Transforming Pharmacy Workflow for Better Patient Care at RHUH

undefined
 
A New Prospective for Better Care
 
 
 
Dr. Mona Baalbaki;
Rph, Head of Pharmacy- RHUH
 
Hospital Pharmacy Workflow
RHUH is a University Hospital Serving
Various Specialties
 
Pharmacy Mission
Our mission is to provide
M
e
e
t
 
i
n
t
e
r
n
a
t
i
o
n
a
l
 
p
r
a
c
t
i
c
e
 
c
r
i
t
e
r
i
a
F
o
s
t
e
r
 
a
n
 
E
d
u
c
a
t
i
o
n
a
l
 
E
n
v
i
r
o
n
m
e
n
t
C
o
n
t
r
i
b
u
t
e
 
t
o
 
o
p
t
i
m
a
l
 
p
a
t
i
e
n
t
 
c
a
r
e
I
n
t
e
g
r
a
t
e
 
i
t
s
e
l
f
 
i
n
 
p
a
t
i
e
n
t
 
c
a
r
e
C
o
n
t
i
n
u
o
u
s
l
y
 
i
m
p
r
o
v
e
 
i
t
s
 
p
e
r
f
o
r
m
a
n
c
e
 
Pharmacy Vision
 
 
“We care for each other ,realizing that
all positions and individuals are
equally important to the achievement
of our goals”
 
 
The Pharmacy Department at RHUH is a full service
automated computerized inpatient facility providing a
wide  range of services both to the patient and hospital
medical staff.
C
o
m
p
u
t
e
r
i
z
e
d
 
Old fashion way Vs. Computerized way
Capoten
   
Gopten
Centrum
  
Sintrom
Corvasal
  
Coversyl
 
Less Errors
No abbreviations
No bad hand writing
No verbal orders
 
 The pharmacist has full access to the patient
profile from his office rendering the work
much more easier and faster
 
Old fashion way Vs. Computerized way (cont’d)
 
 
Old fashion way Vs. Computerized way (cont’d)
 
   Provides services through an error free system.
   Controlled Pharmaceutical expenses.
   Continuous update of the electronic system.
 
 
The full access to the patient profile
allows the pharmacist to detect errors in
prescribing and hence intervening to
correct medical orders
 
Old fashion way Vs. Computerized way (cont’d)
 
Responsibilities of RHUH pharmacy staff
 
Hospital Pharmacists are moving from prescription
providers to pharmaceutical care providers.
 
Responsibilities of RHUH pharmacy staff
 
 
Job descriptions for all pharmacy personnel should be
available to define the professional and technical role of
each 
 reviewed every 2 years in accordance to policy
and procedure.
 
Responsibilities of RHUH pharmacy staff
 
Review medication orders at the time of prescribing.
Identify actual potential medical related problem.
Prepare pharmaceutical care plan.
Optimize compliance on drugs.
Monitor and educate patient.
 
Responsibilities of RHUH pharmacy staff (cont’d)
 
Reviewing the patient medication profile 
on daily basis
 for:
 
1.
Possible modifications of ongoing treatment.
2.
Discontinuation of medications.
3.
Addition of new medications.
4.
Controlling appropriate route of administration.
 
Responsibilities of RHUH pharmacy staff (cont’d)
Medication Profile
 
Eliminating 
Duplication
 of therapeutically similar drugs.
Minimizing potential allergic or 
ADR’s.
Monitoring possible 
drug disease
 incompatibilities.
Controlling 
drug-drug
 interactions.
Checking 
correct dosage and dosage interval.
 
Responsibilities of RHUH pharmacy staff (cont’d)
 
Solving problems related to intravenous administration
including:
 
Potential Incompatibility.
Drug stability.
Volume of intravenous fluid.
Rate of Infusion.
 
Responsibilities of RHUH pharmacy staff (cont’d)
 
Answering drug information questions
 
Guidelines and presentations 
to keep the hospital staff
informed about newly approved drugs and any other
relevant information
 
Drug information 
questions are recorded on drug
information forms.
 
Responsibilities of RHUH pharmacy staff (cont’d)
 
Pharmacists are also responsible for preparing drug utilization
reviews (DUR) for medications such as:
 
  Albumin.
  LMWH.
  Intravenous Immunoglobulins (IV IG).
 
 
Responsibilities of RHUH pharmacy staff (cont’d)
W
h
a
t
 
A
r
e
 
t
h
e
 
B
e
n
e
f
i
t
s
 
o
f
R
e
v
i
e
w
i
n
g
 
t
h
e
 
P
a
t
i
e
n
t
 
P
r
o
f
i
l
e
?
 
