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Biomedical subjects

D N Adelman

Publications and source records attributed to D N Adelman.

9 recordsLinked to original sources
PubMed1985

The mobile medication cart as an adjunct to a centralized pharmacy service.

At Kingsbrook Jewish Medical Center, a mobile medication cart was used as an adjunct to a centralized unit dose drug distribution system. The system was instituted to study the possible decrease in turnaround time between the writing of the drug order and the administration of the first dose to the patient. The study showed that there was a 39% increase in doses administered in less than 60 minutes with the cart. Also, availability of medication at the first scheduled administration time improved 11%. The study concluded that turnaround time and nursing trips to the pharmacy were reduced. The system improved clinical contact with doctors and nurses, and this had a direct effect on improving job satisfaction among the pharmacists.

Hospital Bed Capacity, 500 and over↗
PubMed1982

Reducing the number of missing doses with the aid of a computer system.

Missing or extra medications in the unit dose drug distribution system have resulted in lost financial charges. At Kingsbrook Jewish Medical Center, the reasons why drugs were returned or missing in the unit dose system were not properly explained nor properly recorded. Enhanced programs in the computerized pharmacy management system were developed to include a mechanism for recording reasons why doses were missing and a method of documenting extra doses dispensed to the patient, while capturing current costs for these drugs. The system permits simple data entry which allows uninterrupted processing. The reports generated by the system are used to inform physicians of dosage problems of patients and to act as an educational aid in correcting a source of medication errors. The computerized reporting system has helped to reduce the number of missing medication doses by 36.8% and to improve pharmacy inventory control.

Computers↗
PubMed1978

Distributing estrogen patient package inserts to institutional patients.

A procedure for the distribution of patient package inserts (PPIs) for estrogens to outpatients (ambulatory and home health care) and inpatients (acute and long-term) was developed. The pharmacist dispenses the PPI to outpatients along with the prescribed drug. The name of the drug, the date, the pharmacist's initials and the fact that the PPI was issued are recorded in the patient's profile. The pharmacist then orally reinforces the information in the PPI. For inpatients, a preprinted double-tab label is adhered to the PPI which is distributed with the medication upon new estrogen orders. The portion adhered to the PPI lists instructions to the physician. The unadhered portion contains an area for recording the name of the drug product, the patient's name, the physician's signature and the date; this tab is affixed to the order sheet by the physician after he has provided and explained the PPI to the patient. Estrogens are not administered until physicians comply with the PPI procedure. While compliance with the PPI procedure has been satisfactory, this may be the result of a substantial decrease in the number of physicians ordering estrogens, along with a corresponding reduction in the number of estrogen products they now prescribe.

Ambulatory Care↗