Implementing an Operating Room Pharmacy Satellite

Powell, Philip; Maland, Lynn; Bair, Jan N.; McCall, James; Wong, K. C.

doi:10.1093/ajhp/40.7.1192

Cited by 6 publications

(5 citation statements)

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“…The study demonstrates that there was unusable medication in the operating theatre complex mainly in the form of outdated stodc However, no large quantities of improperly stored medication or opened undated multidose vials were found. This is in contrast to previous Pharmacy services to fhe operating fheatre 181 studies conducted in the U.S.A., which showed a significant quantity of improperly stored and opened, undated, multidose vials present within the operating theatre complex (3). The presence of medication unsuitable for patient use in the fast-paced, critical-care, environment of the operating theatre CM be a potential risk to patient safety.…”

Section: Discussioncontrasting

confidence: 56%

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Is there a need for improved pharmacy services to the operating theatre?

et al. 1993

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A study to assess the control and handling of drugs within an operating theatre complex (10 theatres) of an 850-bed hospital, has revealed the presence of unusable medication and thus highlighted the need for improved pharmacy services. The aims and objectives of the pharmacy department to enhance such services included improvement of drug control of stock medication and the introduction of clinical pharmacy services within the operating theatre. To undertake this, three systems were evaluated with reference to systems already in use in the U.S.A. Operating theatre visits by a clinical pharmacist, coupled with the expansion of the existing drug distribution service, were identified as the most cost-effective methods that would allow the objectives to be met. Consequently, this has now been implemented within the operating theatre complex.

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Section: Discussioncontrasting

confidence: 56%

“…These have proved to be costeffective in improving drug control and accountability. Indeed, they have reduced drug stock, drug wastage and provided clinical pharmacy services leading to improved patient care and safety (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

Is there a need for improved pharmacy services to the operating theatre?

et al. 1993

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“…3). [77,80,91,99,106,112,145], highlighting the value of face-to-face interaction and multidisciplinary collaboration. Finally, pharmacy staff -primarily pharmacy technicians -reported having better job satisfaction because of the specialised service(s) to theatre [102,108,111,120].…”

Section: Outcomes Of Pharmacy Services To Theatrementioning

confidence: 99%

“…These publications describe clinical pharmacy services in addition to medication management, and the importance of multidisciplinary collaboration is emphasised as a facilitator to successful service establishment. Engagement with non-pharmacy clinical staff throughout the design and implementation process is key; Forrester et al noted that multidisciplinary governance was critical to their success, echoing a 1983 observation by Powell et al that proactive communication from the satellite pharmacist changed the perspectives of nursing staff who had previously viewed pharmacy "as an adversary, not an ally"[63,112,145]. Pharmacy departments seeking to expand into theatre should consider stakeholder engagement as a necessary precursor to service implementation.…”

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confidence: 99%

Established and emerging theatre pharmacy services: a scoping review

McGowan,

Deasy,

Coyle

et al. 2024

Preprint

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Background Pharmacy services impact patients throughout the perioperative journey. Pharmacist activities at surgical pre-assessment clinics and on inpatient wards are well-documented, but services to theatre appear comparatively under-developed. High-risk and high-cost medicines are used routinely in theatre; pharmacists are well-placed to optimise their use and improve patient care.Aim To determine the range, extent and nature of theatre pharmacy services and their outcomes.Method This scoping review was conducted and reported as per the Joanna Briggs Institute methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. A search was conducted across electronic and grey literature databases to identify pharmacy theatre services. One reviewer screened titles and abstracts and carried out data extraction, with a 10% sample screened by a second reviewer. Two reviewers evaluated full texts. Quality appraisal was undertaken using the Mixed Methods Appraisal Tool.Results Ninety-two publications were included from 3924 search results. Fifty-seven were primary research articles. Most of the included publications described services in the United States of America; the remainder were from Australia, several European countries, Egypt, Morocco, Japan, China and Taiwan. Theatre pharmacy services included medication management and various clinical activities. Outcomes related to cost savings, patient safety and staff satisfaction. Nine of the 57 articles were suitable for quality appraisal. Adherence to quality criteria ranged from 40–100%.Conclusion Evidence for theatre pharmacy services is extensive and varied. Empirical research of high methodological quality is required to assess the outcomes of these services.

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“…We ultimately decided to institute an OR pharmacy satellite in the patient "holding area" of the OR complex, Reports of other OR satellites have appeared in the literature and have addressed the issue of accountability in varying degrees (7)(8)(9). The satellite is staffed by a pharmacy technician who is supervised by a pharmacist from the central inpatient pharmacy.…”

Section: An Operating Room Pharmacy Satellitementioning

confidence: 99%

Control and Accountability of Controlled Substance Administration in the Operating Room

Moleski

Easley

Barash

et al. 1985

Anesthesia & Analgesia

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SHIER NQ, SCHRIER RI. Control and accountability of controlled substance administration in the operating room. Anesth Analg 1985;64:989-95.Personnel working in the operating room complex may be at increased risk for chemical impairment. I t has been proposed that this predisposition may be related to the frequency of use of controlled substances and the inadequat? control ouer distribution of these medications, which fwquently exists in the operating room. A system utilizing a pharmacy satellite in the operufiriy room has increased the control and accountability of drug administration practices. Several other alternative systems are also reviewed. Emphasis is placed on the establishment of a quality assurance program to monitor compliance routinely.

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Implementing an Operating Room Pharmacy Satellite

Cited by 6 publications

References 0 publications

Is there a need for improved pharmacy services to the operating theatre?

Is there a need for improved pharmacy services to the operating theatre?

Established and emerging theatre pharmacy services: a scoping review

Control and Accountability of Controlled Substance Administration in the Operating Room

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