{"title":"Outsourcing inpatient i.v. compounding: expense and medication error implications.","authors":"R A Burruss, N V Carroll, C Schraa, B Burton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A quasi-experiment was conducted to evaluate differences in intravenous (i.v.) drug compounding costs and frequency of medication administration errors of omission before and after outsourcing the hospital's i.v. admixture refill program to an alternate site home i.v. infusion pharmacy. As part of the outsourcing changes, the pharmacy redeployed an i.v. admixture technician to do i.v. recycling on the nursing units. The study was a single subject, pretest, posttest (within subjects) design using an observer. The independent variables were outsourcing and having an i.v. recycling technician. The dependent variables were medication errors of omission and costs directly associated with the two i.v. programs. A statistically significant reduction in the frequency of medication administration errors of omission was associated with implementation of the outsourcing program. In addition, first year expenses were reduced by an estimated $86,356.</p>","PeriodicalId":80126,"journal":{"name":"Pharmacy practice management quarterly","volume":"16 3","pages":"52-9"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21038436","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}
{"title":"Formulary management: antibiotics and therapeutic interchange.","authors":"F Massoomi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A well-managed formulary provides pharmacy managers with opportunities for decreasing drug expenditures. Therapeutic interchange constitutes one of the many programs under a formulary system which may yield cost savings as improved patient outcomes. The process of therapeutic interchange is described and compared with therapeutic substitution and generic substitution. A procedure for developing and implementing a therapeutic interchange program is presented with case studies.</p>","PeriodicalId":80126,"journal":{"name":"Pharmacy practice management quarterly","volume":"16 3","pages":"11-8"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21037380","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}
{"title":"Interviewing pharmacists for positions in patient-focused health care organizations.","authors":"R A Schmidt, D J West","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Providing pharmaceutical care requires pharmacists to have the personal attributes necessary to function as part of a health care team. Assessing candidates' personal or behavioral values during the employment interview can be a valuable tool to determine future performance. The use of a structured interviewing format designed to identify predetermined key behavioral indicators as an assessment tool is described. Through detailed probing, candidates' previous actions in specific situations are used as predictors of future performance by the interviewing organization. Use of the interviewing tool described improves the likelihood of selecting candidates with behavioral values deemed important to the organization.</p>","PeriodicalId":80126,"journal":{"name":"Pharmacy practice management quarterly","volume":"16 3","pages":"42-51"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21038435","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}
{"title":"Implementation of a service improvement program for ambulatory pharmacy services.","authors":"J N Hayman, C A Hatwig, V S Crane","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80126,"journal":{"name":"Pharmacy practice management quarterly","volume":"16 3","pages":"67-78"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21038438","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}
D L Halberg, W Russell, R C Hatton, R Segal, T S Guyton, D A Paulu
{"title":"Pharmacoeconomic evaluation of anesthesia in ambulatory surgery: comparison of desflurane to isoflurane and propofol.","authors":"D L Halberg, W Russell, R C Hatton, R Segal, T S Guyton, D A Paulu","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80126,"journal":{"name":"Pharmacy practice management quarterly","volume":"16 2","pages":"71-85"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21044670","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}
{"title":"Combination antibiotic therapy in critically ill patients.","authors":"J Jacobi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Combination antibiotic therapy may be used for a number of reasons in critically ill patients. The potential benefits of combination therapy include prevention of resistance, treatment of polymicrobial infections, to decrease toxicity, or for synergy. Selected literature is reviewed which examines the use of combination therapy in critically ill patients. Research reports have not uniformly demonstrated the benefits of combination therapy. The situations where combination therapy has been beneficial are discussed.</p>","PeriodicalId":80126,"journal":{"name":"Pharmacy practice management quarterly","volume":"16 2","pages":"13-7"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21033874","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}
{"title":"Cost and quality considerations in antibiotic formulary management.","authors":"D F Ritchie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Numerous factors are considered in the design of an antibiotic formulary, consisting primarily of indicators of clinical efficacy and safety, as well as economic viability. Similarly, there are many potential strategies for subsequent antibiotic formulary management ranging from global educational efforts to comprehensive required antibiotic justification programs. Antibiotic formulary management programs should be tailored to individual institutions and utilize a multidisciplinary approach where possible. The primary outcome goals of such programs are generally controlled antibiotic costs, optimized clinical efficacy, minimization of adverse events, and reduced microbial resistance development, although quantification of program impact on these parameters continues to be a challenge.</p>","PeriodicalId":80126,"journal":{"name":"Pharmacy practice management quarterly","volume":"16 2","pages":"4-8"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21033689","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}
{"title":"Single daily dose and simplified dosing regimens as a method to improve antibiotic therapy.","authors":"A McDaniel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pharmacists can be an important member of the patient care team by assisting with the development of dosing regimens. By optimizing the pharmacokinetic properties of the antimicrobial agents, regimens can be developed that are simple to manage. Newer approaches to simplifying dosing regimens include once-daily aminoglycoside therapy, continuous infusion beta-lactams, and utilizing agents with long half-lives such as ceftriaxone and azithromycin. These efforts could result in improved compliance and in some instances decrease costs and toxicities associated with antibiotic therapy.</p>","PeriodicalId":80126,"journal":{"name":"Pharmacy practice management quarterly","volume":"16 2","pages":"57-61"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21033694","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}
{"title":"Pharmacoeconomics: disease-based management applications.","authors":"J C Garrelts","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pharmacoeconomic information is rapidly becoming an accepted format for evaluating and comparing various treatment options. Such information may either supplement or replace standard methods for evaluating new drugs for possible inclusion on the formulary. It is important to recognize the pitfalls that may accompany different methods of collecting and evaluating pharmacoeconomic studies. Such information is important because drug use and outcomes in a real-world setting may differ substantially from those within the confines of a clinical trial setting.</p>","PeriodicalId":80126,"journal":{"name":"Pharmacy practice management quarterly","volume":"16 2","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21033880","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}
{"title":"Antibiotic streamlining: monitoring and compliance.","authors":"M Norvell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The principles of antibiotic streamlining are discussed. At the University of Nebraska Medical Center, antibiotic streamlining is conducted through the coordination of decentralized pharmacists and a comprehensive drug-usage evaluation program. Streamlining is focused on reducing redundant antibiotic coverages and converting from i.v. to oral therapy whenever possible. Examples include switching from i.v. to oral ciprofloxacin and reducing the number of ampicillin-sulbactam, clindamycin combinations. Benefits and drawbacks of the program are discussed.</p>","PeriodicalId":80126,"journal":{"name":"Pharmacy practice management quarterly","volume":"16 2","pages":"41-51"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21033691","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}