Hospital Drug Management Research Articles

AI-driven smart pharmacology

With the progress of digital technology and innovative drug R&D, machine learning and data-driven algorithms have been increasingly used to support the core work of pharmaceutical areas such as new drug discovery, drug reuse and drug supervision, etc.1 A new concept of "Smart Pharmacology" has gradually grown into a system with rich connotations and comprehensive coverage, and the related applications and industrial chain have high prospects for development. The so-called "Smart Pharmacology " mainly uses big data, cloud computing, AI, IoT, 5G, Blockchain and other forefront digital technologies to provide whole-process, information-based, intelligence-driven solutions for various scenarios in the pharmacy sectors, including new drug development, drug molecular design, hospital drug management, clinical drug decision support, modernization of traditional medicine, pharmacy informatization, drug regulation and other broad areas, with a wide range covering drug discovery, production, supply, circulation, procurement, allocation and monitoring. In fact, the emergency of smart pharmacology provides a comprehensive and optimized path for modernizing the whole life cycle management of drugs and instills new vitality into the development of modern pharmacy.

The Impact of Hospital Pharmacy Operation on the Quality of Patient Care

This paper presents the role, tasks, and place of a hospital pharmacy in the structure of the entire facility. The role of hospital drug management and pharmacy seems to be extremely important in providing patients with high-quality care. Particular emphasis was placed on the distribution systems of medicinal products and medical devices in the hospital. The advantages and disadvantages of the classical distribution system and modern systems such as unit-dose and multi-dose-and the most important differences between them-are presented. Difficulties related to implementing modern distribution systems in hospitals were also discussed. The information provided is presented in the context of the legal regulations in Poland.

Gambaran Umum Penggunaan Lean Six Sigma Pada Manajemen Obat di RS

The hospital pharmacy installation is an important unit in the hospital that is responsible for pharmaceutical activities. Pharmacy is the last unit and one of the important parts that determine patient satisfaction, to improve the service process in operations management, the method that can be used is lean six sigma to help improve service quality and patient satisfaction by minimizing errors and waiting times through organizing and managing the hospital management system. The purpose of this study is to identify an overview of the use of lean six sigma in drug management in hospitals. This research method is a literature review study with the search engine used in literature searches, namely google scholar according to the keywords of the topic to be studied, namely lean six sigma methods, hospital drug management, lean six sigma implementation, the criteria for articles used are based on publications published between 2019 and 2023. The results showed that there is waste in drug/pharmacy management in hospitals. The problems related to pharmacy include too long waiting times, overprocessing of drug prescriptions, and waste of motion in file searches. SIMRS error, lack of trained human resources, uncertainty of drug prices, still done manually are triggers for the occurrence of worthless processes. Waste reduction can be done with the lean six sigma method which can fix problems that often occur in pharmaceutical installations by being applied through standardized calculations.

Survey of the perceived treatment gap in status epilepticus care across Sub-Saharan countries from the perspective of healthcare providers

BackgroundStatus epilepticus (SE) is a serious condition disproportionately affecting Sub-Saharan African (SSA) countries. Little is known about healthcare provider experiences. This study investigated the healthcare provider perspective of SE care. MethodsA pilot questionnaire was developed for healthcare professionals in SSA countries. It was distributed online at a conference concerning epilepsy care and local coordinators distributed the questionnaire in their networks. It was available online between 16th Jan and 1st Feb 2021. The unvalidated questionnaire questioned practitioner demographics, experience, confidence in SE care, common etiologies encountered, anticipated prognosis in their setting, available treatments, and barriers to care. We assessed practitioner perceptions not their knowledge base around SE care. Thematic analysis was used for open-ended questions. ResultsFifty nine responses were received from 11 countries. Respondents (44% nurses, 46% doctors) reported poor level of adequate SE training (mean self-reported confidence in training 2.9/10 (0/10 very inadequate and 10/10 very adequate training). Delays in arriving at hospital were common with 15 (32%) taking three or more hours and 28 (62%) proposing transport issues and distance were the main reasons for delay. Urban location was significantly associated with clinician confidence. Less than 20% used prehospital benzodiazepine treatment. 46 (78%) stated benzodiazepines were first-line hospital drug management, and 52 (88%) indicated alternative second-line hospital treatments were available. ConclusionA substantial perceived treatment gap in the management of SE in SSA is identified by staff working in SSA. Key issues are around staff training, patient education, medication access, and compliance.

