Academic Journal
Dynamic pharmacy leadership during the COVID-19 crisis: Optimizing patient care through formulary and drug shortage management
| العنوان: | Dynamic pharmacy leadership during the COVID-19 crisis: Optimizing patient care through formulary and drug shortage management |
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| المؤلفون: | Pulk, Rebecca Ann, Leber, Molly, Tran, Lydia, Ammar, Mahmoud, Amin, Nilesh, Miller, LeeAnn, Yazdi, Marina |
| المصدر: | American Journal of Health-System Pharmacy ; volume 77, issue 22, page 1874-1884 ; ISSN 1079-2082 1535-2900 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2020 |
| الوصف: | Purpose The coronavirus disease 2019 (COVID-19) pandemic has created unprecedented challenges for health systems around the world. We describe our approach to adapting the pharmacy leadership structure to address critical medication shortages through innovative data analysis, procurement strategies, and rapid implementation of medication policy. Summary Yale New Haven Health deployed a system incident management command structure to effectively respond to the COVID-19 crisis. System pharmacy services adopted a similar framework to enable efficient communication and quick decision-making in key domains, including drug procurement and policy. By refining a model to project health-system medication needs, we were able to anticipate challenges and devise alternative treatment algorithms. By leveraging big data and creating a system knowledge base, we were able to consolidate reporting and coordinate efforts to ensure system success. Various procurement strategies were employed to ensure adequate supply, including frequent communication with our wholesaler, sourcing direct from suppliers, outsourcing of sterile products compounding to registered 503B outsourcing facilities, and acquisition of active pharmaceutical ingredients for compounding of essential medications. Strategic positioning of pharmacists within the health system’s incident command response teams and rapid adaption of drug use policy governance fueled accelerated response and nimble implementation. Communication was streamlined and executed via multiple outlets to reach a broad audience across the health system. Conclusion With medication shortages posing a threat to patient care, dynamic pharmacy leadership proved essential to providing patient care at the height of the COVID-19 pandemic. System alignment and the rapid adaption of the existing framework for drug shortage management and medication use policy were crucial to success in crisis response. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/ajhp/zxaa219 |
| DOI: | 10.1093/ajhp/zxaa219/33532257/zxaa219.pdf |
| الاتاحة: | https://doi.org/10.1093/ajhp/zxaa219 http://academic.oup.com/ajhp/advance-article-pdf/doi/10.1093/ajhp/zxaa219/33532257/zxaa219.pdf http://academic.oup.com/ajhp/article-pdf/77/22/1874/34055730/zxaa219.pdf |
| Rights: | https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model |
| رقم الانضمام: | edsbas.13A874CE |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/ajhp/zxaa219 |
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