Evaluation of the causes and cost impact of returned intravenous medications at a tertiary care hospital in Riyadh, Saudi Arabia

AlSamanhodi, Hamza; Almeshary, Meshary; Amoh, Kwame N.; Aldekhael, Saleh; Alkatheri, Abdulmalik; Alharbi, Shmeylan; Alammari, Maha; AbuRuz, Salah; Albekairy, Abdulkareem M

doi:10.4314/tjpr.v16i1.31

Cited by 14 publications

(24 citation statements)

References 12 publications

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“…4,5 In addition, dispensing of an extra quantity of medication, switching from intravenous therapy to oral, patient discharge, refill order, patient expiration (death), and patient objection to take the dose were the most common reasons for the nonutilization of medications in the inpatient wards of health facilities. 6,7…”

Section: Introductionmentioning

confidence: 99%

“…The study has also revealed that the most frequently returned classes of medications were antibiotics 47.11%, electrolyte replacement preparations 17.27%, gastrointestinal drugs 6.55%, analgesics and antipyretics, 5.19%, and blood derivatives 4.51%. 7…”

Section: Introductionmentioning

confidence: 99%

“…13 Effective communication among health care professionals, pharmacist training, and adherence to standard practice guidelines might be the most vital strategies to reduce medication wastage at health facilities. 7…”

Section: Introductionmentioning

confidence: 99%

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Unused and Expired Medications: Are They a Threat? A Facility-Based Cross-Sectional Study

Ebrahim

Teni

Yimenu

2019

J Prim Care Community Health

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Background: A significant amount of potentially effective and lifesaving medications were wasted at the health facilities due to lack of a system for checking their effectiveness and returning them to the system. Objectives: To assess the prevalence of unused medications and related consequences in selected health facilities of Awi zone, Amhara regional state, Ethiopia. Methods: A facility-based cross-sectional study design supplemented by a qualitative approach was employed. Descriptive data were collected using checklists while interviews were conducted with respective personnel at the health facilities. Results: A total of 4 health facilities were included in the study. During the 1 month of study period, 56 types of medications were found unused at the health facilities. Anti-infective medications were the most commonly unused medications 36.4%. At the in-patient departments of the 4 hospitals, a total of 173 medications were found unused. Similarly, 605 medications were found wasted at the pharmacy stores of those hospitals in the 2009 fiscal year. Conclusion: A significant amount of unused medications were present at the health facilities. Health facilities need to monitor health professionals strictly follow national and international treatment guidelines and monitor the rational use of medications.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Unused and Expired Medications: Are They a Threat? A Facility-Based Cross-Sectional Study

Ebrahim

Teni

Yimenu

2019

J Prim Care Community Health

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“…CE is not explicitly referenced in the PSC literature, although the idea of circularity or CLSC is presented as reuse (Alhamad et al, 2018;Connelly, 2018), return of medicines (Daniszewsi et al, 2002;AlSamanhodi et al, 2017) and even in the market of medical devices (Bange and Morgan, 2018). Søndergaard et al (2006) argue that the practice of medicines returns for reuse can reduce overall health costs and time at hospital, although with no positive impacts for medicines market prices.…”

Section: Circular Economy (Ce) and Clsc Involving Eou-mmentioning

confidence: 99%

Reverse flows within the pharmaceutical supply chain: A classificatory review from the perspective of end-of-use and end-of-life medicines

Viegas

Bond

Vaz

et al. 2019

Journal of Cleaner Production

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A classificatory literature review on medicines reverse flows is performed. Excessive production/demand uncertainty jeopardize medicines reverse flows. Cordination of the forward supply chain is pivotal for medicines reverse logistics. Green chemistry is a form of circular economy in pharmaceutical supply chain. Failures in monitoring of prescriptions hinder the circularity of medicines. Circular economy of medicines requires deeper investigation as business opportunity.

