Current concepts in hospital pharmacy management
About: Current concepts in hospital pharmacy management is an academic journal. The journal publishes majorly in the area(s): Pharmacy & Clinical pharmacy. It has an ISSN identifier of 0164-7857. Over the lifetime, 12 publication(s) have been published receiving 13 citation(s).
Topics: Pharmacy, Clinical pharmacy, Pharmacy practice, Hospital pharmacy, Human resource management
TL;DR: The Joint Commission on Accreditation of Healthcare Organizations' "Agenda for Change" is creating more effective means to improve the quality of healthcare provided to the American people.
Abstract: The Joint Commission on Accreditation of Healthcare Organizations' "Agenda for Change" is creating more effective means to improve the quality of healthcare provided to the American people. Through its Research and Development department, the Joint Commission is working to carefully define its own goals and direction, both as an accrediting agency and as the voice of healthcare professionals in the debate about quality.
TL;DR: No one in the department was a proficient data base programmer, yet it was possible to learn Paradox in a very short time and apply it to many previously time consuming management problems.
Abstract: No one in the department was a proficient data base programmer. Yet we found that it was possible to learn Paradox in a very short time and apply it to many previously time consuming management problems. Some of the other applications we are working on are antimicrobial use data analysis, investigational drug use tracking, personnel records, publication indexing, drug information, clinical services tabulation, and work load statistics. Previously, we would not recommend the do-it-yourself approach when it was necessary to know a lot of technical details about programming. However, the ease and power of some of the new products leads us to change our minds. What was formerly a frustrating and boring aspect of management can be made into a creative challenge that can result in answers rather than in just more paper. Paradox is available from computer stores and it requires an IBM-compatible computer with at least 640K RAM. In addition, a 20+ megabyte hard disk is recommended.
TL;DR: Seven months after initiation of much of the plan, there was no pharmacist turnover and minimal technician turnover and almost all positions are filled, despite a large number of openings at other institutions in the area.
Abstract: Due to various external factors, recruitment through traditional methods, such as newspaper ads, failed to produce the pool of applicants for hospital pharmacy staff positions it had in the past. As a result of this and other factors specific to University Hospital, the number of staff pharmacists decreased from 11 to four full-time equivalents (FTEs). The number of technicians dropped to the point where per diem nurses had to be hired to help make IV admixtures. Through some short-term measures (salary increases, intensive recruitment efforts, etc), the number of pharmacist and technician vacancies was reduced by 60%. However, a long-range recruitment/retention plan was needed to achieve full staffing and to prevent such drastic staffing shortages in the future. The four components of the plan that was developed included: commitment to provide for full-time human resources management, improved forecasting of personnel turnover, supply, and demand, design and implementation of retention strategies, and design and implementation of innovative recruitment programs. Seven months after initiation of much of the plan, there was no pharmacist turnover and minimal technician turnover. In fact, one pharmacist stays on staff despite relocation 90 miles away. Almost all positions are filled, despite a large number of openings at other institutions in the area.
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