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Centralized and decentralized pharmacy

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by

Bro Jae

on 22 December 2014

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Transcript of Centralized and decentralized pharmacy

Thank you!
Centralized and decentralized pharmacy
Objectives:
In KAMC-WR.
Definition.
Responsibilities.
Advantages.
Disadvantages.

Centralized and decentralized pharmacy
Centralized and decentralized pharmacy
Centralized and decentralized pharmacist
Centralized and decentralized pharmacy
Centralized and decentralized pharmacy
Centralized and decentralized pharmacy
Centralized and decentralized pharmacy
Centralized and decentralized pharmacy
Centralized and decentralized survey
Centralized and decentralized survey
Centralized and decentralized survey
Centralized and decentralized survey
Centralized and decentralized survey
Centralized and decentralized survey
Centralized and decentralized survey
Centralized and decentralized survey
Centralized and decentralized pharmacist:
Centralized
References:
Decentralized (ward pharmacy),
Pharmacy service that are provided from
one

location
in the hospital.

Pharmacy service that are provided on or
near
a
patient
care area that
Support
by the
central
pharmacy.

The definition of ward pharmacy is that there is a
pharmacistز
WORKING in the
ward
, taking care of everything that concerns medication. Such good experiences have resulted from this way of WORKING that ward pharmacy has consolidated its position in Finland, to become one of the most important fields for development in hospital pharmacy.

Decentralized pharmacist responsibilities:
Centralized Pharmacist responsibilities:
Reviewing prescriptions and medication
order
verification.
Medication
dispensing
and
checking
.
Answer
drug information
questions.
Verification of
ADR
.

Medication
reconciliation
.
Discharge
Counseling
.

Dispensing
for their ward.
 Source of information for ward staff and patients.ز
 Management of ward
stock
items.ز
Checking and controlling
expiry

dates.

Centralized
Decentralized
Reduce
time
between when a prescription is written to when it is dispensed, including discharge medication.

Need more
equipments
and
staff
members.***
*** http://www.ncbi.nlm.nih.gov/pubmed/23867489
Centralized
Decentralized
Lack of
face-to-face
interactions with physicians, nurses and patients.

Low job
satisfaction
.

Decentralized
Centralized

Better
coverage
.


Better control for drug
inventory
.


Better
team work
between pharmacist.


Better
staff management
.


Difficult
to control the drug
inventory
inside the department.
Communication between pharmacist
in different department become more difficult.

Less congestion
of drug orders than in main pharmacy.

Centralized
Decentralized
Staff
skill mix
.***

Restricted
to an in-patient facility.
High rate of
medication errors.

Pharmacist can develop
expertise
for particular patient areas.
The physician and pharmacist
initiate a drug information questions
requiring to search in the available literature in order to provide a response.


Limited specialized therapeutic
knowledge to manage patient treatment and their disease state or condition.


Centralized
Decentralized
*** http://www.ncbi.nlm.nih.gov/pubmed/23867489

Pharmacist
not
responsible for
clinical services
and their work not
interrupted
by physician and nurses.


Pharmacist who works in the decentralized pharmacy has more
tasks
, and he may involve in clinical services that need more effort and time.

Excessive
interruptions
of the pharmacist by physicians and nurses.

Work in
quieter
area than centralized pharmacy, Which is a large work area contains a large number of pharmacists and technician who make a lot of noise when during their professional communication
.

Fewer
staff
members.
Need less
equipment
,
programming and facilities.

Prolong
timeliness
of order entry and dispensing medications.
Increased time to
deliver
medications to inpatient patients.
The different between ward pharmacist and clinical pharmacist.
- Participation in
management
of patients.
- Application of best available
evidence
in daily clinical practice.
- Contribution of
knowledge
and skills to the healthcare team.
- Rounding
with Physicians.
- Monitoring
: renal function, hepatic function and drug effectiveness.
-
Research.
Between decentralized and centralized pharmacy, where do you
prefer
to work?
Between decentralized and centralized pharmacy, which one is more
costly
?
Which one is more to reduce
medication errors
?
Which one is making you concentrate on your work without
distraction
?
Which one is improving your skills and
Experience
?
Which one is more
stressful
and require more effort from you?
Which one makes you more
satisfied
about what you do?
Which one gives you more chance to
educate
others?
Which one is reducing the
timeline
of order entry and dispensing?
From your point of view, which one is the best for patient
safety
?
Do you support the idea that pharmacist can
visit wards
and check patient file during the daily work?
Do you think that the application of the decentralized pharmacy will make it difficult to control drug
inventory
?
Do you think decentralized pharmacy will reduce
team work
and communication between pharmacists in different section of PCS?
Do you think decentralized pharmacy will need more
staff members and equipment?
Done by:
Abrar Alshehri, pharmD
pharmacy practice resident - R1.
Supervised by:
Noha Abonofal, RPH, TTO officer.

pharmacist
interacts directly
with physicians , nurses and patients.
Pharmacist can check the
patient profile
very easily.
Pharmacist have the chance to
educate
the nurses.
Available as a
valuable
source of information for patient, nursing staff as well as the prescriber.
Full transcript