Analysis of the effect of ABC classification on improving hospital drug management system

Objective To analyze the effect of ABC classification method on improving the drug management system of Urumqi Friendship Hospital. Methods The drug data of Urumqi Friendship Hospital from January 2017 to December 2017 were retrospectively analyzed.The in-hospital information system (HIS) was used to sort the annual consumption, and the antibacterial drugs were sorted by DDDS to analyze the data as control group.From January 2018 to December 2018, the drug data of Urumqi Friendship Hospital were retrospectively analyzed by the AIS analysis method in the hospital HIS system, which were selected as research group.The effect of ABC analysis on the management of hospital drugs was analyzed, and to compare the changes in drug management before and after the application of ABC analysis. Results Through the analysis of A, B and C drugs, the total amount of 921 drugs were found to be 127.358 million CNY, including 122 kinds of A drugs (13.25%), the amount of 97.975 million CNY (79.93%); 133 kinds of B drugs (14.44%), the amount of 18.56 million CNY (15.17%); 666 kinds of C drugs (72.31%), the amount of 6.0016 million CNY (4.90%). Among the ABC classification results, there were 24 kinds of cardiovascular system drugs in class A drugs, and the highest percentage was 28.57%.There were 29 kinds of Chinese herbal medicines in class B drugs, with a percentage of 23.33%.There were 52 kinds of oral drugs (42.62%), 64 kinds of injections (52.46%), and 6 kinds of other drugs (4.92%), while 66 drugs (49.62%) were classified as B drugs.Species (44.36%) and 8 other drugs (6.02%). Among the ABC classification results, the total amount of the top 20 drugs in class A drugs was 46 073 529.65 CNY, accounting for 47.11% of the A drugs, accounting for 37.65% of the total amount.Among them, the amount of clopidogrel tablets and atorvastatin calcium tablets was significantly larger.The inventory turnover index [(8.37±2.48)d] of the inventory management index of the research group after the ABC classification method was significantly higher than that of the control group [(6.22±3.61)d] (t=14.897, P<0.05), and the monthly average inventory amount [(4.5 354±0.5 024)million CNY] was significantly higher than that in the control group [(3.9 963±0.7 538)million CNY] (t=18.060, P<0.05), the slow-moving rate [(4.24±1.31)%] and the stock-out rate [(8.73±3.14)%] were significantly lower than those in the control group [(5.11±0.82)%, (9.39±2.67)%] (t=17.084, 4.859, all P<0.05). Conclusion The ABC classification method helps to improve the hospital drug management system, can promote rational drug use, dynamically manage drugs, ultimately reduce drug costs, and rationally utilize limited drug resources. Key words: Classification; Management information systems; Hospitals; Fees, pharmaceutical; Medication therapy management; Inventories, hospital; Costs and cost analysis

Influences of information management path coordination with dynamic monitoring on the quality of hospital drug management

Background: To explore the impact of information management path coordination with dynamic monitoring on the quality of hospital drug management. Methods: Based on the management mode of the information management path coupled with dynamic monitoring for hospital drug management, the overall structure of drug management was designed according to the drug management needs, and the management process was dynamically monitored by computer. The incidence of drug management errors was analyzed before and after implementation, including errors in drug placement, unreasonable actions, and vague labeling of high-risk drugs. The near-term and overdue statuses of various drugs were analyzed before and after implementation. Based on the “Hospital Pharmaceutical Management Regulations”, a questionnaire about drug management quality was designed to address issues such as the pharmacy area, pharmacy management, drug management, pharmacy equipment management, and management efficiency; a drug management quality score was given before and after implementation. Results: The incidence rates of drug placement errors, unreasonable actions, and vague labeling of high-risk drugs were 1.67%, 2.50%, and 1.67%, respectively, which were significantly lower than the pre-implementation rates of 8.33%, 10.00%, and 8.33% (P Conclusions: Using information management path coordination with dynamic monitoring can reduce the incidence of errors in the drug management process, improve the drug utilization rate in the near-term, and improve the management quality.

