Case Study on Measuring and Improving the Medication Use System.
The Cleveland Clinic Foundation, a large tertiary care group practice with a 1,000-bed acute care hospital, established a nursing-pharmacy liaison group to serve as a forum for communication and decision making regarding the medication distribution and administraition processes.
The multidisciplinary pharmacy and therapeutics (P & T) committee oversees the medication use system, serving as the formal line of communication among the medical staff, the pharmacy, and the nursing department.
A pilot study
The greatest decrease in the organization's rate of « medication events » - events in which the patient did not receive the medication as ordered-occurred when major system changes were made in the storage and control of central nervous system drugs.
In the early 1990s, the P & T committee piloted an automated dispensing system, which was intented to provide the nursing staff with easy access to controlled substances and the pharmacy with tighter inventory control.
The pilot was planned for three months on the three nursing units.
On the test-but not the three control-units, the rate of reports decreased significantly.
The automated medication distribution system, which was then implemented, has decreased the number of events related to misreading of the label.
In 1997 central nervous system drug classes were the fifth most frequently reported class, accounting for only 7% of the reported events. (...)
Mots-clés Pascal : Information, Processus, Méthodologie, Médicament, Chimiothérapie, Traitement, Hôpital, Temps séjour, Gestion hospitalière, Prescription, Médecin, Pratique professionnelle, Pharmacie hospitalière, Milieu hospitalier, Personnel sanitaire, Communication, Etude cas, Utilisation, Système nerveux, Indicateur, Organisation hospitalière, Service hospitalier, Infirmier
Mots-clés Pascal anglais : Information, Process, Methodology, Drug, Chemotherapy, Treatment, Hospital, Residence time, Hospital management, Prescription, Physician, Professional practice, Hospital pharmacy, Hospital environment, Health staff, Communication, Case study, Use, Nervous system, Indicator, Hospital organization, Hospital ward, Nurse
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 31/05/1999.