Medication System Development in Outpatient Pharmaceutical Service and Care unit at Banmi Hospital, Lopburi

Abstract

The objectives of this study were to follow the progress of medication system development in outpatient pharmaceutical service and care unit at Banmi Hospital. The study method was descriptive and retrospective study  the progress of medication system development in outpatient pharmaceutical service and care unit in 2561  by analysis and evaluation the indicators that showed system operation, especially in problematic issues included adverse drug reaction monitoring, medication errors monitoring, drug related problem screening, pharmaceutical service and care in anti-HIV clinic  anti-psychotic clinic and warfarin clinic. The results were as follows. Adverse drug reaction monitoring found ADR type A in 52 cases, ADR type B 27 cases and repeated ADR type B 1 case. The most adverse drug reaction incident was antibiotics group. Medication errors monitoring found prescribing error, processing error and dispensing error were not meeting the targets. Drug related problem screening found the most drug related problems were adverse drug reaction 32.84%. All cases who needed for additional drug therapy were solved after intervention to the doctor. Anti-HIV clinic found patients who had an adverse drug reaction and non-compliance was solved after intervention to doctor 77.78% and 80% respectively, and anti-psychotic clinic were 81.13% and 86.08% respectively. Warfarin clinic found patients who had INR in target (2-3) only 34.79% and %TTR 41.46% less than the target 65%.

It had various methods to solve problems for medication system development depend on the  kind of problem such as make an approach to professional teams, system review, guideline updated, information technology, innovation and social network.