Pharmaceutical Staff Research Articles

Implementation of Patient Drug Prescription Services in Hospital Pharmacy Installations: Has It Been Managed Properly to Reduce Waiting Time?

<p align="center"><strong><em>Abstract</em></strong><strong></strong></p><p><strong> </strong></p><p>The hospital pharmacy installation plays an essential role in the hospital, where the hospital pharmacy installation manages the management and distribution of drugs. The achievement of quality indicators related to the waiting time for concoction and non-concoction drug services at the Outpatient Pharmacy Installation of X Kendal Hospital still needs to be consistent. Patients also complain about long waiting times. This study aims to determine whether the implementation of patient drug prescription services in the Hospital Outpatient Pharmacy Installation has been appropriately managed or needs improvement. This research is qualitative research with a phenomenological approach. Purposive sampling researchers selected the research subjects. The subjects in this study consisted of four primary informants and two triangulation informants. The results of the in-depth interviews found that during no initial check was made on the identity of the patient or the prescription received because due to the habit of piling up prescriptions, the dose given by the doctor was not correct. Hence, it had to be recalculated, the amount of drug stock in the system was not correct always the same as the available physical stock, lack of pharmaceutical staff during the drug preparation process, and there were medication errors in the drugs that had been prepared so that the staff had to re-prepare them, and errors in the drug delivery process due to staff negligence, causing longer waiting times for prescription services. Therefore, it was concluded that the implementation of prescription services at hospital X in Kendal district had not been managed optimally or appropriately. Hospitals still need to evaluate and improve the process of implementing prescription services to reduce waiting times.</p><p><em> </em></p><strong><em>Keyword: Drug Prescription, Pharmacy Installation, Service</em></strong>

Assessment of employee engagement in pharmaceutical care service at King Abdulaziz Medical City – Central region (KAMC): A cross-sectional study

BackgroundJob engagement and satisfaction are crucial for any successful institution, in recent years, organizations around the globe have begun measuring the engagement level of employees in order to improve productivity and profitability. Employee engagement has the potential to significantly affect employee retention and loyalty. This study was conducted by the pharmacy-Quality Improvement Section to assess pharmacy staff engagement in KAMC-CR in 2019 and to develop a tool to be used as employee engagement key performance indicator (KPI). Aim(1) Assessing employee engagement and satisfaction in the pharmacy Care services- central region. And (2) to develop a tool to be used as employee engagement Key Performance Indicator (KPI). MethodsThis study was conducted at the Pharmaceutical Care Service at King Abdulaziz Medical City (KAMC) and King Abdullah Specialized Children Hospital (KASCH) in Riyadh, Saudi Arabia. A validated survey was selected for the study and was then distributed via e-mail to the pharmacy staff by the quality pharmacy section in October-November 2019. The included participants were comprised of administrators, administrative assistants, clinical pharmacists, pharmacists, technicians, pharmacy aides, and pharmacy residents. There are 20 questions in the survey, and the answers were reported using a five-point Likert scale (1 = strongly disagree; 5 = strongly agree). The survey was composed of sections including demographic data, and section for staff engagement and rating of facility. ResultsParticipants in this study included 228 (54 %) employees out of a total of 420 employees. The mean health facility rating was 6.51 + 1.94 out of 10. As for the employee engagement, the mean score was 65.53 ± 13.84, and the engagement level was 24 (10.5%) had low level of engagement, 122 (53.5%) had moderate level of engagement, and 82 (36%) had high level of engagement. High level of engagement was reported among the studied sample. Employee engagement was significantly associated with occupation, work experience (p = 0.001), as well as rating of the facility (satisfaction) (p < 0.05). ConclusionPharmaceutical care services participants overall average rate of the facility by pharmaceutical care services staff as a workplace is 6.5 out of 10. The Employees engagement improves employee performance and efficiency, which contribute to an organization’s overall success.

