ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration—2011

2012 ◽  
Vol 69 (9) ◽  
pp. 768-785 ◽  
Author(s):  
Craig A. Pedersen ◽  
Philip J. Schneider ◽  
Douglas J. Scheckelhoff
2000 ◽  
Vol 57 (19) ◽  
pp. 1759-1775 ◽  
Author(s):  
Debra Jones Ringold ◽  
John P. Santell ◽  
Philip J. Schneider

2019 ◽  
Vol 49 (5) ◽  
pp. 439-446 ◽  
Author(s):  
Cristina P. Roman ◽  
Michael J. Dooley ◽  
Biswadev Mitra

2010 ◽  
Vol 67 (7) ◽  
pp. 542-558 ◽  
Author(s):  
Craig A. Pedersen ◽  
Philip J. Schneider ◽  
Douglas J. Scheckelhoff

2006 ◽  
Vol 63 (4) ◽  
pp. 327-345 ◽  
Author(s):  
Craig A. Pedersen ◽  
Philip J. Schneider ◽  
Douglas J. Scheckelhoff

2016 ◽  
Vol 73 (17) ◽  
pp. 1307-1330 ◽  
Author(s):  
Craig A. Pedersen ◽  
Philip J. Schneider ◽  
Douglas J. Scheckelhoff

2011 ◽  
Vol 68 (8) ◽  
pp. 669-688 ◽  
Author(s):  
Craig A. Pedersen ◽  
Philip J. Schneider ◽  
Douglas J. Scheckelhoff

Author(s):  
Craig A Pedersen ◽  
Philip J Schneider ◽  
Michael C Ganio ◽  
Douglas J Scheckelhoff

Abstract Purpose Results of the 2020 ASHP national survey of pharmacy practice in hospital settings pertaining to pharmacy operational changes implemented in response to the coronavirus disease 2019 (COVID-19) pandemic are presented. Methods Pharmacy directors at 1,437 general and children’s medical/surgical hospitals in the United States were surveyed using a mixed-mode method of contact by email and mail. Survey completion was online. Results The response rate was 18.7%. Seventy-three percent of hospitals implemented changes to hospital units, including 46% that increased intensive care unit bed capacity; 94% made changes to pharmacy supply chain acquisition, changes to products, and/or increased inventory. Staffing changes were implemented by 69% of hospitals, with the most common being staffing reductions (55%) and salary reductions (16%). Medication-use changes were implemented by 86% of hospitals, with treatment guidelines for COVID-19 treatment (79%) and opening compassionate use or investigational drug studies (55%) being the most common. Changes in sterile compounding processes were implemented by 84% of hospitals. Personal protective equipment (PPE) shortages led to 71% of hospitals modifying PPE use standards in sterile compounding. Eighty-seven percent of hospitals changed operational activities, such as changing medication return practices (56%), medication reconciliation processes (46%), intravenous medication recycling (38%), and discharge counseling (37%). Hospitals experienced shortages of many medications, including albuterol inhalers (60%), sedatives and anesthetic agents (58%), neuromuscular blockers (43%), corticosteroids (34%), cardiovascular agents (24%), investigational agents (24%), and dialysis solutions (6%). Conclusion The pharmacy profession responded to myriad threats to operations and patient care during the COVID-19 pandemic in 2020.


Author(s):  
Craig A Pedersen ◽  
Philip J Schneider ◽  
Michael C Ganio ◽  
Douglas J Scheckelhoff

Abstract Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose Results of the 2020 ASHP national survey of pharmacy practice in hospital settings are presented. Methods Pharmacy directors at 1,437 general and children’s medical/surgical hospitals in the United States were surveyed using a mixed-mode method of contact by email and mail. Survey completion was online. IQVIA supplied data on hospital characteristics; the survey sample was drawn from the IMS hospital database. Results The response rate was 18.7%. Almost all hospitals (92.5%) have a method for pharmacists to review medication orders on demand. Most hospitals (74.5%) use automated dispensing cabinets (ADCs) as their primary method for drug distribution. A third of hospitals use barcodes to verify doses during dispensing in the pharmacy and to verify ingredients when intravenous medications are compounded. More than 80% scan barcodes when restocking ADCs. Sterile workflow management technology is used in 21.3% of hospitals. Almost three-quarters of hospitals outsource some sterile preparations. Pharmacists can independently prescribe in 21.1% of hospitals. Pharmacist practice in ambulatory clinics in 46.2% of health systems and provide telepharmacy services in 28.4% of health systems. Conclusion Pharmacists continue their responsibility in their traditional role in preparation and dispensing of medications. They have successfully employed technology to improve safety and efficiency in performance of these duties and have employed emerging technologies to improve the safety, timeliness, and efficiency of the administration of drugs to patients. As pharmacists continue to expand their role to all aspects of medication use, new opportunities highlighted in ASHP’s Practice Advancement Initiative 2030 have been identified.


2020 ◽  
Vol 6 (3) ◽  
pp. 91-95
Author(s):  
Yousef Ahmed Alomi ◽  
Fatimah Al-Doughan ◽  
Sultan Mohammed Al-Jarallah ◽  
Yasir Ahmed Ibrahim ◽  
Adel Mehmas Alragas ◽  
...  

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