The document outlines methods of drug distribution in hospitals, highlighting in-patient and out-patient distribution systems. It details five types of drug distribution systems: individual prescription order, floor stock, combination systems, unit dose, and automated dispensing systems, each with its advantages and disadvantages. Additionally, it discusses centralized versus decentralized pharmacy systems and other methods like bedside medication storage and outsourced pharmacy services.
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Hcp Seminar 2
The document outlines methods of drug distribution in hospitals, highlighting in-patient and out-patient distribution systems. It details five types of drug distribution systems: individual prescription order, floor stock, combination systems, unit dose, and automated dispensing systems, each with its advantages and disadvantages. Additionally, it discusses centralized versus decentralized pharmacy systems and other methods like bedside medication storage and outsourced pharmacy services.
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Methods of Drug Distribution
in Hospitals
By Vasanthan R. M Pharm 1st Year. Pharmacy practice. Introduction What is drug distribution in hospitals?
Drug distribution is defined as, Physical
transfer of drug from storage area in the hospital to the patient bedside. This involves two types of drug distribution. They are: In - patient distribution. Out – patient distribution. IN-PATIENT DISTRIBUTION The drug distribution to the in-patient department can be carried out from the out patient dispensing area. The pharmacists involved in dispensing the drugs for out patient can dispense drugs for in patients too. The pharmacist employed for drug distribution to the in-patient wards should be well skilled and qualified staff. OUT PATIENT DISTRIBUTION Out-patient refers to the patients not occupying beds in hospital or in clinics, health centers and other places where out patients usually go for health care. No medicaments should be issued without the prescription. After the issue has been made the quantities supplied must be recorded. In short form the out-patient department was called as OPD. TYPES OF DRUG DISTRIBUTION SYSTEMS There are five different systems for drug distribution in hospitals: Individual prescription order system Complete floor stock system Combination of individual prescription and floor stock System Unit dose system Non-floor stock system Individual Prescription Order System Each patient’s medication is prescribed individually. Pharmacy dispenses drugs based on the doctor’s order. Requires pharmacists to prepare and label medications for each patient. Advantages: • Personalized medication • Reduces errors Disadvantages: • Time-consuming • High workload for pharmacy and nurses Floor Stock System Medications are stored in bulk on hospital floors/wards. Nurses withdraw medications as needed. Advantages: • Quick access. • Reduces pharmacy workload. Disadvantages: • High risk of medication errors. • Increased drug wastage and theft. • Increased workload on nurses. Combination of individual prescription and floor stock System This system is followed in the government and also in private hospital who run on the basis of no profit and no loss. Individual prescription or medication system is followed as a major means. Requirement of drugs or surgical items are given to the patient who purchase and deposit these items in hospital wards or rooms under supervision of registered nurse . Unit Dose System (UDS) Medications are pre-packaged in single-dose units. Dispensed in 24-hour supply for each patient. Advantages: • Reduces errors • Better inventory control • Cost-effective Disadvantages: • Requires a well-equipped pharmacy • Initial setup cost Automated Drug Dispensing System (ADDS) Uses automated machines to dispense drugs on demand. Medications are stored in secure machines accessed by nurses. Advantages: • Increases efficiency • Minimizes human errors • Tracks inventory Disadvantages: • High initial investment • Requires technical maintenance Satellite Pharmacy System Small pharmacy units placed in different hospital departments. Pharmacists work closely with doctors and nurses. Advantages: • Faster drug dispensing • Improved patient safety Disadvantages: • Requires more staff • Requires additional infrastructure Centralized vs. Decentralized Pharmacy System Centralized: All medications are dispensed from a single hospital pharmacy. Decentralized: Multiple small pharmacy units near patient care areas. Adv & Dis adv: • Centralized ensures better control but slower service. • Decentralized provides faster service but requires more resources. Additional Methods Bedside Medication Storage: Medications stored in a locked cabinet at the patient’s bedside. Outsourced Pharmacy Services: Hospital contracts an external pharmacy. Combination Drug Distribution: Uses multiple methods for efficiency. THANK YOU