Stroup J W, Dinel B A
Can J Hosp Pharm. 1985 Jun;38(3):94-7.
The implementation of a decentralized pharmacy service on a 59 bed acute patient care area was evaluated. Over a ten-month period four criteria were used to evaluate the decentralized service: (1) reported medication errors, (2) reported medication discrepancies, (3) drug costs per patient day and (4) availability and utilization of drug information. Data was collected over the ten month period for all criteria except for drug information interactions in which a self reporting data card was utilized over a six week period. Medication errors and medication discrepancies decreased by 12.5% and 80% respectively on the pilot floor as compared to the hospital (+14.8%, -18.0% respectively). Drug costs per patient day increased the least on the pilot floor (+9.1%) as compared to other areas in the hospital (range: 10.8% to 49.3%). Seventy-six percent of drug information interactions occurred on the pilot floor as compared to the central pharmacy accounting for 24% of interactions for all other hospital areas combined. It is concluded that a decentralized pharmacy service can make a significant impact on a unit dose drug distribution system by reducing medication errors, discrepancies, drug costs and by increasing the utilization of drug information resources.
对一个拥有59张床位的急性病患者护理区实施分散式药房服务进行了评估。在十个月的时间里，使用了四个标准来评估分散式服务：（1）报告的用药错误，（2）报告的用药差异，（3）每位患者每天的药品成本，以及（4）药品信息的可及性和利用率。除药品信息交互外，所有标准的数据均在十个月期间收集，药品信息交互方面则在六周内使用了自我报告数据卡。与全院相比，试点楼层的用药错误和用药差异分别下降了12.5%和80%（全院分别为+14.8%，-18.0%）。与医院其他区域相比，试点楼层每位患者每天的药品成本增幅最小（+9.1%）（范围：10.8%至49.3%）。与中央药房相比，76%的药品信息交互发生在试点楼层，中央药房占医院所有其他区域交互总数的24%。得出的结论是，分散式药房服务可以通过减少用药错误、差异、药品成本以及提高药品信息资源的利用率，对单剂量药品分发系统产生重大影响。
