Pharmacists leadership in a medication shortage response: Illustrative examples from a health system response to the <scp>COVID</scp>‐19 crisis

Ammar, Mahmoud; Tran, Lydia; McGill, Bryan; Ammar, Abdalla; Huynh, Phu; Amin, Nilesh; Guerra, Michael; Rouse, Ginger; Lemieux, Diana; McManus, Dayna; Topal, Jeffrey; Davis, Matthew W.; Miller, LeeAnn; Yazdi, Marina; Leber, Molly Billstein; Pulk, Rebecca

doi:10.1002/jac5.1443

Cited by 10 publications

(8 citation statements)

References 34 publications

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“…To solve the problem of medicine shortages, pharmacists, as medication experts, should play an active role. Firstly, the identification of real-time supply chain disruptions and hiring of specialized supply personnel to continuously review drug supply can be useful [35]. Secondly, Pharmacists need to keep close contact with the product manufacturer and distributors to gain insight into the disruption's origin, projected duration and maintain inventories accordingly [35].…”

Section: Discussionmentioning

confidence: 99%

“…Firstly, the identification of real-time supply chain disruptions and hiring of specialized supply personnel to continuously review drug supply can be useful [35]. Secondly, Pharmacists need to keep close contact with the product manufacturer and distributors to gain insight into the disruption's origin, projected duration and maintain inventories accordingly [35]. Finally, keeping pace with the growing need for medications and consulting with clinicians to find and offer reasonable alternatives can reduce the impact of drug shortages [36].…”

Section: Discussionmentioning

confidence: 99%

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A Qualitative Study Exploring the Management of Medicine Shortages in the Community Pharmacy of Pakistan

Omer

Ali

Shukar

et al. 2021

IJERPH

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Managing medicine shortages consumes ample time of pharmacists worldwide. This study aimed to explore the strategies and resources being utilized by community pharmacists to tackle a typical shortage problem. Qualitative face-to-face interviews were conducted. A total of 31 community pharmacists from three cities (Lahore, Multan, and Dera Ghazi Khan) in Pakistan were sampled, using a purposive approach. All interviews were audio taped, transcribed verbatim, and subjected to thematic analysis. The analysis yielded five broad themes and eighteen subthemes. The themes highlighted (1) the current scenarios of medicine shortages in a community setting, (2) barriers encountered during the shortage management, (3) impacts, (4) corrective actions performed for handling shortages and (4) future interventions. Participants reported that medicine shortages were frequent. Unethical activities such as black marketing, stockpiling, bias distribution and bulk purchasing were the main barriers. With respect to managing shortages, maintaining inventories was the most common proactive approach, while the recommendation of alternative drugs to patients was the most common counteractive approach. Based on the findings, management strategies for current shortages in community pharmacies are insufficient. Shortages would continue unless potential barriers are addressed through proper monitoring of the sale and consumption of drugs, fair distribution, early communication, and collaboration.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Qualitative Study Exploring the Management of Medicine Shortages in the Community Pharmacy of Pakistan

Omer

Ali

Shukar

et al. 2021

IJERPH

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“…20,28 In 2020, the COVID-19 pandemic added another layer of complexity including navigation of drug shortages, administration of complex regimens as outpatients or changes in chemotherapy regimens to minimize risk of health care exposure, reductions in personnel to manage patient care, shifting providers roles, changes in clinical trial access and workflows, and rapid implementation of telehealth. [29][30][31][32][33][34][35][36] Assessing burnout among pharmacists practicing in cancer care will allow for exploration of both occupational and sociodemographic variables and their association with burnout. It is crucial to identify risk factors for burnout to help facilitate development of strategies to decrease burnout in at-risk individuals as burnout is associated with negative sequelae.…”

