De Weerdt Elfi, Simoens Steven, Casteels Minne, Huys Isabelle
Clinical Pharmacology and Pharmacotherapy, Department of Pharmaceutical and Pharmacological Sciences, KU LeuvenLeuven, Belgium.
Front Pharmacol. 2017 Aug 23;8:568. doi: 10.3389/fphar.2017.00568. eCollection 2017.
Drug supply problems are a known problem for pharmacies. Community and hospital pharmacies do everything they can to minimize impact on patients. This study aims to quantify the time spent by Flemish community pharmacies on drug supply problems. During 18 weeks, employees of 25 community pharmacies filled in a template with the total time spent on drug supply problems. The template stated all the steps community pharmacies could undertake to manage drug supply problems. Considering the median over the study period, the median time spent on drug supply problems was 25 min per week, with a minimum of 14 min per week and a maximum of 38 min per week. After calculating the median of each pharmacy, large differences were observed between pharmacies: about 25% spent less than 15 min per week and one-fifth spent more than 1 h per week. The steps on which community pharmacists spent most time are: (i) "check missing products from orders," (ii) "contact wholesaler/manufacturers regarding potential drug shortages," and (iii) "communicating to patients." These three steps account for about 50% of the total time spent on drug supply problems during the study period. Community pharmacies spend about half an hour per week on drug supply problems. Although 25 min per week does not seem that much, the time spent is not delineated and community pharmacists are constantly confronted with drug supply problems.
药品供应问题是药房面临的一个已知问题。社区药房和医院药房都尽其所能将对患者的影响降至最低。本研究旨在量化弗拉芒社区药房在药品供应问题上花费的时间。在18周内，25家社区药房的员工填写了一份关于药品供应问题总花费时间的模板。该模板列出了社区药房可以采取的管理药品供应问题的所有步骤。考虑到研究期间的中位数，每周在药品供应问题上花费的中位数时间为25分钟，每周最少14分钟，最多38分钟。在计算每家药房的中位数后，各药房之间存在很大差异：约25%的药房每周花费时间少于15分钟，五分之一的药房每周花费时间超过1小时。社区药剂师花费时间最多的步骤是：（i）“检查订单中缺失的产品”，（ii）“就潜在药品短缺联系批发商/制造商”，以及（iii）“与患者沟通”。在研究期间，这三个步骤占药品供应问题总花费时间的约50%。社区药房每周在药品供应问题上花费约半小时。虽然每周25分钟似乎不算多，但花费的时间并不明确，而且社区药剂师不断面临药品供应问题。
