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Reporting adverse drug reactions is everyone's business: an adverse drug reaction reporting program that works. 报告药物不良反应是每个人的事:一个有效的药物不良反应报告程序。
Topics in hospital pharmacy management Pub Date : 1992-07-01
M E Burkhardt, S D Ripepe
{"title":"Reporting adverse drug reactions is everyone's business: an adverse drug reaction reporting program that works.","authors":"M E Burkhardt,&nbsp;S D Ripepe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Macomb Hospital Center's ADR reporting program has increased interdisciplinary problem solving in the medication use process. Heightened awareness of ADRs has developed throughout the hospital. Issues identified through the ADR program mirror those found in the DUE process. A strong ADR reporting program is an integral part of quality management in organized health care settings.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 2","pages":"31-9"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An examination of adverse drug event monitoring practices in U.S. hospitals. 对美国医院不良药物事件监测实践的检查。
Topics in hospital pharmacy management Pub Date : 1992-07-01
J P Juergens, S L Szeinbach
{"title":"An examination of adverse drug event monitoring practices in U.S. hospitals.","authors":"J P Juergens,&nbsp;S L Szeinbach","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Unfortunately, the reasons for respondents' negative attitudes and perceptions toward ADE monitoring are not entirely clear because they generally are not related to time or staff constraints. There was some indication that poor medical record documentation was a contributing factor; however, this problem can be addressed through education of physicians and nurses as to the importance of capturing and reporting ADE data. Other research has demonstrated that substantial effort and diligence are required on the part of all members of the health care team to capture ADEs consistently. Fortunately or unfortunately--depending on the perspective--the motivation and at least the initial energy to establish and maintain an effective ADE monitoring program have to come from the pharmacy department. The greatest fear is that many pharmacists simply will be apathetic to the issue and not devote the time and energy necessary to capture and process ADE information effectively.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 2","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Criteria-based adverse drug reaction reporting and the use of a relational database. 基于标准的药物不良反应报告及关系型数据库的使用。
Topics in hospital pharmacy management Pub Date : 1992-07-01
R C Hatton
{"title":"Criteria-based adverse drug reaction reporting and the use of a relational database.","authors":"R C Hatton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The criteria-based ADR reporting program at Shands Hospital has been successful. When the Joint Commission reviewed this program in January 1991, they were satisfied that it met their standards. Efforts are now focusing on improving the capture of ADRs, which will make the information available from the database even more valuable. Data from Shands Hospital will contribute to postmarketing surveillance, patient care, and staff education, and these data will influence drug usage evaluations and the formulary. Observations will be used to recommend alternate therapies to prevent ADRs as well as methods to manage reactions should they occur. The listing of criteria has facilitated the reporting of ADRs at Shands Hospital, and communication of the information has been greatly enhanced by the ADR database. Efficiency has been improved as a result.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 2","pages":"40-8"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using the discharge process as one method to capture adverse drug reaction reports. 将放药过程作为捕获药物不良反应报告的一种方法。
Topics in hospital pharmacy management Pub Date : 1992-07-01
M A Gee, B W Daniels
{"title":"Using the discharge process as one method to capture adverse drug reaction reports.","authors":"M A Gee,&nbsp;B W Daniels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Adverse drug reaction reporting programs must be constantly improved to remain successful. Using a combination of techniques that foster voluntary reporting from all disciplines--while providing routine feedback to the reporters--creates an environment that promotes better patient care through knowledge and education. The success of the ADR program at Mid-Maine Medical Center is based on this philosophy, and the program is really a system of programs. Capturing ADR reports through the discharge process, which is the cornerstone of the program, has proven very successful.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 2","pages":"75-81"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20999055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The management concerns of hospital pharmacy directors. 医院药房主任的管理问题。
Topics in hospital pharmacy management Pub Date : 1992-04-01
M M Malik, S N Seoka, T J Reutzel
{"title":"The management concerns of hospital pharmacy directors.","authors":"M M Malik,&nbsp;S N Seoka,&nbsp;T J Reutzel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In conclusion, this research shows that pharmacy directors in Chicago hospitals face problems on several fronts, though not all are of equal importance. Of particular interest is that, contrary to theoretical expectations, the directors do not consider problems involving relationships with other organizational actors to be extremely important. This issue (as well as others raised here) needs to be investigated in broader and deeper terms. The issue carries important implications, especially in a health care environment that should encourage innovation and negotiation among the professional members of provider organizations.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 1","pages":"44-62"},"PeriodicalIF":0.0,"publicationDate":"1992-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20999408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital pharmacy staff development programs in Ohio. 俄亥俄州医院药房员工发展计划。
Topics in hospital pharmacy management Pub Date : 1992-04-01
D J Waller, S R Smith, M G Holiday, B T Lively, K K Shah
