Spigiel R W, Anderson R J
Am J Hosp Pharm. 1979 Jan;36(1):52-6.
A decentralized pharmaceutical service functioning in a hospital emergency room from 4 p.m. to midnight daily is described. Start-up costs were determined to be less than $2,200 for the system which includes a mobile medication cart stocked with a limited inventory of prepackaged medications. Approximately 94% of the prescriptions originating from the emergency room from 4 p.m. to 8 a.m. can be filled from the cart. Results of a nine-month survey indicated that an average of 20.6 prescriptions were filled on the 4 p.m. to midnight shift each day, producing an average daily profit over drug expense of $60.51, which was more than the salary expense of the pharmacists providing the service. The time required to provide traditional prescription services has not interfered with the provision of clinical services or opportunities for educating undergraduate pharmacy students who rotate through the area. Implementation of clinical pharmaceutical services with a traditional component is suggested as a cost-effective method of providing such services.
本文描述了一种在医院急诊室每天下午4点至午夜运行的分散式药学服务。该系统的启动成本被确定为低于2200美元，其中包括一辆配备有限预包装药品库存的移动药车。下午4点至上午8点来自急诊室的处方中，约94%可从药车中配出。一项为期九个月的调查结果显示，下午4点至午夜班次平均每天配出20.6张处方，药品费用的日均利润为60.51美元，这超过了提供该服务的药剂师的薪资费用。提供传统处方服务所需的时间并未干扰临床服务的提供，也未影响轮转至该区域的本科药学专业学生的教育机会。建议实施具有传统组成部分的临床药学服务，作为提供此类服务的一种具有成本效益的方法。