Knowledge And Attitude Towards Medication Safety: Study From Religion Based Hospital

The most prevalent patient safety incident in hospitals is medication errors. It is avoidable by a variety of safe treatment approaches known as medical safety. The topic of this research is the high rate of medical errors at 'X' Hospital Tuban in East Java, Indonesia, which accounted for 53.3% of all patient safety occurrences. The goal of this study was to investigate the impact of health workers' knowledge and attitudes on drug safety implementation at 'X' Hospital Tuban. Pharmacists, pharmaceutical technical staff, nurses, and midwives participated in an analytical cross-sectional study with 74 samples. Because of the COVID-19 outbreak, data was collected using an online survey. The survey was based on WHO's 5 Medication Safety Moments. To investigate effect identification, the Fisher's test method was applied. This survey received 87.8% response rate. The following characteristics were shared by the participants: 55.4% are nurses, 75.4% are between the ages of 26 and 36, 86.2% are female, and 36.9% work in an inpatient unit. The average score for medication safety knowledge, attitude, and implementation for each health worker was Good. The correlation coefficient (p = 0.000) between knowledge and drug safety implementation is 0.503. The correlation coefficient (p = 0.000) between attitude and drug safety implementation is 0.508. According to the findings of this study, drug safety knowledge, attitude, and implementation are all satisfactory. Medication safety knowledge and attitudes can aid in the implementation of medication safety. Suggestion for medical professionals, and 'X' Hospital Tuban is working on new pharmaceutical safety precautions.

Місце лікарів у системі ринку послуг Візантії IV–IX ст.

The article analyzes the position and status of medical and pharmaceutical staff in the Byzantine labor market and services. Their place in society and in the professional sphere is considered equal in essence and quality to that of the craftsmen — vanavsos. It is emphasized that in most cases they did not belong to slaves, as it was in the ancient Roman society, but to free, wealthy strata of the population, to those who were classified as euporus, endesters with an annual income of at least 25–50 solidi, and their salary allowed them to provide themselves with everything they needed. Paid visit to the doctor, iatraros was considered as a daily routine. Sometimes it took place at public cost, mainly in the capital of the Roman Empire in the early Byzantine period, but also among monks. Getting into the ranks of medical professionals was limited only by the financial solvency of those who studied this craft, unless, of course, it was inherited from father to son. In the Byzantine Empire in the IV–IX centuries, medical services were provided both in private, paid, and at the state, public levels.

Communication and competence potential of humanities as a condition for the professionality of pharmaceutical staff

Communication and competence potential of humanities as a condition for the professionality of pharmaceutical staff

CONCEPTUAL APPROACHES TO THE PROCESS OF FORMING AN ORGANIZATIONAL AND ECONOMIC MECHANISM FOR MANAGING FOREIGN ECONOMIC ACTIVITY OF A MANUFACTURING PHARMACEUTICAL ENTERPRISE ON THE BASIS OF LOGISTICS

Successful functioning of domestic manufacturing pharmaceutical enterprises directly depends on the efficiency of their foreign economic activity. The article studies dynamics of foreign trade of Ukraine in pharmaceutical products. It is established that the average share of imports of pharmaceutical products in the total structure of commodity imports of Ukraine was 3.4 %. It is determined that the volume of export supplies of medicines has increased significantly, and their share in the total structure of foreign trade of Ukraine varied within 0.3-0.5 %. It is proved that imports for the specified period increased by 2.2 times in 2021 compared to 2015. The factors influencing the efficiency of foreign economic activity of manufacturing pharmaceutical enterprises are formulated. The definition of the concept of "organizational and economic mechanism for managing the logistics of foreign economic activity of manufacturing pharmaceutical enterprises" is proposed. It is determined that the organizational and economic mechanism for managing the logistics of foreign economic activity is a multilevel system of interrelated elements, namely: subjects, objects, principles, methods, tools, ways of their interaction, which generally harmonize the economic relations of the state, owners of pharmaceutical enterprises, creditors, staff and business partners. The components of the organizational and economic mechanism for managing the logistics of foreign economic activity of a manufacturing pharmaceutical enterprise - economic and organizational - are proposed. It is determined that the organizational element regulates the organizational relations between the elements of the system, the economic element implements the system of economic relations in the management process. The mechanism of action is proposed. The advantages of using the organizational and economic mechanism for managing the logistics of foreign economic activity of a manufacturing pharmaceutical enterprise are estimated.

