Unit Dose Drug Distribution System at the Department of Cardiac and Transplantation surgery, University Hospital Dubrava

    Authors

    Keywords

    drug, drug distribution system

    DOI

    https://doi.org/10.15836/ccar2018.511

    Full Text

    Traditional model of drug supply in hospitals is based on filling compartment stocks, based on their claims, and then preparing prescribed patient therapy. During mid-last-century in USA was developed a new concept of immediate drug supply called Unit Dose Drug Distribution System – UDDDS. ( 1 ) In the effort to improve standards of care in Croatian health care system, UDDDS is introduced for each individual patient, not more than 24-hour supply in Department of Cardiac and Transplantation Surgery, University hospital Dubrava. UDDDS team is consisted of physician, pharmacist, nurse, and IT-communication system technician. For each individual patient at Department of cardiac and transplantation surgery prescribed therapy is additionally monitored in terms of adequacy and pharmaceutical drug form, dosing, dosing interval and possibility of clinically important interactions of medications. Medications are daily stored in container with the patient’s name on it, the time precise time of administration. Every drug placed in compartment is adequately single packed and labelled, so that the patient in hospital can be educated on the purpose, mode of application, and the type of medication that he is going to continue using after discharge from hospital. With the use of UDDDS, the distribution of medication is more precise and, there is better monitoring of drug interaction, multiple control of prescribed therapy, education of staff, patients and significant reduction in drug use. The patient becomes more compliant and takes adequate medications in accurate doses at the adequate time, which increases good treatment outcomes. ( 2 ) Medical errors are significantly reduced, almost eliminated, and patient safety is better. Also, the storage of medication at ward is reduced to minimum. Implementation of UDDDS has multiple advantages such as: faster and simpler education of newly employed nurses, clear, precise, and flexible system with minimal possibility of error in the daily administration of therapy. All above contribute to cost reduction and additional safety improvement of health care system users.

    Cardiologia Croatica
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    Unit Dose Drug Distribution System at the Department of Cardiac and Transplantation surgery, University Hospital Dubrava

    Extended Abstract
    Issue11-12
    Published
    Pages511
    PDF via DOIhttps://doi.org/10.15836/ccar2018.511
    drug
    drug distribution system

    Authors

    Milka Grubišić*ORCIDUniversity Hospital Dubrava, Zagreb, Croatia
    Dragana JurčićORCIDUniversity Hospital Dubrava, Zagreb, Croatia
    Petra LaušORCIDUniversity Hospital Dubrava, Zagreb, Croatia

    Full Text

    Traditional model of drug supply in hospitals is based on filling compartment stocks, based on their claims, and then preparing prescribed patient therapy. During mid-last-century in USA was developed a new concept of immediate drug supply called Unit Dose Drug Distribution System – UDDDS. ( 1 ) In the effort to improve standards of care in Croatian health care system, UDDDS is introduced for each individual patient, not more than 24-hour supply in Department of Cardiac and Transplantation Surgery, University hospital Dubrava. UDDDS team is consisted of physician, pharmacist, nurse, and IT-communication system technician. For each individual patient at Department of cardiac and transplantation surgery prescribed therapy is additionally monitored in terms of adequacy and pharmaceutical drug form, dosing, dosing interval and possibility of clinically important interactions of medications. Medications are daily stored in container with the patient’s name on it, the time precise time of administration. Every drug placed in compartment is adequately single packed and labelled, so that the patient in hospital can be educated on the purpose, mode of application, and the type of medication that he is going to continue using after discharge from hospital. With the use of UDDDS, the distribution of medication is more precise and, there is better monitoring of drug interaction, multiple control of prescribed therapy, education of staff, patients and significant reduction in drug use. The patient becomes more compliant and takes adequate medications in accurate doses at the adequate time, which increases good treatment outcomes. ( 2 ) Medical errors are significantly reduced, almost eliminated, and patient safety is better. Also, the storage of medication at ward is reduced to minimum. Implementation of UDDDS has multiple advantages such as: faster and simpler education of newly employed nurses, clear, precise, and flexible system with minimal possibility of error in the daily administration of therapy. All above contribute to cost reduction and additional safety improvement of health care system users.