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CIRCUIT FOR THE IMPROVEMENT OF THE INTRA-HOSPITAL DISTRIBUTION OF MEDICINES

European Statement

Selection, Procurement and Distribution

Author(s)

PATRICIA ORTIZ FERNANDEZ, Alba Maria Martinez Soto, PILAR FERNANDEZ-VILLACAÑAS FERNANDEZ

Why was it done?

1.Reduce the stocks of drugs in the medicine cabinets of the hospitalization units (HU). 2. Adapt scheduled drugs dispensing to those of preparation and administration at the HU. 3. Reduce the number of returns of dispensed drugs, as the main indicator of improved efficiency.

What was done?

Optimize the drug distribution circuits within the hospital, adapting them to the changes produced in the organization to increase the quality and efficiency of the drug use process.

How was it done?

1. Constitute an improvement group (pharmacy service (PS), supervisors oh HU and nursing address.
2. Define and propose stock agreements by the PS
3. Call meetings to review the agreement and circuit of drug dispensing
4. Incorporation of agreements in the corporate program and implementation of the agreed circuit changes.
5. Publish the updated drug distribution circuit
6. Restructuring of medicine cabinets
7. Evaluation of indicators: a) Decrease types and amounts of drugs in HU. b) Decrease in drug returns of drugs to PS

What has been achieved?

A total of 6 meetings have been held, reaching the following agreements:
1. Mantain a reduced stock of drugs in the HU
2. Establishment of the medicine cabinets agreements for the 14 HU.
3. Limitation of request for medication by stock. Ant other request will be made individually for each patient.
4. Circuit changes:
a. Partial modification of the medication dispensing schedule in the unit dose dispensing system
b. Streamlining the comunication system between the pharmacy service and hospitalization units.
c. Dispatch of medication dispensed in patient transfers
d. Establishment of criteria for urgent requests
5. Written dissemination of the changes to all pharmacy and nursing staff

What next?

Quality indicators will be avaluated 6 months after implementation.
We hope to avoid ineficiencias derived from the existencce of double circuits and to optimaze the control and preservation of drugs in the HU
The establishes drugs is not static, modifications are posible.

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