Section: Original Contributionsmentioning

confidence: 99%

Evaluation of Burnout in a National Sample of Hematology-Oncology Pharmacists

Golbach

McCullough

Soefje

et al. 2022

JCO Oncology Practice

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PURPOSE: To evaluate the prevalence of burnout among hematology-oncology pharmacists and factors associated with an increased risk of high burnout. METHODS: Between October and November 2020, members of the Hematology/Oncology Pharmacy Association were invited to complete an anonymous survey. Questions included the Maslach Burnout Inventory (MBI), Well-Being Index, and sociodemographic and occupational factors linked with burnout. RESULTS: Of 3,024 pharmacists contacted, 614 pharmacists (20.3%) responded to an online survey and 550 (18.2% of overall sample) completed the MBI and were included for analysis. Overall, high levels of burnout were observed in 61.8% of respondents based on the MBI, with 57.9% of respondents scoring high on the emotional exhaustion domain and 31.3% high in the depersonalization domain. Pharmacists with burnout worked on average 48.6 (±9.6) hours per week compared with 44.5 (±9.6) hours per week for those without high burnout and spent more time on administrative tasks per week (7.5 hours v 4.3 hours; all P < .001). Pharmacists reporting high burnout were more likely to report concern they had made a major medication error within the past 3 months (27.6% v 8.1%; P < .001) and greater intent to leave their current job within 2 years (60.3% v 19.0%; P < .001). CONCLUSION: Burnout is prevalent among hematology-oncology pharmacists and may affect both patient safety and the adequacy of the workforce. Risk factors for burnout among hematology-oncology pharmacists in this study may be targets for burnout mitigation and prevention strategies to reduce the impact on pharmacists and improve cancer care for patients.

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“…3 , 4 These problems are further aggregated through likely imbalance between demand and supply-side factors, which adds to their adversity and vulnerability during any humanitarian crisis. 5 , 6 Numerous other challenges have also emerged in the recent decade through increase in health care expenditure, age structural transition and health service provision for elderly. 7 Similarly, inequality and provision of services to vulnerable groups has also been a challenge resulting in the liability of the health care system to meet the demands of population in developing world.…”

Section: Introductionmentioning

confidence: 99%

Fragility and challenges of health systems in pandemic: lessons from India's second wave of coronavirus disease 2019 (COVID-19)

Malik

2022

Global Health Journal

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The unprecedented healthcare demand due to sudden outbreak of coronavirus pandemic has profound influence on the health care systems especially in the developing world. Given the disastrous outbreak of coronavirus disease 2019 (COVID-19) second wave in India, the health system of the country was almost at the brink of collapse. Therefore, to identify the factors that resulted into breakdown and the challenges, Indian healthcare system faced during the second wave of ongoing pandemic, this paper analyzed the health system challenges in India and the way forward in accordance with the six building blocks of world health organization (WHO). Applying integrated review approach, we sum-up that the factors such as poor infrastructure, inadequate financing, lack of transparency and poor healthcare management result into the overstretching of healthcare systems. While examining the possible challenges of the Indian healthcare system due to the second wave of COVID-19 pandemic, we found that apart from these above factors, governmental response to capitalize on the early lessons learnt from the first wave, which otherwise could have mitigated the health crisis in the second wave. To sum-up although the health system in India faces challenges from the very beginning, but there is a way forward to be adopted to avert the current crisis. At the same time, healthcare should be prioritized with adequate financing, strong capacity-building measures and integration of public and private sectors. Fiscal stimulus, risk assessment, data availability and building of human resources chain are other key factors to mitigate the crisis.

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Pharmacists leadership in a medication shortage response: Illustrative examples from a health system response to the COVID‐19 crisis

Cited by 10 publications

References 34 publications

A Qualitative Study Exploring the Management of Medicine Shortages in the Community Pharmacy of Pakistan

A Qualitative Study Exploring the Management of Medicine Shortages in the Community Pharmacy of Pakistan

Evaluation of Burnout in a National Sample of Hematology-Oncology Pharmacists

Fragility and challenges of health systems in pandemic: lessons from India's second wave of coronavirus disease 2019 (COVID-19)

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