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  1. Pharmacist-managed intravenous to oral step-down program.

    Article - En anglais

    In an effort to provide cost-effective pharmaceutical care at a 650-bed community hospital, a pharmacist-managed intravenous to oral step-down program was developed and implemented.

    As part of this program, satellite pharmacists review daily the charts of patients receiving 1 or more of 10 targeted drugs given intravenously.

    Based on a predetermined set of criteria and their clinical judgment, pharmacists recommend that physicians switch to the oral formulation of the targeted drugs if appropriate.

    This program has been in place for 7 months, during which time 223 recommendations were made.

    Of these recommendations, 190 were accepted and implemented, resulting in a cost savings of $21,596.00.

    When annualized, the expected savings is $37,000.00 or nearly the salary of one full-time pharmacist.

    This program has been well accepted by physicians and pharmacists.

    It appears to be having a positive impact on physician awareness of using oral medications when appropriate.

    Mots-clés Pascal : Pharmacien, Hôpital, Etats Unis, Homme, Voie intraveineuse, Voie orale, Traitement, Analyse coût, Economie santé, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Chemist, Hospital, United States, Human, Intravenous administration, Oral administration, Treatment, Cost analysis, Health economy, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0454447

    Code Inist : 002B30A07B. Création : 01/03/1996.