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Biomedical subjects

J F Coarse

Publications and source records attributed to J F Coarse.

11 recordsLinked to original sources
PubMed1980

An exchange cart supply-distribution system employed on an institution-wide basis.

This paper describes a drug distribution system developed for replenishment of stock supplies for hospital patient-care units, ambulatory care areas, and clinical support service areas. The method employed, a modified exchange cart system in which duplicate sets of supplies are exchanged at regular and predetermined intervals, utilizes unit-of-use packaging whenever feasible and is an extension of our centralized unit dose drug distribution system. Various supply-distribution techniques and inventory surveillance and control techniques, as well as cost identification and charge recovery procedures, are discussed.

Connecticut↗
PubMed1980

Hospital pharmacy indexes: a tool for assessing purchasing and inventory control performance.

The development and use of price and value indexes that differentiate between the effects of price and volume changes on a hospital's cost of drug products and related supplies are discussed. To construct a price index it is necessary to (1) compile a general list of drug products representative of a major portion of the institution's annual drug expenditure, (2) assign appropriate weights (quantity determinants) to these listed products, (3) select a base period that reflects normal hospital operations, and (4) select a suitable equation, the authors' choice being a fixed-weight aggregates method. The value index, which measures the combined effects of acquisition cost changes and volume changes, can be calculated when the acquisition cost change for the period is known. Information derived from the indexes can be used in (1) cost analysis and operational forecasts, (2) measurement and assessment of purchasing and inventory control, and (3) simplification of procurement and inventory processes.

Costs and Cost Analysis↗
PubMed1979

Objective-focused approach for appraising the performance of institutional pharmacists.

The development of an objective-focused performance appraisal method applied to hospital pharmacy management is discussed. Objective-based performance appraisal techniques should match the pharmacy department's goals and management style and be a continuous process. Goals should be established and target dates set jointly by the individual and supervisor, emphasizing employee planning and departmental priorities. Standards by which to measure accomplishment of objectives should be set before the evaluation period begins. Appraisals and rewards should be related to achievement of goals. Objective-focused performance appraisals provide a better system for establishing priorities and improve coordination and integration of departmental plans and activities.

Employee Performance Appraisal↗
PubMed1975

Use of fructose in the treatment of acute alcoholic intoxication.

The literature concerning the use of fructose to lower ethanol blood levels in acute alcoholic intoxication is reviewed. Studies indicate that 500 ml of a 40% infusion of fructose solution given over a 30-minute period can increase the rate of decline of ethanol blood levels by 25%. The recommended daily dosage is one to three liters of a 10% solution. Lactic acidosis is a potentially serious side effect of large doses of fructose. The lack of controlled clinical studies or other convincing evidence makes the routine use of fructose to treat acute alcoholic intoxication inadvisable.

Acidosis↗