Biomedical subjects

J W Stroup

Publications and source records attributed to J W Stroup.

4 recordsLinked to original sources

PubMed1992

Implementation and financial analysis of an operating room satellite pharmacy.

The rationale and implementation of an operating room (OR) pharmacy satellite is described, and the first-year savings are evaluated. The OR in an 874-bed university teaching hospital, consisting of 17 rooms for inpatients, 6 rooms for ambulatory patients, and a postanesthesia care unit, lacked comprehensive pharmacy services; this resulted in poor drug-use control and accountability, varied controlled-substance audit trails, and suboptimal patient services. A task force examined other institutions' OR pharmacy satellites and chose to implement a satellite that provides all pharmaceuticals and i.v. admixtures by using case trays for each surgical patient. One year after implementation of the satellite, inventory in the operating-room areas was reduced by 56.5%, annual pharmaceutical costs by 2.6% (adjusted for inflation), and average cost per patient by 8.0% (adjusted for inflation). First-year cost reductions and revenue identification exceeded operating costs for materials, supplies, and labor by $271,755. Implementation of an OR pharmacy satellite reduced the net cost of providing pharmaceutical services to the OR.

Ambulatory Care↗

PubMed1986

Expiry date guidelines for a centralized IV admixture service.

Expiry date guidelines for a centralized pharmacy-based IV admixture program are documented. These guidelines form part of an overall quality assurance program for the IV admixture service. Factors affecting IV admixture expiry times include drug compatibility with the vehicle(s) and container, microbiological parameters, and established standards of practice for pharmacy-based IV admixture programs.

Drug Storage↗

PubMed1985

Implementation and evaluation of a decentralized pharmacy service.

The implementation of a decentralized pharmacy service on a 59 bed acute patient care area was evaluated. Over a ten-month period four criteria were used to evaluate the decentralized service: (1) reported medication errors, (2) reported medication discrepancies, (3) drug costs per patient day and (4) availability and utilization of drug information. Data was collected over the ten month period for all criteria except for drug information interactions in which a self reporting data card was utilized over a six week period. Medication errors and medication discrepancies decreased by 12.5% and 80% respectively on the pilot floor as compared to the hospital (+14.8%, -18.0% respectively). Drug costs per patient day increased the least on the pilot floor (+9.1%) as compared to other areas in the hospital (range: 10.8% to 49.3%). Seventy-six percent of drug information interactions occurred on the pilot floor as compared to the central pharmacy accounting for 24% of interactions for all other hospital areas combined. It is concluded that a decentralized pharmacy service can make a significant impact on a unit dose drug distribution system by reducing medication errors, discrepancies, drug costs and by increasing the utilization of drug information resources.

Centralized Hospital Services↗

PubMed1984

Medication related nursing activities in a computerized unit dose system. A work sampling analysis.

In planning for decentralization of Pharmacy Services a 2-month study of registered nurses was conducted using the work sampling technique. A quantitative analysis was made of the time which was spent in different medication related activities. Two floors which were thought to be representative of the hospital, a medical floor and a surgical floor, were selected. A classification of activities and a sampling form were prepared and evaluated in a 1 week pilot study. Instantaneous observations were made throughout the 24 hour day at random intervals and recorded on the sampling form. Over 9,400 observations were made. Registered nurses spent 11.39 z 0.66% (mean z SE) of their time in medication related activities.

Efficiency↗