Korean Journal of Clinical Pharmacy (한국임상약학회지)

Korean College Of Clinical Pharmacy (한국임상약학회)
권호 표지

Evaluating Appropriateness of Medication Use in the Operating Rooms of a Tertiary Hospital: Based on Survey

일개 병원의 수술실 약제관련 업무 적정화 방안연구: 설문조사를 중심으로

  • Received : 2016.03.07
  • Accepted : 2016.08.24
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Since the use of opioid analgesics is frequent in operation rooms (OR), the risk of medication error is high; however the use of medication in the OR has been operating independently with the hospital pharmacy. Therefore, the assessment on management of medication use in operation and the pharmacist's role is needed. Methods: We conducted the literature review and survey from anesthesiologists, operating nurses at Chung-Ang Hospital on management of medication for operation use, awareness on need for medication management efficiency, need for satellite pharmacy in the operating room and its effect. Results: 56% of medical staffs responded that management of medication in the operating room is efficient; however, 82.6% responded that they felt the inconvenience in medication delivery to the OR when additional prescription was ordered. 51.5% also responded that extra time was required for management of narcotics and inventory/record keeping. 80% agreed that there could be lost costs due to prescription missed. Medical staffs responded improving the drug management system could increase the OR efficiency (87%), and eventually bring the increase in hospital revenue (80.4%). Those who responded that implementation of OR satellite pharmacy was needed include physicians (84.6%), nurses (63.6%), and also responded that it'd bring more profit to the hospital by increasing the efficiency in OR (60.9%). Conclusion: For efficient management of medications, implementation of OR satellite pharmacy would lead to improved drug management and increased efficiency in OR and reduced cost and improved patient care.

Keywords

References

  1. Baek JH, Han HJ, Lee BG. Current status of operating room pharmacy. J Kor Soc Health-Syst Pharm 2002;9(2):193-201.
  2. Lee BG. Job of operating room pharmacy. J Kor Soc Health-Syst Pharm 1995;12(2):151-2.
  3. Lee HK, Sohn KH. Safe medication management in hospital-emphasis on dispensing, and administration. J Pharmacoepidemiol Risk Manag 2009;2:14-25.
  4. Lee BG. Directions of medication error prevention activities in terms of the institution. J Kor Soc Health-Syst Pharm 2003;20(2):126-35.
  5. American Society of Hospital Pharmacists. ASHP guidelines on prevention medication errors in hospitals. Am J Hosp Pharm 1993;50:305-14.
  6. Baek JH. Surgical drug information. J Kor Soc Health-Syst Pharm 2003;20(3):288-99.
  7. Kim SY, Lee KH, Kwon YD. Appropriateness evaluation of preoperative hospitalization: A case study of a tertiary care hospital. QIH 1997;4(2):184-95.
  8. Lee KS. Healthcare reform and hospital management of Korea. Hospital News 1997;1025:11.
  9. Choi TY. Efficient management for shorter average period of hospital ization. Hospital News 1997;1028:23.
  10. American society of hospital pharmacists. ASHP guidelines on surgery and anesthesiology pharmaceutical services. Am J Health-syst Pharm 1999; 56:887-95.
  11. Powell PJ, Maland L, Bair JN, et al. Implementing an operating room pharmacy satellite. Am J Hosp Pharm 1983;40(7):1192-8.
  12. Shafer AL, Lisman SR, Rosenberg MB. Development of a comprehensive operating room pharmacy. J Clin. Anesth 1991;3(2):156-66. https://doi.org/10.1016/0952-8180(91)90016-G
  13. Buchanan EC, Gaither MW. Development of an operating room pharmacy substation on a restricted budget. Am J Hosp Pharm 1986;43(7):1719-22.
  14. Opoien D. Establishment of surgery satellite pharmacy services in a large community hospital. Hosp Pharm 1984;19(7):485-90.
  15. Ziter CA, Dennis BW, Shoup LK. Justification of an operating-room satellite pharmacy. Am J Hosp Pharm 1989;46(7):1353-61.
  16. Keicher PA, McAllister JC 3rd. Comprehensive pharmaceutical services in the surgical suite and recovery room. Am J Hosp Pharm 1985;42(11):2454-62.
  17. American Society of Hospital Pharmacists. ASHP guidelines: minimum standards for pharmacies in institutions. Am J Hosp Pharm 1985;40:372-5.
  18. Joint Commission on Accreditation of Hospitals. Accreditation manual for hospitals. Chicago: JCAH 1986:175-87.
  19. Kwon SB, Park YS, Kim DO, et al. An Analysis of nursing work of operating room nurses. J Korean Acad Nurs Admin 2008;14(1):72-84.
  20. Fiala D, Grady KP, Smigla R. Continued cost justification of an operating room satellite pharmacy. Am J Hosp Pharm 1993;50(3):467-9.
  21. Stroup JW, Iglar AM. Implementation and financial analysis of an operating room satellite pharmacy. Am J Hosp Pharm 1992;49(9):2198-202.