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“…6 Pembuangan obat juga menyumbang proporsi besar terhadap biaya perawatan kesehatan yang semakin meningkat di seluruh dunia. 7 Hal ini menggambarkan hilangnya kesempatan untuk meningkatkan kesehatan pada pasien yang terlibat dalam pemborosan biaya kesehatan yang seharusnya bisa digunakan untuk membiayai perawatan kesehatan yang sangat dibutuhkan. 5 Berdasarkan analisis studi lebih lanjut tentang obat-obatan yang tidak digunakan menunjukkan implikasi ekonomi yang tinggi bagi pembayar, mungkin juga ada biaya tidak langsung karena efektivitas yang terbatas dan kegagalan terapi, efek yang tidak diinginkan dari penggunaan obat yang salah sehingga pada akhirnya berdampak negatif pada morbiditas dan mortalitas.…”

Section: Pendahuluanunclassified

Estimasi Nilai Ekonomi Obat Tidak Digunakan pada Kalangan Rumah Tangga Kota Yogyakarta

Ridwan

Kristina

Wiedyaningsih

2019

J. Manaj. dan Pelayanan Farm.

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Pengeluaran untuk obat-obat yang diresepkan dan obat yang dijual bebas merupakan persentase besar dari total biaya perawatan kesehatan. Pasien mungkin tidak dapat menggunakan semua obat yang diperoleh dari pengobatan karena perubahan dosis atau obat-obat yang telah kedaluwarsa. Hal ini diperkirakan memiliki konsekuensi terhadap finansial. Tujuan utama dari penelitian ini adalah untuk mengetahui nilai ekonomi obat tidak digunakan dan kedaluwarsa pada kalangan rumah tangga Kota Yogyakarta.Jenis Penelitian ini yaitu observatif dengan rancangan studi cross sectional. Responden dipilih secara convenience sampling dan diwawancara langsung dan mendata obat-obat yang disimpan di rumah. Data dianalisis dan dipersentasikan secara deskriptif.Dari 400 responden, hanya 261 (65,2%) yang menyimpan obat terdiri dari obat sedang digunakan dan persediaan, obat tidak digunakan dan obat kedaluwarsa dengan total harga sebesar Rp7.082.556. Total harga obat tidak digunakan sebesar Rp1.273.921 (18%) dengan rata-rata Rp13.698 per orang sedangkan obat kedaluwarsa hanya berharga Rp140.065 (2%) dengan rata-rata Rp12.733. Berdasarkan kelas terapi, jumlah obat tidak digunakan paling banyak adalah analgesik (28,6%), sistem respirasi (13,7%), dan antimikroba (11,9%), sedangkan obat kedaluwarsa utamanya analgesik, saluran cerna dan antiseptik masing-masing (18,8%). Nilai ekonomi obat tidak digunakan dan kedaluwarsa pada kalangan rumah tangga dari penelitian ini relatif kecil. Penelitian ini dapat berfungsi dalam program edukasi masyarakat untuk meningkatkan kepatuhan dan penggunaan obat secara tepat dan efisien agar dapat dilakukan penghematan biaya kesehatan yang dikeluarkan.Kata Kunci: Obat tidak digunakan, obat kedaluwarsa, biaya

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Evaluation of the causes and cost impact of returned intravenous medications at a tertiary care hospital in Riyadh, Saudi Arabia

Abstract: Purpose: To evaluate the main reasons for returning intravenous (IV) medications and to determine its cost impact in an in

Cited by 14 publications

References 12 publications

Unused and Expired Medications: Are They a Threat? A Facility-Based Cross-Sectional Study

Unused and Expired Medications: Are They a Threat? A Facility-Based Cross-Sectional Study

Reverse flows within the pharmaceutical supply chain: A classificatory review from the perspective of end-of-use and end-of-life medicines

Estimasi Nilai Ekonomi Obat Tidak Digunakan pada Kalangan Rumah Tangga Kota Yogyakarta

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