scholarly journals Workforce planning and safe workload in sterile compounding hospital pharmacy services

Author(s):  
Ahmed Chaker ◽  
Israa Omair ◽  
Weam Hazem Mohamed ◽  
Shuaib Haroon Mahomed ◽  
Mohammad Aslam Siddiqui

Abstract Purpose A prospective observational study was conducted to assess sterile compounding time and workforce requirements in a hospital pharmacy, resulting in development of staff benchmarking metrics. Methods The study was conducted in the IV room of a quaternary hospital over 2 periods totalling 7 weeks. Compounding was directly observed and timing data collected for each compounded sterile preparation (CSP). The primary objective was to assess CSP workload, compounding time requirements, and workforce requirements to enable development of a data-driven staffing benchmark. Results A total of 320 sterile product preparations were directly observed during the study. Overall, the average time to compound 1 CSP (including small- and large-volume parenteral solutions, chemotherapy CSPs, batched CSPs, and syringes) was 3.25 minutes. Chemotherapy CSPs had the longest average preparation time (17.74 minutes); batched CSPs had the shortest preparation time, at 1.90 minutes per unit. A safe workload analysis indicated that in an 8-hour shift, 1 pharmacy technician can safely prepare 253 batched CSPs; 148 preparations of SVP solutions, LVP solutions, and syringes combined; 31 parenteral nutrition solutions prepared using an automated device; or 29 chemotherapy preparations. Through extrapolation of these results, it was calculated that a hospital with a capacity of 100 beds would require 1.4 pharmacist full-time equivalents (FTEs) and 2.7 technician FTEs to meet its sterile compounding needs, with proportionate increases in those estimates for a 300-bed hospital. Conclusion Organizations wishing to use external benchmarking information need to understand data characterization, pharmacy services offered, automation, workflows, and workload before utilizing that information for workforce planning.

Author(s):  
Kirsty-Lee Sharp ◽  
Costa Synodinos

Objective - The primary objective of this study is to identify and explain the antecedents of organic food purchase behaviour of Generation Y students in the South African context. This study aimed to shed some light on Generation Ystudents' health consciousness, perceived behaviour control, convenience, attitudes, purchase intentions, and actual buying behaviourtoward organic food products. The study also attempted to determine the underlying strengths and relationships between the constructs used in the measurement scale. Lastly, gender relationships were investigated to determine if any differences existed between males and females in terms of their organic food product purchases. Methodology/Technique - This research study employed a descriptive, non-probability, convenience sampling design. The intended target population was full-time registered undergraduate Generation Y students aged between 18 and 24 years. The sample size was 200 students based across the four faculties within the chosen higher education institution, namely the Faculty of Management Sciences, the Faculty of Applied and Computer Sciences, the Faculty of Engineering, and the Faculty of Human Sciences. The 200 self-administered questionnaires were distributed during recess times as to not to disrupt any learning time. The questionnaire contained a cover letter explaining the purpose of the study and that participation in the study was completely voluntary. Findings - The measurement scale displayed adequate reliability and validity for all constructs. Furthermore, all constructs had statistically significant positive means, indicating that Generation Y students are health-conscious, care for the opinions of friends and family, display pro-organic attitudes, intentions, and behaviour. Results from this study indicate that there is a need for food organizations to consider implementing organic-based products in their product offerings within the South African market. Novelty - Investigation oforganic food product purchase behaviouramong South African Generation Y students (Consumer behaviour). Type of Paper - Empirical Keywords: Organic Foods; Purchase Behaviour; Generation Y, South Africa. JEL Classification: M31, M39.


2015 ◽  
Vol 68 (1) ◽  
Author(s):  
Angela Wright ◽  
Régis Vaillancourt ◽  
Jean-François Bussières ◽  
Denis Lebel ◽  
Elaine Wong ◽  
...  

2020 ◽  
pp. jrheum.201166
Author(s):  
Jessica Widdifield ◽  
Jodi M. Gatley ◽  
Janet E. Pope ◽  
Claire E.H. Barber ◽  
Bindee Kuriya ◽  
...  

Objective To compare differences in clinical activity and remuneration between male and female rheumatologists and to evaluate associations between physician gender and practice sizes and patient volume, accounting for rheumatologists’ age, and calendar year effects. Methods We conducted a population-based study in Ontario, Canada between 2000-2015 identifying all rheumatologists practicing as full-time equivalents (FTE) or above and assessed differences in practice sizes (number of unique patients), practice volumes (number of patient visits), and remuneration (total fee-for-service billings) between male and female rheumatologists. Multivariable linear regression was used to evaluate the effects of gender on practice size and volume separately, accounting for age and year. Results The number of rheumatologists practicing at or above one FTE increased from 89 to 120 from 2000 to 2015, with the percentage of females increasing from 27.0% to 41.7%. Males had larger practice sizes and practice volumes. Remuneration was consistently higher for males (between $46,000-$102,000 annually). Our adjusted analyses estimated that in a given year, males saw a mean of 606 (95% CI 107-1105) more patients than females did, and had 1,059 (95% CI 345- 1773) more patient visits. Among males and females combined, there was a small but statistically significant reduction in mean annual number of patient visits, and middle-aged rheumatologists had greater practice sizes and volumes than their younger/older counterparts. Conclusion On average, female rheumatologists saw fewer patients and had fewer patient visits annually relative to males, resulting in lower earnings. Increasing feminization necessitates workforce planning to ensure that populations’ needs are met.


