Holm Michelle R, Rudis Maria I, Wilson John W
Department of Pharmacy, Mayo Clinic, Rochester, MN, USA;
Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA.
Glob Health Action. 2015 Jan 22;8:26546. doi: 10.3402/gha.v8.26546. eCollection 2015.
In the aftermath of the 2010 earthquake in Haiti, St. Luke Hospital was built to help manage the mass casualties and subsequent cholera epidemic. A major problem faced by the hospital system was the lack of an available and sustainable supply of medications. Long-term viability of the hospital system depended largely on developing an uninterrupted medication supply chain.
We hypothesized that the implementation of a new Pharmacy Computerized Inventory Program (PCIP) would optimize medication availability and decrease medication shortages.
We conducted the research by examining how medications were being utilized and distributed before and after the implementation of PCIP. We measured the number of documented medication transactions in both Phase 1 and Phase 2 as well as user logins to determine if a computerized inventory system would be beneficial in providing a sustainable, long-term solution to their medication management needs.
The PCIP incorporated drug ordering, filling the drug requests, distribution, and dispensing of the medications in multiple settings; inventory of currently shelved medications; and graphic reporting of 'real-time' medication usage. During the PCIP initiation and establishment periods, the number of medication transactions increased from 219.6 to 359.5 (p=0.055), respectively, and the mean logins per day increased from 24.3 to 31.5, p<0.0001, respectively. The PCIP allows the hospital staff to identify and order medications with a critically low supply as well as track usage for future medication needs. The pharmacy and nursing staff found the PCIP to be efficient and a significant improvement in their medication utilization.
An efficient, customizable, and cost-sensitive PCIP can improve drug inventory management in a simplified and sustainable manner within a resource-constrained hospital.
2010年海地地震后，圣卢克医院建成，以帮助应对大量伤亡人员以及随后的霍乱疫情。医院系统面临的一个主要问题是缺乏可用且可持续的药品供应。医院系统的长期生存能力在很大程度上取决于建立一个不间断的药品供应链。
我们假设实施新的药房计算机化库存计划（PCIP）将优化药品供应并减少药品短缺。
我们通过检查PCIP实施前后药品的使用和分发情况来进行研究。我们测量了第1阶段和第2阶段记录的药品交易数量以及用户登录情况，以确定计算机化库存系统是否有助于为其药品管理需求提供可持续的长期解决方案。
PCIP涵盖了在多个场所的药品订购、满足药品需求、分发和配药；当前上架药品的库存；以及“实时”药品使用情况的图形报告。在PCIP启动和建立期间，药品交易数量分别从219.6增加到359.5（p = 0.055），每天的平均登录次数分别从24.3增加到31.5，p<0.0001。PCIP使医院工作人员能够识别和订购供应严重不足的药品，并跟踪药品使用情况以满足未来的药品需求。药房和护理人员发现PCIP效率高，并且在药品使用方面有显著改善。
一个高效、可定制且成本敏感的PCIP可以在资源有限的医院内以简化且可持续的方式改善药品库存管理。