The Relationship Between Characteristics and Knowledge Of Pharmaceutical Engineering Personnel In Reconstitution Of Antibiotic Injection At RS UNS Inpatients

Reconstitution is the process of mixing the solvent medium into a dry powder mass to produce suspended or dissolved substances. Mixing injection drugs, including reconstitution of antibiotic injections, should be formulated by pharmacists, in fact all of them are still made by non-pharmaceutical health workers, apart from lack of correlation, it also gives the impression that the hospital is violating the rules. To prevent errors in compounding, pharmaceutical staff attend aseptic technique training to minimize contamination during compounding. The purpose of this study was to examine the relationship between characteristics and knowledge of pharmaceutical technicians in reconstitution of antibiotic injections at UNS Hospital inpatients. Descriptive research with correlation studies the relationship between two or more variables. Data collection is done.total.sampling. Retrieval of data used a questionnaire and processed with SPSS 21.0 For.Windows application. The results of this study indicate that the characteristics include gender, p value = 0.014, at = 0.05 (p&lt;α), education p value = 0.961, at = 0.05 (p&gt;α), length of work p value = 0.719, at =0.05 (p&gt;α). The conclusion obtained is that there is no significant relationship between education and length of work. There is a significant relationship between gender in the knowledge of pharmaceutical technicians in reconstitution of antibiotic injections at UNS Hospital inpatients.

Risk management -component part of the quality assurance system of pharmaceutical care

Introduction. In the pharmaceutical field, the quality management is a priority and the risk management is a valuable component of an effective quality system. It involves anticipating hazards and controlling risk through a process of risk awareness, reduction, and review. The aim of this paper was to reveal the usefulness of modern risk management strategies and to assess the impact of risk management in the provision of quality services by community pharmacies. Material and methods. The causes that can lead to medication errors in community pharmacies were identified by applying the CNAM Method combined with the Delphi Technique, later the risks were categorized by the Ishikawa diagram, analyzed and evaluated by applying the expert analysis method (MAE) in risk assessment, graphically represented by the Matrix risks and ranked, highlighting pharmacy activities during which medication errors may occur. Results. The risk factor was calculated for 56 potential risks that can cause medication errors, of which 8 for the activity of ordering medicines, 8 potential risks for the activity of receiving products, 6 risks for the activity of storing products, 17 risks for the preparation of drugs and 17 risks for drug dispensing activity. Applying the MAE method in risk assessment, risk occurrence probability and outcome impact values were obtained for each risk. The potential risks of error were graphically represented using the Risk Matrix. Thus, the following activities with a major level of risk were highlighted, for which urgent measures to minimize the impact are required: illegible writing in prescriptions (15.5), fatigue of pharmaceutical staff (15.48), overwork/ multitasking (14.99), prescriptions containing errors (14.26), insufficient staff knowledge (13.81), ordering inappropriate quantities of products in pharmacies (13.59), incomplete prescriptions (12.86) and similar packaging of medicines (12.63). Conclusions. The results of this paper provide the basis for further research in order to develop a Risk Management Plan in community pharmacy. The causes that can lead to errors in the pharmacy have been identified, by highlighting pharmaceutical activities, during which risks of errors may occur. The work has practical use, and the research results can be applied by pharmacies, contributing to the improvement of their performance.

5S management improves the service quality in the outpatient-emergency pharmacy: from management process optimisation to staff capacity enhancement

ObjectiveAs a high-efficiency demanding department in a hospital, the outpatient pharmacy has a great need for quality improvement to provide superior medical service for patients. Little is known about the...

Pharmacy technician training in Mongolia: Past, present, and future

The first official training of pharmacy technicians started in 1926 in Mongolia and pharmacy technicians were the only national pharmaceutical staff till the first national pharmacist graduated in 1954. Pharmacy technicians have played a valuable role in pharmaceutical care and service in Mongolia for the last century, which is still maintained nowadays. As of June 2022, one public university and one private medical institute implemented a pharmacy technician curriculum in Mongolia, and 512 pharmacy technicians had graduated in 2016-2020. Graduated pharmacy technicians are eligible to work in a community pharmacy, hospital, or pharmaceutical industry after being registered. They can also further their studies to get a B. Pharm. degree with an additional three years of training. As of 2020, a total of 2009 pharmacy technicians worked in Mongolia, 807 of them were employed in Ulaanbaatar and 1556 pharmacy technicians worked in the community pharmacies.