2016 ◽  
Vol 4 (2) ◽  
pp. 212 ◽  
Author(s):  
PRavi Shankar ◽  
Subish Palaian ◽  
HarishS Thapa ◽  
Mukhtar Ansari ◽  
Bishnu Regmi

2020 ◽  
pp. 25-26
Author(s):  
N.I.M. Nazar ◽  
M.H. Elnaem ◽  
N.S.A. Rahman

This case study reports on the simulation-based learning initiative to replace experiential learning in an actual hospital pharmacy setting, namely Outpatient and Inpatient Pharmacy Services. The report describes the teaching and learning as well as the assessment components given to the students in a Malaysian setting.


Author(s):  
Orenzio Soler

O objetivo do artigo foi conhecer o perfil e as características dos Serviços de Farmácia do Complexo Hospitalar da Universidade Federal do Rio de Janeiro. Constitui-se de um Relato de Experiência fundamentado na Pesquisa-Ação e no Enfoque Lógico. Dentre os principais resultados, constatou-se que a estrutura, a organização, os recursos humanos e o processo de trabalho inerentes aos Serviços de Farmácia não atendem ao escopo do arcabouço legal vigente, tornando-os ineficientes sob os aspectos do processo ensino-assistência. Por fim, infere-se que as unidades do Complexo Hospitalar não atendem as diretrizes e as estratégias para organização, fortalecimento e aprimoramento das ações e serviços de farmácia no âmbito dos hospitais. Palavras-chave: Saúde Pública. Hospital Universitário. Gestão Hospitalar. Farmácia Hospitalar. Ensino Farmacêutico. Abstract The purpose of the article was to know the profile and characteristics of Pharmacy Services of the Hospital Complex from the Federal University of Rio de Janeiro. It is condituted a case studies based on action research. Among the main results, it was found that the structure, organization, human resources and work process inherent in Pharmacy Services do not comply withthe scope of the legal framework in force, making them inefficient under aspects of teaching-process. Finally, it is inferred that the units of the hospital complex do not fulfill the guidelines and strategies for organizing, strengthening and improvement of actions and pharmacy services at the hospital settings. Keywords: Public Health. Hospitals, University. Hospital Administration. Hospital Pharmacy. Education, Pharmacy.


2020 ◽  
Author(s):  
In Kyu Yang ◽  
Eun Ok Shin ◽  
Dong Gyun Kim ◽  
Hyun Cheol Jung ◽  
Kwang Joon Kim ◽  
...  

Abstract Background: The role of sports pharmacists is being emphasized in international athletic events. This study aimed to describe the pharmacy services for the 2019 Fédération Internationale de Natation (FINA) World Masters Championships in Gwangju, South Korea. Method: Research focused on athletes and coaching staff who received medications after visiting medical centers and pharmacies located in the athletes’ village from July 5 to July 29, 2019. Education courses for full-time and volunteer pharmacists were provided three times. We collected daily pharmacy operation results and prescription interventions. The data were analyzed using Microsoft Excel, and were expressed as frequency (%). Results: Throughout the tournament, 633 patients received medication at the athletes’ village pharmacy (gender: 338 men [53.4%], 295 women [46.6%]; nationality: 299 Korean [47.2%], 334 foreign [52.8%]; patient class: 150 athletes [23.7%], 427 non-athletes [67.5%]). Therapy for musculoskeletal disorders was the most common (29, 19.3%), and oral NSAIDs (56, 21.9%) were the most frequently dispensed medication in athletes. Pharmacists intervened for 47 out of 491 prescriptions (9.6%), with dosage change (21, 44.7%) being the most common intervention type. Conclusion: This study on the operation and performance of pharmacies at the FINA World Masters Championships is a useful reference for pharmacy services at international or domestic sports events.


Author(s):  
Denise D. Krause

Background: There are a variety of challenges to health workforce planning, but access to data is critical for effective evidence-based decision-making. Many agencies and organizations throughout Mississippi have been collecting quality health data for many years. Those data have historically resided in data silos and have not been readily shared. A strategy was developed to build and coordinate infrastructure, capacity, tools, and resources to facilitate health workforce and population health planning throughout the state.Objective: Realizing data as the foundation upon which to build, the primary objective was to develop the capacity to collect, store, maintain, visualize, and analyze data from a variety of disparate sources -- with the ultimate goal of improving access to health care.Specific aims were to:1)  build a centralized data repository and scalable informatics platform,2)  develop a data management solution for this platform and then,3)  derive value from this platform by facilitating data visualization and analysis.Methods: We designed and constructed a managed data lake for health data from disparate sources throughout the state of Mississippi. A data management application was developed to log and track all data sources, maps and geographies, and data marts.  With this informatics platform as a foundation, we use a variety of tools to visualize and analyze data.Results: Samples of data visualizations that aim to inform health planners and policymakers are presented. Many agencies and organizations throughout the state benefit from this platform.Conclusion: The overarching goal is that by providing timely, reliable information to stakeholders, Mississippians in general will experience improved access to quality care. 


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