Responsibilities of RHUH pharmacy staff (cont’d)
Reviewing patient Profile
 
 
1.
Reduces medication errors.
 
2.
Delivers best patient care at minimal medical cost.
 
3.
Improve patient outcomes.
 
 
Responsibilities of RHUH pharmacy staff (cont’d)
Pharmacists Interventions
 
 
All pharmacists interventions are documented
on drug intervention form.
 
Responsibilities of RHUH pharmacy staff (cont’d)
 
In short, hospital pharmacists are described as :
 
Care givers.
Communicators.
Leaders.
Managers.
Life-long leaders.
Teachers.
P
h
a
r
m
a
c
y
A
c
t
i
v
i
t
i
e
s
 
Committees
 
Meetings
 
Pharmacy department conducts on a monthly basis (or when
necessary) a meeting in order:
 
1.
Discuss  issues related to medication ordering,
dispensing, and delivering.
2.
Set new Guidelines / Regulations / Goals...
3.
Plan activities and assignments
4.
Identify areas needing improvement
5.
Take new decisions
 
Continuous Education
 
As directed by accreditation, it is a must to prepare a
continuous education plan either for pharmacy staff or even
other hospital staff. This is achieved through:
 
1.
Presentations.
2.
Conferences.
 
Either to present new information or emphasize their
own knowledge.
 
Pharmacy Related Reports
 
Adverse Event Reports: 
written by the nurses or doctors in
charge and sent to the pharmacy for further review.
 
Medication Error Reports:
Incident reports of all pharmacy related mistakes are written by hospital
staff and sent to the pharmacy to provide a future prevention plan.
Miss error Tracking form.
 
Clinical Intervention Reports: 
done on daily basis and
discussed among all pharmacists in monthly round tables.
 
Relation with other Departments
C
o
m
m
u
n
i
c
a
t
i
o
n
 
w
i
t
h
 
V
a
r
i
o
u
s
 
D
e
p
a
r
t
m
e
n
t
s
F
a
s
t
e
r
 
C
o
l
l
a
b
o
r
a
t
i
o
n
 
a
n
d
 
D
e
c
i
s
i
o
n
 
m
a
k
i
n
g
S
h
a
r
i
n
g
 
D
o
c
u
m
e
n
t
s
 
a
n
d
 
I
n
f
o
r
m
a
t
i
o
n
 
Drug Management
 
Drug management 
is very important
 because it ensures that
the 
RIGHT DRUG
 of 
GOOD QUALITY
 is available when
needed for a patient.
 
D
r
u
g
 
S
e
l
e
c
t
i
o
n
D
r
u
g
 
D
i
s
p
e
n
s
i
n
g
D
r
u
g
 
R
e
c
e
i
v
i
n
g
D
r
u
g
 
P
r
o
c
u
r
e
m
e
n
t
D
r
u
g
 
S
t
o
r
a
g
e
 
The pharmacy department at RHUH adopts the 
Hospital
Drug Formulary System.
 
 
 
The pharmacy has the right to dispense formulary drugs
regardless of the physician order (generic or brand).
D
r
u
g
 
S
e
l
e
c
t
i
o
n
L
i
s
t
 
o
f
 
a
l
l
 
m
e
d
i
c
a
t
i
o
n
s
 
a
p
p
r
o
v
e
d
 
b
y
 
t
h
e
P
 
&
T
 
C
o
m
m
i
t
t
e
e
 
There is a criteria for selecting drug products’
manufacturers and suppliers to ensure high quality of
drug products.
 
 
 
D
r
u
g
 
S
e
l
e
c
t
i
o
n
T
e
c
h
n
i
c
a
l
 
E
v
a
l
u
a
t
i
o
n
 
Selected medications are purchased in the right
quantities to ensure that patients are more likely to
receive necessary drugs on time.
 
In case of any shortage, the pharmacy informs the
entire staff via intranet and tries to provide an
appropriate alternative
 
 
 
 
D
r
u
g
 
P
r
o
c
u
r
e
m
e
n
t
D
r
u
g
 
S
t
o
r
a
g
e
 
Cytotoxic drugs are stored separately with a special
warning label.
 
Controlled drugs are stored under lock with access limited
to pharmacists in charge..
 
Expired drugs are identified with an 
orange label
 and
segregated for disposal according to the safety policy of the
hospital.
 
D
r
u
g
 
S
t
o
r
a
g
e
 
 
All stocks of medications
available in the pharmacy as
well as on hospital floors are
inspected 
monthly 
to ensure
the absence of outdated
unusable or mislabeled
drugs.
D
r
u
g
 
S
t
o
r
a
g
e
 
 
Floor Stock Inspection includes the following:
 
Area for preparing medications.
Floor stock medications.
Patient Medications: Quantity and Expiry Date.
Controlled Substances.
Refrigerated Drugs.
 