INCONSISTENCY OF PHARMACEUTICAL PERSONNEL LICENSE REGULATION IN GOVERNMENT REGULATION NUMBER 51 YEAR 2009 CONCERNING PHARMACEUTICAL WORK

The issuance of Government Regulation Number 51 of 2009 concerning Pharmaceutical Work has the aim of encouraging social change to become a better direction through legal certainty. This normative legal research method examines the law from an internal perspective with the object of research being legal norms. The purpose of this research is to analyze the regulation of pharmacy staff licenses in Government Regulation No. 51 of 2009 concerning Pharmaceutical Work and to analyze the ideal setting of pharmaceutical staff in positive law. The results of the study explain that the regulation of permits for pharmaceutical workers in Government Regulation Number 51 of 2009 concerning Pharmaceutical Work can refer to Article 1 paragraph 22 or 52 paragraph (2) letter a of Government Regulation Number 51 of 2009 concerning Pharmaceutical Work. There is an inconsistency in the arrangement due to the content of the material being regulated contradicting each other. Ideally the Regulation of Pharmaceutical Workers in Positive Law, that Government Regulation Number 51 of 2009 concerning Pharmaceutical Work, nomenclature is not in accordance with the nomenclature stipulated in Law Number 36 of 2009 concerning Health, especially between the phrase work and practice.

Ensuring Healthcare Efficiency in the Context of the Medical and Pharmaceutical Staff Regulation

This article aims to substantiate the impact of socio-economic labor protection for healthcare professionals based on developing legislative regulations in some OECD and EAEU countries and identifying their relationship with the efficiency of healthcare systems. The methodology includes general scientific methods (systemic analysis, synthesis, comparison, abstraction, induction, deduction, and modeling) and special research methods (formal logical, structural, and functional). The results of international rankings evaluating healthcare systems were used to determine the list of states for comparative legal analysis. Also, empirical methods were used: meetings, questionnaire surveys, and interviews held in 2021 with medical and pharmaceutical workers in Kazakhstan. The research results showed that states with special labor regulations for medical and pharmaceutical personnel occupy stable leading positions in international rankings regarding healthcare evaluation. On the other hand, based on the example of the EAEU countries with an insufficient level of specialization in labor regulation for these categories of workers, some states occupy weak positions in similar international ratings. This paper is novel because previously, there was no debate in the literature justifying the finding that specifics in the labor regulation of medical and pharmaceutical staff, along with other factors, influence the healthcare system's efficiency and development. Doi: 10.28991ESJ-2022-06-06-05 Full Text: PDF

Evaluation of Aseptic Actions of Pharmaceutical Technical Staff in the Process of Reconstitution and Storage of Antibiotic Injection in the Inpatient Room of UNS Hospital

aseptic dispensing, reconstitution and storage of antibiotic injection

Evaluation of service quality and complaint handling on outpatient satisfaction at the pharmaceutical installation of mokoyurli buol regional public hospital

Pharmaceutical installations have an important role in improving and providing effective services to achieve patient satisfaction. Patients' complaints occur if they receive a service that does not meet expectations. The hospital management must investigate the causes of patients' complaints. Solving the patients' complaints indicates that the hospital can fulfill their expectations. The purpose of this study is to examine the results of servqual on service quality, customer satisfaction index, and importance-performance analysis on service quality and complaint handling. This research employed a descriptive design with qualitative and quantitative approaches. The study was conducted by distributing questionnaires to 100 outpatients. The respondents' answers were then analyzed using the Cartesian diagram to obtain quadrants A, B, C, and D. Interviews were directly conducted with the complaint management and pharmaceutical installation staff to explore the attributes included in quadrant A (top priority). The patients were selected using the purposive sampling method. Finally, the data were analyzed using the servqual analysis, importance-performance analysis, and customer satisfaction index. The result shows that the service quality dimension has a negative gap value. The reliability dimension has the smallest gap while the responsiveness dimension has the largest gap. The result of the customer satisfaction index shows that outpatient satisfaction with the service quality and complaint handling has a value of 56.53%. Thus, this dimension is categorized as quite satisfying. The result of the importance-performance analysis shows that the dimensions included in quadrant A are the tangible evidence dimension, including poor physical facilities, and the responsiveness dimension, including patients' long waiting time to manage prescriptions and complaint handling.

Patients Access to Medicines - A Critical Review of the Healthcare System in Kenya.

