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Transcript of Inventory Management
- Clarify the importance of identifying, tracking and checking expiry
dates of pharmaceutical products.
- Define causes and current trends in drug shortages.
- Address the potential concerns on patient care and understand
the different consequences caused by drug shortages.
- Illustrate the guidelines for Managing Drug Shortages. Objectives Presented By The date before which the quality of a medicine or medical products remains acceptable for its intended use.
It is predictable from stability tests under general/normal storage conditions or by accelerated stability testing under extreme conditions. Expiry Date Once the order is received it should be prepared by the store staff.
The pharmacist should match the ordered drugs with those prepared by the store, check Quantities, Expiry Date and Unavailable drugs. Receiving Items from the Store Resources Ordering Pharmaceutical Products The expiry date of a pharmaceutical product may be written as dd/mm/yy or mm/yy.
1 - Opened medicine container
2 - Any medicine or chemical with unknown expiry date
3 - Expired pharmaceutical product in AAH And FMC Expiry Date Identify, track and check expiry dates of pharmaceutical products in pharmacy or pharmacy store and during monthly inspection of patient care area medication room.
Separate, label and return expired pharmaceutical products to the pharmaceutical store. AAH and FMC pharmaceutical store Responsibility - identify, track and check expiry dates of pharmaceutical products
- separate , label and collect expired pharmaceutical product to a separate place in the pharmaceutical store.
- Notify purchasing department with all related detail e.g price, quantity , expiry date, purchasing order number.
- Communication with supplier for any replacement of expired pharmaceutical item as per Abu Dhabi Health Services Company (SEHA) price agreement policy. Procedures
On receiving any new batch of medicines, medical consumable or chemical, the staff involved shall check the expiry date on the outer package of the product.
All staff dealing with medicines or medical products shall check the expiry date of the product prior to dispensing or using it.
The expiry date on the product must be visible and clear.
The products should be stored under conditions specified by the manufacturer.
The staff shall check the expiry date of the product on regular basis, the products with near expiry date shall be flagged and kept in front of the shelf.
In the outpatient pharmacy, it is encouraged to dispense medicines with at least two months validity until the expiry date. For opened medicines containers, staff shall follow manufacturer expiry date. Opening date, expiry date and name of opener must be written on the label of the container.
If medicine is dispensed from bulk pack, the expiry date of the medicine must be written on the label in addition to name of the medicine and lot number.
All expired medicines/chemicals shall be collected, labeled clearly as expired items and kept in a separate place for returning to the pharmaceutical store. Availability of GENERICs 1- Patient Care
2- Patient Satisfaction
3- Hospital Reputation
4- Coverage (insurance card)
5- Errors Profit Non-Profit Inventory Management Inventory management is the process of efficiently overseeing the constant flow of units into and out of an existing inventory.
Adequate Inventory =
Basic Stock + Safety Stock Balancing the various tasks of inventory management
means, paying attention to
three key aspects of any inventory: Pharmacy Inventory Management System Pharmacy IMS is facilities to manage the inventory of the pharmacy on a day to day basis for taking care of the pharmacy inventory accuracy and efficiently. What do we need for better pharmacy IMS ? Pharmacy Inventory Cost Pharmacy Inventory Cost = Acquisition Costs + Carrying Costs + Procurement Costs + This Out of Stock (TOS) costs. Acquisition cost is the net amount the pharmacy pays for the product.
-Carrying costs include all costs associated with carrying maintaining inventory.
-Procurement costs (ordering costs) are costs associated with actually ordering and receiving goods.
-This Out of Stock (TOS) costs are the costs associated with being out of an item a customer needs or wants. Data from 2012 are # of new shortages identified from January 1, to June 30
Source: University of Utah DIS 2012 data are through June 30, 2012
Source: University of Utah DIS Acknowledgment Dr. Mahmoud Abumandil
Dr. Amal Darwish
Dr. Karama Arman
Dr. Mohammad Tashtoush
Dr. Ahmad Saeed
Dr. Eyad MM/YY DD/MM/YY What is a Drug Shortage? "A supply issue that affects how the pharmacy prepares or dispenses a drug product or influences patient care when prescribers must use an alternative agent."
The American Society of Health-System Pharmacists (ASHP) Guidelines for Managing Drug Shortages -Proactively monitor for drug shortages (ASHP and FDA Web sites)
-Validate details of shortage (extent, duration, and type of shortages)
-Focused inventory tracking (monitoring and moving stock)
-Changes in dispensing practice (different strength or unit of package)
-Supply from alternative sources (other hosp., direct from manufacturer)
-Allocation of remaining supplies (identify primary patient population)
-Compound and repackage drugs
-Exploration of alternative therapies
-Manage database information systems
-Communicate information to health care providers Branded vs Generic: The Saga Continues Are generics usually just as safe and effective as the corresponding brand-name product ?
What are the liability risks for pharmacists when switching brand-name drugs to generics ?
What if the generic substitution is required by a patient's insurance carrier ? Rola Kaakeh, Burgunda V. Sweet, Cynthia Reilly et al. Impact of Drug Shortages on U.S. Health Systems. Am J Health-Syst Pharm. 2011;68(19):1811-1819.
Jouhayna Saliba. The FDA Response: The Problem With Drug Shortages. Medscape. Nov 03, 2011.
Nathalie Farah. Health Authority Abu Dhabi to address drug shortage problems. Gulf news. Published: 00:00 April 19, 2011.
Fox ER, Birt A, James KB et al. ASHP guidelines on managing drug product shortages in hospitals and health systems. Am J Health-Syst Pharm. 2009; 66:1399–406.
Provisional observations on drug product shortages: effects, causes, and potential solutions. Am J Health-Syst Pharm. 2002; 59:2173–82.
David Anderson. Tackling the E-commerce Inventory Beast: 5 Critical Components. September 7, 2012.
http://ecommerceinsiders.com/tackling-e-commerce-inventory-beast-5-critical-components-324/ Al Ain University of Science and Technology
Collage of Pharmacy
Study Year 2012 – 2013
Crd. Hrs: 12 hrs Suggestions Questions/Discussion