Marianne F. Ivey

IDENTIFICATION OF FACTORS LEADING TO EXCESSIVE WAITING TIMES IN AN AMBULATORY PHARMACY

A quality improvement approach incorporating the techniques of workflow analysis and time study was used in a study of excessive patient waiting time in a hospitals outpatient pharmacy. Investigators identified factors contributing to long waits by observing and timing pharmacy dispensing procedures. The results of the time study indicated that two-thirds of an average 2-hour wait occurred before filling prescriptions (49.2 minutes) and before data entry (35.8 minutes). Improvement strategies should therefore focus on improving the methods of, and the capacity for, order filling and data entry. The use of an automated dispensing system and additional data-entry terminals or a faster computer system were recommended. The approach used is a practical and accurate method for diagnosing system problems and lays a solid foundation for improvement strategies.

Pharmacy residency training and pharmacy leadership: an important relationship.

Since its inception in the early to mid-1900s, pharmacy residency training has focused on the development and cultivation of pharmacist leaders. When ASHP first accredited residency programs in 1962, the primary focus was to develop pharmacy managers and leaders for the hospital environment.[1][1]

Expanding the pharmacy enterprise: Leadership needed

I am so delighted to be the Webb Lecturer today, and I thank all of you and all of my practice, academic, and association colleagues throughout my career for providing the stimulation and challenge that have kept me engaged in this profession and the noble cause of helping people with their

Applying Lean Techniques to Reduce Intravenous Waste Through Premixed Solutions and Increasing Production Frequency.

Background: This study aims to use lean techniques and evaluate the impact of increasing the use of premixed IV solutions and increased IV production frequency on IV waste. Methods: Study was conducted at a tertiary hospital pharmacy department in three phases. Phase I included evaluation of IV waste when IV production occurred three times a day and eight premixed IV products were used. Phase II increased the number of premixed IV products to 16. Phase III then increased IV production to five times a day. Results: During Phase I, an estimate of 2,673 IV doses were wasted monthly, accounting for 6.14% of overall IV doses. This accounted for 688 L that cost

Issues Related to Women in Pharmacy and Pharmacy Manpower Needs

60,135. During Phase II, the average monthly IV wastage reduced significantly to 1,069 doses (2.84%), accounting for 447 L and

The impact of using an intravenous workflow management system (IVWMS) on cost and patient safety

34,003. During Phase III, the average monthly IV wastage was further decreased to 675 doses (1.69%), accounting for 78 L and

ASHP Foundation’s Visiting Leaders Program

3,431. Hence, a potential annual saving of

2007 Report of the ASHP Treasurer

449,208 could result from these changes. Conclusion: IV waste was reduced through the increased use of premixed solutions and increasing IV production frequency.

Stepwise approach to implementing ambulatory clinical pharmacy services.

© 1990 by W.B. Saunders Company. 0897-1900/90/0303-0002

Strategic approach for improving the medication-use process in health systems: the high-performance pharmacy practice framework.

5.00/0 HOSPITAL pharmacy in many parts of the country for the last decade has been experiencing a shortage of pharmacists. This is a dramatic turnaround from the early 1970s when graduates couldn’t find jobs and schools of pharmacy in the nation had large enrollments. In the early 1980s deans of schools of pharmacy began to report reduced enrollments. The American Association of Colleges of Pharmacy statistics show that graduates in pharmacy declined for all the years between 1975 and 1985. Then, in 1985, there was a slight increase in the number of pharmacy graduates and there is some indication that admissions are again increasing in schools of pharmacy. However, we might not expect a full turnaround because the pool of 18 to 20 year olds through the year 1991 has declined (Table 1). At the same time that the overall decline in