 
 
D
r
u
g
 
S
t
o
r
a
g
e
 
Dispensing of medications is done using the 
unit
dose drug 
distribution system.
 
Dispensed medications are supplied in
 
quantities that meet 24 hrs needs of patients.
 
D
r
u
g
 
D
i
s
p
e
n
s
i
n
g
O
t
h
e
r
 
P
h
a
r
m
a
c
y
 
S
e
r
v
i
c
e
s
 
Cancer patients are susceptible to infection hence aseptic
technique  in preparation is 
MANDATORY.
 
ONLY
 properly oriented &trained employees are allowed
to handle these agents.
 
Clear Label with patient name drug dosage stability data
and duration of infusion.
 
 
 
 
 
C
h
e
m
o
t
h
e
r
a
p
y
 
U
n
i
t
C
a
u
t
i
o
n
 
 
C
h
e
m
o
t
h
e
r
a
p
y
 
D
i
s
p
o
s
e
 
o
f
 
P
r
o
p
e
r
l
y
 
Chemotherapy preparation unit is located in the main
pharmacy and divided into the following sects:
 
  Administrative Area.
  Personnel Protection Area.
  Technical Area.
 
 
 
 
 
C
h
e
m
o
t
h
e
r
a
p
y
 
U
n
i
t
 
Future Plan…
 
TPN unit:
Total Parenteral Nutrition is a very important service
provided by the pharmacy for all hospital wards.
Aseptic techniques should be maintained.
Calculations for adults and pediatrics
 
should be made on individual basis.
 
Future Plan…
 
IV Admixture Unit.
Patient Counseling will be implemented in order to
improve:
 
Patient compliance.
Cost effectiveness.
Quality of life.
Slide Note
Embed
Share

RHUH Pharmacy is revolutionizing its services with a computerized system, enhancing efficiency and reducing errors. Their mission is to provide high-quality, cost-effective drug therapy, while their vision focuses on international standards and patient care optimization. The department's philosophy emphasizes teamwork and the importance of every individual. The automated system allows for quick access to patient profiles, aiding in error detection and intervention. The staff's responsibilities are evolving towards pharmaceutical care beyond prescriptions.


Uploaded on Aug 23, 2024 | 0 Views


Download Presentation

Please find below an Image/Link to download the presentation.

The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.

E N D

Presentation Transcript


  1. Hospital Pharmacy Workflow A New Prospective for Better Care Dr. Mona Baalbaki; Rph, Head of Pharmacy- RHUH

  2. RHUH is a University Hospital Serving Various Specialties INTERNAL MEDICINE CCU ICU DELIVERY PEDIATRICS Oncology Surgery OBS & GYN

  3. Pharmacy Mission Our mission is to provide Cost Effective High quality Quick Drug Therapy

  4. Pharmacy Vision Meet international practice criteria Continuously improve its performance Contribute to optimal patient care Integrate itself in patient care Foster an Educational Environment

  5. Our Philosophy Our Philosophy We care for each other ,realizing that all positions and individuals are equally important to the achievement of our goals

  6. The Pharmacy Department at RHUH is a full service automated computerized inpatient facility providing a wide range of services both to the patient and hospital medical staff. Computerized Computerized

  7. Old fashion way Vs. Computerized way Capoten Gopten Centrum Sintrom Corvasal Coversyl Less Errors No abbreviations No bad hand writing No verbal orders

  8. Old fashion way Vs. Computerized way (contd) The pharmacist has full access to the patient profile from his office rendering the work much more easier and faster

  9. Old fashion way Vs. Computerized way (contd) The full access to the patient profile allows the pharmacist to detect errors in prescribing and hence intervening to correct medical orders

  10. Responsibilities of RHUH pharmacy staff Hospital Pharmacists are moving from prescription providers to pharmaceutical care providers.

  11. Responsibilities of RHUH pharmacy staff (contd) Reviewing the patient medication profile on daily basis for: Possible modifications of ongoing treatment. 1. Discontinuation of medications. 2. Addition of new medications. 3. Controlling appropriate route of administration. 4.

  12. Responsibilities of RHUH pharmacy staff (contd) Medication Profile Eliminating Duplication of therapeutically similar drugs. Minimizing potential allergic or ADR s. Monitoring possible drug disease incompatibilities. Controlling drug-drug interactions. Checking correct dosage and dosage interval.

  13. Responsibilities of RHUH pharmacy staff (contd) Solving problems related to intravenous administration including: Potential Incompatibility. Drug stability. Volume of intravenous fluid. Rate of Infusion.

  14. Responsibilities of RHUH pharmacy staff (contd) Answering drug information questions Guidelines and presentations to keep the hospital staff informed about newly approved drugs and any other relevant information Drug information questions are recorded on drug information forms.