Access to affordable, safe, effective, and quality-assured medicines by a patient is important for good health outcomes. Unfortunately, there is sparse literature published on the pharmaceutical enablers that may increase the sale of a substandard and falsified (SF) medicine to a patient in Kenya. The review highlights some of the factors that may facilitate the entry of SF medicines into the legitimate pharmaceutical supply chain and discusses their impact on patient access to medicines. Lack of essential medicines in public health facilities is an important factor that may contribute to increased demand for medicine-related out-of-pocket expenses from private health facilities, thus a likelihood for a patient purchasing SF medicine from unlicensed and illegal medicine outlets or unregulated websites. The need to increase medicine availability in the public sector by the Ministry of Health (MOH) is emphasized in addition to the strengthening of public procurement to cushion it from corruption and mismanagement. In addition, the MOH should promote local pharmaceutical manufacturing and implement a medicine pricing containment policy to avoid abuse and prevent overexploitation of patients, increase medicine price transparency, and reduce pharmaceutical supply chain distortion. Recommended regulatory reviews include accreditation of unlicensed illegal medicine outlets to facilitate accountability, regulatory oversight, and active surveillance. The national post-market surveillance regulatory capacity should be strengthened to improve rational medicine use. A 3-year diploma course should be replaced with a shorter 1- or 2-year pharmaceutical support staff training not eligible to superintend a pharmacy. The recommended legislative review includes a mandatory clause to enforce generic prescribing and the implementation of generic substitution by health workers. Unethical manipulative pharmaceutical marketing practices should carry stiffer penalties to deter malpractice. Future research areas include investigation of medicine prescribing and dispensing practices, medicine consumption studies, medicine price differences within different health sub-sectors, and between licensed pharmacies and unlicensed illegal medicine outlets.

GAMBARAN PENERAPAN PELAYANAN FARMASI KLINIK DI PUSKESMAS

Clinical pharmacy services are part of the pharmaceutical service standards at the puskesmas, aiming to improve therapeutic outcomes and ensure the patient's quality of life. The study aimed to determine the suitability of 7 aspects of pharmaceutical services with pharmaceutical service standards in the application of clinical pharmacy at the puskesmas. This research is an observational study using a survey method. The study was conducted at 31 Puskesmas in Bone Bolango and Pohuwato districts, Gorontalo Province, in May-August 2021. The pharmaceutical staff in charge of pharmaceutical services is the population in this study. The total sampling technique was used in sample selection. This research instrument is a checklist compiled based on pharmaceutical service standards at the puskesmas—collected data utilizing observation and interviews with respondents. Did analysis descriptively. The results showed that assessment and prescription services and drug information services were suitable, while the other five elements were poor.

TINGKAT PEMAHAMAN TENAGA TEKNIS KEFARMASIAN TERHADAP OBAT PATEN DAN OBAT GENERIK DI KOTA PADANG

Patent drugs are drugs that still have patent rights and can only be produced by the manufacturer of the patent holder. while generic drugs are drugs whose patents have expired, so that they can be produced by all pharmaceutical companies. The purpose of this study was to determine the level of understanding of the pharmaceutical technical staff of Padang City on patent drugs and generic drugs. This research is a descriptive observational study using data collection instruments in the form of online questionnaires (google forms). The research variable is the respondent's level of understanding of generic and patent drugs. The respondents of this study were Pharmacy Technical Staff of Padang City, aged 20 years, both male and female, as many as 55 respondents. The sampling technique in this study was non-purposive sampling in accordance with the inclusion and exclusion criteria. Determination of the sample size in this study using the Slovin formula with an error rate of 5%. Collecting data by distributing online questionnaires via Google Forms. The data obtained is coded and entered into an Excel worksheet. The results showed that the level of understanding of the pharmaceutical technical staff of Padang City on patent drugs and generic drugs was categorized as sufficient (74.5%).

Peculiarities of criminal liability of medical workers

The article analyzes the peculiarities of criminal liability of medical workers. The relevance of the topic of the research is determined by the severity of the problem of providing quality medical services medical and pharmaceutical staff of the relevant institutions of Ukraine during the exercise of their professional duties, as well as important social and legal importance of the problem of criminal responsibility of medical or pharmaceutical worker for committing a crime associated with the performance of professional duties. Questions related to criminal legal characteristics of crimes committed by the medical worker related professional activities are intrinsically complex and relevant to criminal legislation of Ukraine.&#x0D; The study of judicial practice allows to speak about the complexity of proving "medical" criminal offenses, which, first of all, are caused by the lack of sufficient volumes of special knowledge in law-enforcement bodies, as the delimitation of legal and criminal-illegal behavior is not always possible to conduct clearly, since often the same by their objective characteristics, actions coincide with more closely related features of the criminal structure of the criminal offense. However, in the presence of circumstances provided for by law, such actions should not be considered criminal.&#x0D; In the analysis of the components of criminal offenses which are based on the basis of human health, it is possible to conclude that the corresponding social relations are formed between the following participants: on the one hand, such a subject is a medical worker, who must carry out his activity in accordance with the requirements of the current legislation; on the other hand, a citizen who has the right to health care. The third participant of such relations is the state, which is actually intended to guarantee to citizens the provision of necessary and high-quality medical services, and therefore its priority activity is health care.

