Christensen Maria, Knudsen Stine A, Plet Hanne, Lyngsø Solveig Bang, Olesen Anne Estrup
Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Hospital Pharmacy of North Denmark Region, Aalborg, Denmark.
Eur J Hosp Pharm. 2020 Jul;27(4):232-236. doi: 10.1136/ejhpharm-2018-001740. Epub 2018 Nov 26.
Access to emergency drug kits (EDK) during medical emergencies can be life-saving; however, recent doubts about the quality of the kits have been expressed. Procurements of pharmaceuticals to the five regional authorities in Denmark are serviced by Amgros, a public sector organisation owned by the regions and established to create economies of scale and achieve administrative savings by centralisation. This means that Amgros calls for tenders for the supply of pharmaceuticals to the hospital pharmacies. The Hospital Pharmacy in the North Denmark Region does not currently have an effective method to manage Amgros procurements in relation to EDKs. Thus, the objectives were to explore how quality in the management and packing of EDKs is assured and maintained at different hospital pharmacies in Denmark and how this is affected by Amgros procurements.
The hospital pharmacies in Denmark were enrolled in a cross-sectional study. Information about the management and challenges of the EDKs was inquired by means of a questionnaire. Responses were analysed by simple statistics.
All eight hospital pharmacies in Denmark completed the questionnaire, and the distribution between single-use and reusable packaging was nearly equal. The hospital pharmacies comply with a variation of regulations of which good distribution practice is the most common. Six hospital pharmacies experience challenges with drug replacements in the EDKs and only one hospital pharmacy complies completely with the Amgros procurement. The majority of the hospital pharmacies use parameters such as and in their decision of whether to comply with the Amgros procurement.
The management of the EDKs varies greatly among the hospital pharmacies in Denmark, and national requirements are therefore encouraged to ensure the quality. The challenges experienced with drug replacements reflect that complying with the Amgros procurement can be troublesome.
在医疗紧急情况期间能够获取急救药箱（EDK）可能会挽救生命；然而，最近有人对这些药箱的质量表示怀疑。丹麦五个地区当局的药品采购由Amgros负责，Amgros是一个由各地区所有的公共部门组织，其设立目的是通过集中化实现规模经济并节省行政开支。这意味着Amgros招标供应药品给医院药房。丹麦北部地区的医院药房目前没有有效的方法来管理与急救药箱相关的Amgros采购。因此，目的是探讨丹麦不同医院药房如何确保和维持急救药箱管理与包装的质量，以及这如何受到Amgros采购的影响。
丹麦的医院药房参与了一项横断面研究。通过问卷调查询问有关急救药箱管理和挑战的信息。通过简单统计分析回复。
丹麦所有八家医院药房都完成了问卷，一次性包装和可重复使用包装之间的分布几乎相等。医院药房遵守各种规定，其中良好分发规范最为常见。六家医院药房在急救药箱中的药品更换方面遇到挑战，只有一家医院药房完全遵守Amgros采购规定。大多数医院药房在决定是否遵守Amgros采购规定时使用诸如 和 等参数。
丹麦医院药房之间急救药箱的管理差异很大，因此鼓励制定国家要求以确保质量。药品更换方面遇到的挑战表明遵守Amgros采购规定可能会很麻烦。