Influences of information management path coordination with dynamic monitoring on the quality of hospital drug management.

BackgroundTo explore the impact of information management path coordination with dynamic monitoring on the quality of hospital drug management.MethodsBased on the management mode of the information management path coupled with dynamic monitoring for hospital drug management, the overall structure of drug management was designed according to the drug management needs, and the management process was dynamically monitored by computer. The incidence of drug management errors was analyzed before and after implementation, including errors in drug placement, unreasonable actions, and vague labeling of high-risk drugs. The near-term and overdue statuses of various drugs were analyzed before and after implementation. Based on the “Hospital Pharmaceutical Management Regulations”, a questionnaire about drug management quality was designed to address issues such as the pharmacy area, pharmacy management, drug management, pharmacy equipment management, and management efficiency; a drug management quality score was given before and after implementation.ResultsThe incidence rates of drug placement errors, unreasonable actions, and vague labeling of high-risk drugs were 1.67%, 2.50%, and 1.67%, respectively, which were significantly lower than the pre-implementation rates of 8.33%, 10.00%, and 8.33% (P<0.05), respectively. The expiration rates of emergency medicines and general medicines after the implementation of information management path coordination with dynamic monitoring were 0.00% and 3.41%, respectively, which were significantly lower than the rates of 30.00% and 11.36% before implementation (P<0.05). The total score and the scores for the pharmacy area, pharmacy management, drug management, pharmacy equipment management, and management efficiency after the implementation of the information management path combined with dynamic monitoring were significantly higher than those before implementation (P<0.05).ConclusionsUsing information management path coordination with dynamic monitoring can reduce the incidence of errors in the drug management process, improve the drug utilization rate in the near-term, and improve the management quality.

Genetic algorithm combined with BP neural network in hospital drug inventory management system

At present, there are problems such as low level of drug inventory management in major hospitals, which directly lead to the stagnation of the drug supply chain and the high cost of hospital management. In order to improve the efficiency of hospital drug inventory management, based on genetic algorithm and BP neural network, this study combined the actual situation of hospital drug inventory forecast to build a system model based on hospital drug management mode. At the same time, in order to verify the validity of the model, this paper collected experimental data through data collection, inputted data for model simulation analysis, and established a three-layer network simulation model. In addition, this paper analyzed the accuracy and sensitivity of model prediction based on actual conditions and compared the research results with actual data. Studies have shown that the model proposed in this study has certain effects and can be applied to hospital drug inventory management practices.

Medication costs in an emergency department

AbstractObjectiveTo determine the average medication costs associated per emergency department (ED) presentation. To determine the top 10 medications by cost to the ED.MethodsRetrospective analysis of all pharmacy‐related medication costs and ED patient presentations from 1 January 2013 to 31 December 2013. Medication expenditure data were collected from the pharmacy software Merlin Hospital Drug Management System. Patient presentation data were collected from the hospital ED information system (MedTrak).ResultsThe average medication cost per patient per episode of care was AU$7.49. The top 10 medications by cost to the ED were alteplase, diphtheria and tetanus vaccine, Hartmann's intravenous fluid, sodium chloride 0.9% 10 mL ampoules, enbucrilate, digoxin immune Fab, acetylcysteine injection, icatibant injection, ondansetron wafers and metaraminol injection.ConclusionThe total cost of medication per patient presentation in the ED is small and represents limited opportunities for cost savings through changes to prescribing practices.

Inpatient drug utilization in Europe: nationwide data sources and a review of publications on a selected group of medicines (PROTECT project).