Анализ системы фармацевтической помощи населению Новосибирской области

Introduction. Uneven placement of pharmacy organizations on the territory of the Novosibirsk region, want of pharmaceutical staff, especially in remote areas, falling living standards, an increase in general morbidity of the population, limited material and financial health care resources in the Novosibirsk region necessitated an assessment of the pharmaceutical care system in order to develop measures to improve it, preserve constitutional rights and guarantees for residents. Aim. Development and testing of a methodology for analyzing the system of pharmaceutical care for the population of the Novosibirsk region. Materials and methods. SWOT analysis was used for the assessment. Based on the content analysis of scientific medical and pharmaceutical literature, regulatory documents of the Government of the Russian Federation, the Ministries of Health of the Russian Federation and the Novosibirsk region, a questionnaire was compiled in which various aspects of the pharmaceutical care to the population of the Novosibirsk region were characterized. A group of experts (heads of pharmacy chains, heads of pharmacies, chiefs or deputies, specialists of the Department of Drug Provision of the Population of the Ministry of Health of the Novosibirsk region – a total of 35 people) were asked to evaluate (rank) the proposed characteristics in a SWOT matrix. Results. It has been established that the strengths of pharmaceutical care to the population of the Novosibirsk region (the top among them are the developed infrastructure for providing the population with pharmaceutical care; the approval and implementation of federal programs on the strategy of drug provision to the population and the development of healthcare in the Russian Federation and the Novosibirsk region) exceed by 1.26 times the weaknesses of the system (insufficient financing of drug provision to the population of the region; insufficient provision of the population with pharmacy organizations and medical and obstetric stations in rural settlements of the Novosibirsk region, etc.). Possibilities of the pharmaceutical care system in the Novosibirsk region (organization of dispensing medicines by medical staff through out-patient clinics in rural settlements of the Novosibirsk region, in which there are no pharmacy organizations; an increase in the proportion of municipal and urban districts provided with medicines dispensing outlets in relation to all municipal and urban entities of the Novosibirsk region to 100%, etc.) by 1.13 times prevails over threats (an increasing staff shortage in the pharmaceutical industry, a pandemic of a new coronavirus infection, etc.). Conclusion. Pharmaceutical care for the population of the Novosibirsk region is characterized by the predominance of strengths over weaknesses, while potential opportunities exceed threats. This imples the necessity to further improve pharmaceutical care, use its resource capabilities and enhance its strengths.

Practice and Effect Evaluation of Drug Reorganization in Patients with Chronic Obstructive Pulmonary Disease

Objective: To explore the feasibility of drug reorganization in clinical practice through the drug reorganization service of clinical pharmacists for patients with chronic obstructive pulmonary disease (COPD) in respiratory and critical care department, and to evaluate the effect of the service in multiple dimensions. Methods: a total of 100 patients with COPD admitted from January to July 2021 were randomly divided into two groups with 50 patients in each group. One group was treated with drug reforming intervention and the other group was not treated with intervention. Statistics and data analysis were carried out from three aspects: patient compliance, satisfaction and medication deviation. Results: (1) compliance: 48h after admission, there was no significant difference between the two groups (P&gt;0.05); According to the data statistics on the day of discharge and after one month, the compliance of the two groups was statistically significant (P&lt;0.05), which was higher in the reorganization group. (2) Satisfaction: There was no significant difference between the two groups after admission. However, after drug reforming intervention by pharmaceutical staff, the results of reforming group were better and statistically significant (P&lt;0.05). (3) Medication deviation: There were 50 deviations in the reorganization group, of which drug omission accounted for 52%, which was the main factor. After communicating with clinicians, the clinicians’ acceptance rate of the reorganization scheme reached 94.12%. Conclusion: The implementation of drug reorganization service can effectively prevent the medication deviation of COPD patients, save the cost of patients, improve the satisfaction and compliance, and ensure the medication safety of patients.