A qualitative systemic analysis of drug dispensing in Swiss hospital wards.

Pharmacy World & Science : PWS
Amina GadriGeorges L Zelger

Abstract

The traditional floor stock drug distribution system entails that, in most Swiss hospitals, drugs are prepared in a pillbox for each patient by nurses before administration. The aim of this study was to analyse and evaluate the process of inpatient pillbox dispensing in Switzerland. Internal medicine wards in three regional hospitals (32-39 beds). A qualitative exploratory study with 4 days of participant observation and three semi-structured interviews on each of the three wards. Thematic content analysis of observations, casual conversations and semi-structured interviews. Pillboxes are prepared in a somewhat tumultuous context. The space for preparation is not isolated from health carers' other activities which makes it prone to numerous interruptions. Drug blisters and tablets often lack the necessary inscriptions to identify them as unit doses. Storage places are small and unstructured. Nurses have to translate medical orders into the name and dosage of the hospital formulary drugs. Use of patients' own drugs hampers both storage and preparation. Nurses take easily a task over one from another, which affects continuity. Practices vary and few standard rules have been set. The position of nurses in the medication process ma...Continue Reading

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Citations

Nov 6, 2010·Pharmacy World & Science : PWS·Barbro NorrströmHelena Ramström
Nov 1, 2011·Iranian Journal of Radiology : a Quarterly Journal Published by the Iranian Radiological Society·Hussein Dargahi
Sep 18, 2013·British Journal of Clinical Pharmacology·Hanna M SeidlingWalter E Haefeli
May 27, 2015·Journal of Evaluation in Clinical Practice·Anthony StainesPascal Bonnabry

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