Patient‐oriented Pharmacy on a Special Ward. Results of a pilot project in Germany.
- 47 Downloads
In Germany a pilot project in patient‐oriented pharmacy has been started in the Berufsgenossenschaftliche Unfallklinik Ludwigshafen to demonstrate the efficiency of this modern way of practising pharmacy in hospital. A special ward of the orthopaedic department (spinal injuries, 25 beds) was chosen for this project. Since February 1st, 1994, the pharmacists have taken over the stock management on the ward and dispense oral drugs in unit-dose systems for each patient. The pharmacists participate also in ward rounds and check the patients' medication charts in order to support and inform the physicians. So the project is a combination of improved patient care and an advisory service in pharmaceutical questions for the medical staff. In the first year of this project, which is still ongoing (February 1994 ‐ January 1995), 123 patients were treated on the ward; the average duration of stay was about 77 days. During this first year the pharmacists registered 111 questions and events leading to pharmaceutical interventions. The most important results of the project are the improvement in drug safety and more effective drug use. Other positive results are: during the course of the project the cooperation between the medical and pharmaceutical staff has been improved and the drug management by the pharmacy has resulted in a 17 per cent reduction of medication costs in comparison to the year before. All these results clearly demonstrate the success of these first steps in patient‐oriented pharmacy.
Unable to display preview. Download preview PDF.
- 1.Vogel DP. Patient focused care. Am J Hosp Pharm. 1993; 50:2321‐9.Google Scholar
- 2.Steffen WM. The value of pharmaceutical care. AM J Hosp Pharm. 1993; 50:660.Google Scholar
- 3.Thompson CA. Restructuring and patient‐focused care. Am J Health‐Syst Pharm. 1995; 52:41. Editorial.Google Scholar
- 4.Shane R, Kwong MM. Providing patient‐focused care while maintaining the pharmacy department's structure. Am J Health‐Syst Pharm. 1995; 52:58‐60.Google Scholar
- 5.Barber N, Batty R, Beech E. What do hospital pharmacists do on the wards? In: Harding G, Nettleton S, Taylor K (editors). Social Pharmacy. London: The Pharmaceutical Press 1994: 159‐73.Google Scholar
- 6.Clark CM, McGlynn S, Goldberg LA. Clinical pharmacy activity monitoring using Psion Series 3 palm‐top organizers. The Pharmaceutical Journal 1995 Aug; 255:247‐50.Google Scholar
- 7.Rosique Robles JD, Ronchera Oms CL, Ordovas Baines JP, Andres Blasco C, Cano Blanquer D, Hermenegildo Caudevilla M, Catalan Arlandis JL, Jimenez Torres NV. Rotation of phar–macy residents in the intensive care service. Farm Hosp. 1992; 16:399‐402.Google Scholar
- 8.Heerdink ER, Leufkens HG, Koppedraaijer C, Bakker A. Information on drug use in the elderly: a comparison of pharmacy, general practitioner and patient data. Pharm World Sci. 1995; 17:20‐4.Google Scholar
- 9.ABDA‐Datenbank für Interaktionen [computer database]. MS‐DOS version. Eschborn: Bundesvereinigung deutscher Apothekerverbände (ABDA), 1994‐1995.Google Scholar
- 10.ABDA Fertigarzneimittel‐Info [computer database]. MS‐DOS version. Eschborn: Bundesvereinigung deutscher Apothekerverbände (ABDA), 1994‐1995.Google Scholar
- 11.Drugdex(R) Information System [computer database]. MS‐DOS version. Englewood (Co): Micromedex Inc., 1994‐1995.Google Scholar
- 12.Martindale(R): The Extra Pharmacopoeia [computer database]. MS‐DOS version. Englewood (Co): Micromedex Inc., 1994‐1995.Google Scholar