  15. Responsibilities of RHUH pharmacy staff (contd) Pharmacists are also responsible for preparing drug utilization reviews (DUR) for medications such as: Albumin. LMWH. Intravenous Immunoglobulins (IV IG).

  16. Responsibilities of RHUH pharmacy staff (contd) What Are the Benefits of Reviewing the Patient Profile?

  17. Responsibilities of RHUH pharmacy staff (contd) Reviewing patient Profile Reduces medication errors. 1. Delivers best patient care at minimal medical cost. 2. Improve patient outcomes. 3.

  18. Responsibilities of RHUH pharmacy staff (contd) Pharmacists Interventions All pharmacists interventions are documented on drug intervention form.

  19. Responsibilities of RHUH pharmacy staff (contd) In short, hospital pharmacists are described as : Care givers. Communicators. Leaders. Managers. Life-long leaders. Teachers.

  20. Pharmacy Activities

  21. Committees Occupational Health and Safety Committee. Research Committee. Disaster Committee . Guidance for Antibiotic Committee. Infection Control Committee. Nutrition Committee. Pharmacy and Therapeutics Committee.

  22. Meetings Pharmacy department conducts on a monthly basis (or when necessary) a meeting in order: Discuss issues related to medication ordering, 1. dispensing, and delivering. Set new Guidelines / Regulations / Goals... 2. Plan activities and assignments 3. Identify areas needing improvement 4. Take new decisions 5.

  23. Continuous Education As directed by accreditation, it is a must to prepare a continuous education plan either for pharmacy staff or even other hospital staff. This is achieved through: Presentations. 1. Conferences. 2. Either to present new information or emphasize their own knowledge.

  24. Pharmacy Related Reports Adverse Event Reports: written by the nurses or doctors in charge and sent to the pharmacy for further review. Medication Error Reports: Incident reports of all pharmacy related mistakes are written by hospital staff and sent to the pharmacy to provide a future prevention plan. Miss error Tracking form. Clinical Intervention Reports: done on daily basis and discussed among all pharmacists in monthly round tables.

  25. Relation with other Departments Communication with Various Departments Faster Collaboration and Decision making Sharing Documents and Information

  26. Drug Management Drug management is very important because it ensures that the RIGHT DRUG of GOOD QUALITY is available when needed for a patient. Drug Selection Drug Receiving Drug Storage Drug Procurement Drug Dispensing

  27. Drug Selection The pharmacy department at RHUH adopts the Hospital Drug Formulary System. List of all medications approved by the P &T Committee The pharmacy has the right to dispense formulary drugs regardless of the physician order (generic or brand).

  28. Drug Selection There is a criteria for selecting drug products manufacturers and suppliers to ensure high quality of drug products. Technical Evaluation

  29. Drug Procurement Selected medications are purchased in the right quantities to ensure that patients are more likely to receive necessary drugs on time. In case of any shortage, the pharmacy informs the entire staff via intranet and tries to provide an appropriate alternative

  30. Drug Storage Medications are stored under proper conditions of: Temperature 1. - Refrigerators temperature is monitored daily. - Refrigerate stamp. Light 2. - Special warning is given to the hospital units: Do not remove drugs from their original containers .

  31. Drug Storage Cytotoxic drugs are stored separately with a special warning label. Controlled drugs are stored under lock with access limited to pharmacists in charge.. Expired drugs are identified with an orange label and segregated for disposal according to the safety policy of the hospital.

  32. Drug Storage All stocks of medications available in the pharmacy as well as on hospital floors are inspected monthly to ensure the absence of outdated unusable or mislabeled drugs.

  33. Drug Storage Floor Stock Inspection includes the following: Area for preparing medications. Floor stock medications. Patient Medications: Quantity and Expiry Date. Controlled Substances. Refrigerated Drugs.

  34. Drug Dispensing Dispensing of medications is done using the unit dose drug distribution system. Dispensed medications are supplied in quantities that meet 24 hrs needs of patients.

  35. Other Pharmacy Services

  36. Chemotherapy Unit Cancer patients are susceptible to infection hence aseptic technique in preparation is MANDATORY. ONLY properly oriented &trained employees are allowed to handle these agents. Clear Label with patient name drug dosage stability data and duration of infusion. Caution Chemotherapy Dispose of Properly

  37. Chemotherapy Unit Chemotherapy preparation unit is located in the main pharmacy and divided into the following sects: Administrative Area. Personnel Protection Area. Technical Area.

  38. Future Plan TPN unit: Total Parenteral Nutrition is a very important service provided by the pharmacy for all hospital wards. Aseptic techniques should be maintained. Calculations for adults and pediatrics should be made on individual basis.

  39. Future Plan IV Admixture Unit. Patient Counseling will be implemented in order to improve: Patient compliance. Cost effectiveness. Quality of life.

Related


More Related Content

giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#