Korean J Clin Pharm.  2016 Sep;26(3):230-237. 10.0000/kjcp.2016.26.3.230.

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

• Lee YJ
• Jeong KH
• Kim YN
• Kim EY

• KMID: 2358239
• DOI: http://doi.org/10.0000/kjcp.2016.26.3.230

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.

Keyword

Operating rooms; opioids; pharmaceutical services; satellite pharmacy

MeSH Terms

Analgesics, Opioid
Humans
Medical Staff
Medication Errors
Narcotics
Operating Rooms*
Patient Care
Pharmaceutical Services
Pharmacy
Prescriptions
Tertiary Care Centers*
Analgesics, Opioid
Narcotics