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药物交换与共享网络计划(MESNP)倡议,以应对沙特阿拉伯王国(KSA)的药品短缺问题。

Medication Exchange and Sharing Network Program (MESNP) initiative to cope with drug shortages in the Kingdom of Saudi Arabia (KSA).

作者信息

AlAzmi Aeshah, AlRashidi Faris

机构信息

Ministry of National Guard Health Affairs (MNGHA), King Abdulaziz Medical City (KAMC 6255), Pharmaceutical Care Services Department, Clinical Pharmacy Section, Jeddah 21423, Saudi Arabia.

King Fahad Specialist Hospital (KFSH), Pharmaceutical Care Services Department, Dammam, Saudi Arabia.

出版信息

Risk Manag Healthc Policy. 2019 Jul 9;12:115-121. doi: 10.2147/RMHP.S198375. eCollection 2019.

Abstract

BACKGROUND

Drug shortages are a major public health concern and remain a persistent problem worldwide. At present, there are no unified existing strategies for managing medicine stocks in the Kingdom of Saudi Arabia (KSA). Here, the aim is to describe our experience with creating a non-profit voluntary national Medication Exchange and Sharing Network Program (MESNP) throughout the KSA.

METHODS

A quality improvement process map method was used in this project. The baseline evaluation included a review of possible reasons and strategies for managing medication shortages and recognizing potential associated safety issues. To that end, at the national level, we developed MESNP as a novel project to cope with medication shortages using Telegram social media as the preferred program for connecting with the member institution.

RESULTS

A total of 500 requests were received over one year. Three hundred and fifteen (315) constituted requests for drug supplies due to shortages while the number of reports indicating the availability of overstock drug for re-distribution is (185). Almost 98% of overstocking drug reports was re-distributed in which it covers 75% of drug shortage requests.

CONCLUSION

This novel project aims to use our current resources by facilitating the medication exchange and sharing between the organizations at national level. The optimistic goal is to proactively mitigate drug wastages and prevent drug shortages toward better patient care.

摘要

背景

药品短缺是一个重大的公共卫生问题,在全球范围内仍然是一个长期存在的问题。目前,沙特阿拉伯王国(KSA)没有统一的现有药品库存管理策略。在此,目的是描述我们在沙特阿拉伯王国创建一个非营利性自愿国家药品交换与共享网络计划(MESNP)的经验。

方法

本项目采用质量改进流程图方法。基线评估包括审查管理药品短缺的可能原因和策略,以及识别潜在的相关安全问题。为此,在国家层面,我们开发了MESNP作为一个新项目,使用Telegram社交媒体作为与成员机构联系的首选程序来应对药品短缺。

结果

一年中共收到500份请求。其中315份是因短缺而提出的药品供应请求,而表明有积压药品可供重新分配的报告数量为185份。几乎98%的积压药品报告被重新分配,覆盖了75%的药品短缺请求。

结论

这个新项目旨在通过促进国家层面各组织之间的药品交换和共享来利用我们现有的资源。乐观的目标是积极减少药品浪费,防止药品短缺,以提供更好的患者护理。

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本文引用的文献

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Drug shortages in Saudi Arabia: Root causes and recommendations.沙特阿拉伯的药品短缺:根本原因与建议。
Saudi Pharm J. 2018 Nov;26(7):947-951. doi: 10.1016/j.jsps.2018.05.002. Epub 2018 May 12.
2
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The use of process mapping in healthcare quality improvement projects.流程映射在医疗质量改进项目中的应用。
Health Serv Manage Res. 2018 May;31(2):74-84. doi: 10.1177/0951484818770411. Epub 2018 Apr 30.
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Patients' Knowledge and Attitude toward the Disposal of Medications.患者对药品处置的知识与态度。
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