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R L Longe

Publications and source records attributed to R L Longe.

26 records · Page 2Linked to original sources

Errors remaining in unit dose carts after checking by pharmacists versus pharmacy technicians.

The accuracy of pharmacists and pharmacy technicians in checking unit dose carts was compared. One-half of the unit dose patient medication drawers, for a 92-bed medicine service in a 450-bed teaching hospital, were checked by pharmacy technicians and the remaining by pharmacists. These drawers then were checked again to determine the number and type of checking errors committed by technicians and pharmacists. During the 10-day study, carts checked by pharmacists contained over twice as many errors (1.85%) as similar carts checked by technicians (0.87%). The results suggest that pharmacy technicians could probably be trained to perform the cart-checking task in unit dose drug distribution systems. Time-extended studies should be done to determine if technician performance is maintained after the novelty of the task wears off.

Drug Packaging↗

Medication delivery time requirements in centralized and decentralized unit dose drug distribution systems.

Medication delivery time requirements in centralized and decentralized unit dose drug distribution systems were compared. Four stages in the receipt of medication orders and the delivery of doses were identified, and the time required to perform each stage was recorded by pharmacist observers for seven days in each system. In the centralized system, it required 138--220 minutes to deliver doses after orders were ready to be collected at the nursing station, with the time varying according to order type. The same cycle required 1--40 minutes in the decentralized system. Delays in medication delivery were shorter in the decentralized system.

Georgia↗

Developing Drug Reports for the Pharmacy and Therapeutics Committee.

The role of a drug information center in working with a pharmacy and therapeutics committee is discussed. In order to add a drug to the formulary, physicians must complete a special form which asks for justification for the addition. In preparing a report for the pharmacy and therapeutics committee, the drug information pharmacist evaluates the request as it relates to: (1) the effectiveness of the drug in the stated anticipated uses, and (2) studies comparing the requested drug with similar drugs already in the formulary. Use of the form permits the pharmacist to focus on the specific claims made by the physician who is requesting the formulary addition.

Information Services↗

An evaluation of a medication history method.

The purpose of this study was to evaluate a drug history method. The method consisted of a review of systems (ROS) history format, which utilized common symptoms/diseases per organ system matched with corresponding drug treatments. Findings of this method were compared with drug histories documented in the medical record. The study was conducted over an eight-week period on general medicine inpatients and ICU patients. All data retrieved were categorized into total number of drugs found and then analyzed as to legend, nonlegend, and unidentifiable content. Findings were statistically analyzed using chi-square. During the study, 207 patients were admitted. Of these patients, 186 drug histories were obtained; 21 patients could not be interviewed. The ROS method documented 406 drugs as compared with 60 drugs by the medical record (p less than 0.001). Performance time was comparable to similar studies (14 +/- 5.85 min). Using a concise, logically organized technique, more drugs were identified than reported by the medical record. We conclude that the experimental method is a productive method for obtaining a drug history.

Drug Therapy↗