Appleby D H, Cullison T E, Edgerton W L
Am J Hosp Pharm. 1983 Jun;40(6):981-3.
The use of computerized interdepartmental transfer records to identify lost drug charges and a program to capture those charges are described. All charges for medications ordered on floor-stock requisitions for the operating room and various intensive-care units in a 400-bed hospital were entered into the pharmacy's computer. Medications ordered on requisitions that were not stamped with a specific patient's name were charged to the patient-care unit using the computer's interdepartmental transfer program. Computer reports itemizing these charges indicated that over $5100 per month was being lost, approximately half of which originated from the operating room. To reduce lost charges, an improved method of drug-inventory control was implemented in the operating room, and two nurses were hired to coordinate the drug-distribution system in this area. In addition, nurses in other intensive-care units were informed about the liabilities associated with failure to charge for medications, and incentive programs were developed to improve compliance with these procedures. During the first six months after implementation of these measures, monthly lost charges were reduced by a mean of 86%. The use of computerized interdepartmental transfer records to identify lost pharmacy charges may help to justify the cost of computer systems.
描述了使用计算机化的部门间转移记录来识别丢失的药品费用以及一个捕获这些费用的程序。一家拥有400张床位的医院中，手术室和各个重症监护病房的常备药品申请单上所订购药品的所有费用都录入了药房的计算机。申请单上未加盖特定患者姓名的药品费用，通过计算机的部门间转移程序计入患者护理单元。列出这些费用的计算机报告显示，每月损失超过5100美元，其中约一半来自手术室。为减少损失的费用，手术室实施了一种改进的药品库存控制方法，并雇佣了两名护士来协调该区域的药品分发系统。此外，还告知了其他重症监护病房的护士未对药品收费所带来的责任，并制定了激励计划以提高对这些程序的遵守情况。在实施这些措施后的前六个月中，每月损失的费用平均减少了86%。使用计算机化的部门间转移记录来识别药房丢失的费用可能有助于证明计算机系统的成本是合理的。
