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M W Skolaut

Publications and source records attributed to M W Skolaut.

11 recordsLinked to original sources

Purchasing and inventory control--past, present, and future.

Factors that have affected hospital pharmacy purchasing and inventory control functions are discussed, and future trends are suggested. The concepts of the pharmacy and therapeutics committee and the hospital formulary system stemmed from early hospital pharmacy practice standards that were promulgated about the time drug products began to proliferate. Brand standardization, restricted drug-use policies, and selection of therapeutic alternates are among the approaches P & T committees have devised to hold down hospital drug costs; these efforts will expand. Brand-comparison advertising, use of various incentives to physicians and pharmacists, premarketing publicity about new products, improved product packaging, and support of research studies are among the promotional tactics pharmaceutical manufacturers have employed and are likely to expand. Government legislation and regulations that have had the effect of increasing the cost of drugs may be modified. Hospital pharmacists should monitor developments such as these to prepare themselves for the challenges in their purchasing and inventory control responsibilities.

Drug Industry↗

A new look at pharmacy services in the operating suite and recovery room.

Drug control and charging traditionally have been delegated to overburdened physicians and nursing personnel in operating rooms, anesthesiology, and immediate postoperative patient care areas. Better drug control (e.g., charging, intravenous admixture preparation, and narcotic record keeping) in these areas is needed, and a 24-hour satellite pharmacy system is proposed. Revenue production and expense incurred were projected by analyzing drug usage. Responsive drug dispensing and control were evaluated by a 10-day pilot study during which the pharmacy provided the entire drug needs of the patient while in the operating suite. Economic analyses revealed significant "lost charges" by the automatic replacement system currently in use. Revenue was maintained while providing clearly labeled drugs in a ready-to-use form. Problems with drug inventory and narcotic control were lessened for the nursing and physician staffs during the pilot study. It was concluded that drug distribution and control via a decentralized pharmacy satellite located in the operating room area is a financially viable solution resulting in better patient care.

Accounts Payable and Receivable↗

Moving toward the 21st century.

The status of pharmacist education, areas of professional responsibility, pharmacy management, and ASHP membership is predicted for the coming decades. Because of changes in practice and greater use of nonpharmacists, colleges of pharmacy will graduate fewer pharmacists, all with Pharm.D.degree. Ph.D.-level programs will be initiated for specialized practice as institutional pharmacy continues to expand to include both total-service and specialized practitioners. Pharmacy management will become more demanding and, in large departments, may require both a professional and a nonprofessional director. Hospitals will become larger but fewer in number. They will serve large geographic areas, with the patients coming as referrals from ambulatory health care centers operating in smaller communities. With present services and programs, ASHP membership probably will level off at 21,000. If the Society can broaden its role, membership could reach 25,000--40,000, including many supportive personnel members. The formation of more specialty organizations may be necessary, but they will require a successful umbrella organization for the cooperation needed for continued growth of the profession.

Education, Pharmacy↗