Drug utilization (DU) studies in inpatient settings at a national level are rarely conducted. The main objective of this study was to review the general information on hospital medicine management in Europe and to report on the availability and characteristics of nationwide administrative drug consumption databases. A secondary objective was to perform a review of published studies on hospital DU of a group of selected drugs, focusing on methodological characteristics (ATC/DDD). General information on hospital drug management was retrieved from several websites, nationwide administrative drug consumption databases and reports published by governmental organizations. A PubMed search was conducted using keywords related to the selected group of drugs AND 'hospital drug utilization'. The data sources for hospital DU information varied widely and included 14 databases from 25 reviewed countries. Bulgaria, Croatia, Denmark, Estonia, Finland, France, Hungary, Iceland, Latvia, Norway and Sweden obtain information on inpatient DU at a national level from wholesalers/manufacturers. In Belgium, Italy and Portugal, drugs dispensed to patients in hospitals are registered at a national level. Data are freely available online only for Denmark and Iceland. From the PubMed search, of a total of 868 retrieved studies, only 13 studies used the ATC/DDD methodology. Although the number of DDD/100 bed-days was used in four studies, other units of measure were also used. The type of information provided for the inpatient sector allowed primarily for conducting DU research at an aggregated data level. The existence of national administrative structures to monitor hospital DU would contribute to promoting the rational use of medicines and improving the safety and quality of prescribing.

The impact of RFID technology in hospital drug management: An economic and qualitative assessment

The successful implementation of any innovation requires an understanding of its benefits and costs. This study examines the changes in costs and benefits associated with technology process innovation adoption as the innovation diffuses across healthcare field. Using RFID as an exemplar technology, the study shows the importance of benefits and costs associated with technological process innovation. The analysed case study provides the order of magnitude of the problems that can be solved with the introduction of the new system and it shows the information provided as output by the informatics system associated. For technology managers in general, the study has identified the profile of costs and benefits associated with technology adoption, and offered some indication of how this profile changes depending on the stage of technology evolution. This study proposed the implementation of a drug management system based on RFID technology. The study also revealed as the adoption of RFID technology allows perfect traceability of the drug throughout the system. In addition, this technology greatly reduces the action of operators in the operations of the management and administration and therefore the occurrence of errors.

Analysis of drug shortages in a hospital pharmacy

BackgroundDrug shortages are very frequent in recent years. Hospital pharmacy staff lost many hours on research about reasons for shortages or how to purchase drugs from another wholesaler or find...

Clinical Pharmacy and Hospital Drug Management

Journal Article Clinical Pharmacy and Hospital Drug Management Get access Clinical Pharmacy and Hospital Drug Management By D. H. Lawson and R. M. E. Richards. Pp. xv + 284, illustrated. Chapman and Hall, London, 1982. £17.50. C F George C F George University of Southampton, Southampton S09 3TJ Search for other works by this author on: Oxford Academic Google Scholar Postgraduate Medical Journal, Volume 58, Issue 686, December 1982, Page 803, https://doi.org/10.1136/pgmj.58.686.803-a Published: 01 December 1982

Clinical Pharmacy and Hospital Drug Management

Clinical Pharmacy and Hospital Drug Management

Clinical Pharmacy and Hospital Drug ManagementD. H.Lawson and R. M. E.Richards. Chapman and Hall, London, 1982. Price £17.50.

International Journal of Clinical PracticeVolume 36, Issue 11-12 p. 416-416 Feature Clinical Pharmacy and Hospital Drug Management D. H. Lawson and R. M. E. Richards. Chapman and Hall, London, 1982. Price £17.50. I. Librach, I. LibrachSearch for more papers by this author I. Librach, I. LibrachSearch for more papers by this author First published: 01 November 1982 https://doi.org/10.1111/j.1742-1241.1982.tb08450.xRead the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Volume36, Issue11-12November/December 1982Pages 416-416 RelatedInformation

Book Review: Clinical Pharmacy and Hospital Drug Management

Book Review: Clinical Pharmacy and Hospital Drug Management