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Biomedical subjects

M O'Brodovich

Publications and source records attributed to M O'Brodovich.

6 recordsLinked to original sources

Management considerations to implementing pharmaceutical care.

Progressing towards the goal of PC requires a fundamental change to pharmacy practice. Strong leadership and management skills will be needed to facilitate this change. Even with enthusiastic and capable staff, implementation of the PC model will require considerable effort. Changes to the department's mission statement and organizational structure will be required. From this beginning, an action plan for the department can be developed. This plan includes the training of individuals and/or recruiting the necessary personnel. An ongoing education program, as well as determining the value of your service, is required. With successful implementation the PC model will lead to the acceptance of the pharmacist's role as the person responsible for identifying, preventing, and resolving drug-related problems.

Canada↗

A study pre and post unit dose conversion in a pediatric hospital.

Two pediatric medical wards were studied pre and post unit dose conversion using some of the methods described by Schnell et al. The proportion of nurses' time spent on medication related activities decreased from 23.7% pre to 21.6% post unit dose conversion. Nurses' attitudes to the roles of pharmacists and nurses did not change overall and there were significant improvements in their perceptions of the drug distribution system. Observed medication incident rates decreased from 10.3% to 2.9% when wrong time errors were excluded. Medication room audits showed less opportunity for error post-conversion. Work sampling of pharmacists' activities showed no significant change in the amount of time spent on distribution activities. Medication costs decreased by 4% under unit dose drug distribution.

Attitude of Health Personnel↗

The effect of an education program on cefazolin prescribing.

A study was conducted to identify cefazolin prescribing practices prior to a pharmacy based educational program and to assess the effect of the educational program on cefazolin prescribing and costs. The educational program consisted of the circulation of a drug information bulletin, a letter from the Chairman of the Pharmacy and Therapeutics Committee to all medical staff and pharmacists plus personal communications with physicians by pharmacists. The assessment involved a retrospective review of all cefazolin orders written during two 25-day periods, before and after the educational program. The results demonstrated a statistically significant reduction (p less than 0.05 by Z-test of proportions) in the number of cefazolin orders more frequent than every eight hours as well as the total number of doses given at more frequent regimens. This improvement in appropriate prescribing resulted in cost savings of $1,727.71 for the post education study period. This saving extrapolated to 12 months would lead to a $25,224.57 annual saving. This study suggests the effectiveness of a multifaceted educational program in optimizing prescribing.

Cefazolin↗