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Management by objectives, quality policy, drug prescription, drug distribution, drug administration

Management by objectives, quality policy, drug prescription, drug distribution, drug administration

Farmacia Clinica 10(9): 734-736,738-741,746,748

We outline the process and methodology of development by objectives implemented in the Improvement Plan for the quality of the drug prescription, dispensing and administration process at a regional hospital, and we describe the features of the single shared drug prescription, dispensing and administration record form. Objectives of the Plan: a) Improve the quality of how medical prescription is filled out. b) Eradicate errors due to the way medical orders are transcribed by nursing staff. c) Eradicate errors due to the way drugs are dispensed by the Pharmacy Service. d) Record drug prescription and administration in the Emergency Dept. on a specific form. e) Evaluate the importance of returns of uncalled for drugs (not administered), making corrective decisions on the spot. The improvement Plan was developed through the establishment of different phases and levels: Line of Improvement, Improvement Objectives and Plans of Action. After application of the Plan the objectives connected with prescription, transcription, dispensing and administration of drugs were achieved, but not so those connected with prescription and recording in the Emergency Department. Analysis of the results should lead us to redefine future objectives as well as improvement strategies.

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