{"title":"Hospital pharmacy staff development programs in Ohio.","authors":"D J Waller,&nbsp;S R Smith,&nbsp;M G Holiday,&nbsp;B T Lively,&nbsp;K K Shah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although staff development programs have been used to implement clinical services in Ohio hospital pharmacies, the majority of clinical services have been implemented without the use of staff development programs. The results of this study show that less than half of Ohio hospital pharmacy departments provide staff development programs. In those hospitals where the programs were provided, the average number of clinical services implemented through staff development was not significantly different from the average number implemented without these programs. Nor was there a significant difference in the average number of clinical services implemented through staff development between small hospitals (199 beds or less), medium hospitals (200 to 399 beds), and larger hospitals (400 or more beds); between government (city, county, or state) and private, nonprofit hospitals; and between hospitals whose staff development program coordinators were directors and hospitals whose coordinators were not directors. For the majority of departments that provided staff development programs, certification or testing of pharmacists was not required before providing clinical services. Results from the survey indicated that certification may not be necessary for all clinical services. Commitment to staff development programs in terms of management support and participation, awarding of continuing-education credit, and use in pharmacist performance evaluations was demonstrated by no more than 34 percent of all departments that responded. Financial commitment to these programs was low. Overall, since less than half of the departments reported providing staff development programs, the level of commitment to staff development appeared to be low.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 1","pages":"20-9"},"PeriodicalIF":0.0,"publicationDate":"1992-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Work as a central life interest: an explanatory investigation of an unexplored concept. 作为核心生活兴趣的工作:对未探索概念的解释性调查。
Topics in hospital pharmacy management Pub Date : 1992-04-01
B Breitzig, D S Pathak, S Kucukarslan
{"title":"Work as a central life interest: an explanatory investigation of an unexplored concept.","authors":"B Breitzig,&nbsp;D S Pathak,&nbsp;S Kucukarslan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 1","pages":"30-43"},"PeriodicalIF":0.0,"publicationDate":"1992-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pharmacy staff training and development: upside-down thinking in a changing profession. 药学人员培训与发展:职业变化中的颠倒思维。
Topics in hospital pharmacy management Pub Date : 1992-04-01
W T Sawyer, T F Hughes, F M Eckel
{"title":"Pharmacy staff training and development: upside-down thinking in a changing profession.","authors":"W T Sawyer,&nbsp;T F Hughes,&nbsp;F M Eckel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We suggest that the most fundamental change in staff development that must occur is recognition of the need for a professional belief system as the basis for any pharmaceutical care activity. Values derived from fundamental moral ideals and professional beliefs foster the development of attitudes and behaviors. It would be wrong to suggest or imply that such a change need only occur in postbaccalaureate training. The development of personal and professional value systems in existing primary professional training programs is inadequate--we do not yet do enough to develop people before they enter practice. Nevertheless, to say that this failure of the professional education system precludes us from taking action within professional departments is unwise. The primary skills that must be developed during the next decade involve the ability of the practitioner to competently make informed, patient-specific decisions necessary for effective pharmaceutical care. Such decisions are made not only on the basis of a practitioner's knowledge but on the basis of his or her beliefs and values as well. The practitioner also must be willing to assume responsibility for the consequences of those decisions. The pharmacist who professes to deliver pharmaceutical care can no longer be shielded by assigning to the physician the ultimate responsibility for the patient's drug-therapy outcomes. Facilitating the development of a value system and attitude that enhance the pharmacist's ability to make such decisions must be a principal focus of staff training and development in the coming years.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"1992-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A framework for evaluating the work of pharmacists. 药师工作评价框架。
Topics in hospital pharmacy management Pub Date : 1992-04-01
R Segal
{"title":"A framework for evaluating the work of pharmacists.","authors":"R Segal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article reviews the major appraisal methods used in health care organizations and offers a competing \"systems model\" for conducting performance appraisals in pharmacy departments. The value of the proposed appraisal system is that it reminds management not to view the area of performance appraisal as \"keep it simple.\" Rather, management should recognize that performance appraisal should be viewed as a system (more correctly, a subsystem) that interacts with and affects all parts of a pharmacy department's drug use system. The performance appraisal system is complex and dynamic, requiring a significant resource commitment from management and all workers within the department.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 1","pages":"9-19"},"PeriodicalIF":0.0,"publicationDate":"1992-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20999409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical pharmacy interventions: an optimum way to accomplish positive patient care outcome. 临床药学干预:实现积极患者护理结果的最佳途径。
Topics in hospital pharmacy management Pub Date : 1992-01-01
S R Guharoy
{"title":"Clinical pharmacy interventions: an optimum way to accomplish positive patient care outcome.","authors":"S R Guharoy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this age of demand for optimum quality of care and shortened length of patient stay in the hospital, the opportunities for clinical pharmacy interventions are enormous. Pharmacists, with their unique background in clinical therapeutics, can make a significant difference in patient outcome. As in our case, initially there may be some skepticism among some of the physicians about the intent of pharmacy interventions. However, pharmacists' continual striving for improvement of quality of care can persuade skeptical physicians to consider pharmacists as their allies in achieving optimum quality of care. At our institution, our consistent approach has resulted in support from our physicians. Continuous feedback from managers to staff pharmacists (our monthly performance review feedback program) also helps to continue consistency of the program. The recent focus of the Joint Commission on optimum quality of care has also created an arena of tremendous opportunities for pharmacists to work with the physicians and other health care professionals to accomplish excellence in quality of care.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"11 4","pages":"10-5"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20999819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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