy work flow. Nurses’administration time was decreased as much as 44.4% from average 322 minutes to average 179 minutes after UDS implementation. Medication error was none in UDS compared to one case of wrong time administration in TDS. Efficiency of stock management was improved by reducing floor stock down by 96.1%, the floor stock remained was 4 kinds of parenteral analgesics. Dispensing time for UDS bin filling and checking was required average 42 minutes. A clinical pharmacist performed medication intervention through management of patient medication
profile (PMP) after rounding with physicians. A pharmacist also did patient educations, clinical pharmacokinetic consultation service, and drug identification. The clinical service was concentrated to medication intervention by 37.5% which included adverse drug event (ADE) 23.6%, dosage 20.1%, and drug recommendation 14.6%. In conclusion, we achieved medication order process setting for UDS, decrease in nurses’administration time. A clinical pharmacist, who is a essential model of UDS implement, performed a critical role in pharmaceutical care and communication with other health care provider.
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KEYWORD
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Unit Dose System, UDS, clinical pharmacist, medication intervention
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