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Integration of clinical and administrative strategies to reduce expenditures for antimicrobial agents.
Hess, D A; Mahoney, C D; Johnson, P N; Corrao, W M; Fisher, A E.
Afiliación
  • Hess DA; Department of Pharmacy, Rhode Island Poison Center, Rhode Island Hospital, Providence 02903.
Am J Hosp Pharm ; 47(3): 585-91, 1990 Mar.
Article en En | MEDLINE | ID: mdl-2316543
A comprehensive program of clinical and administrative strategies to reduce expenditures for antimicrobial agents is described. Clinical intervention strategies include the use of antimicrobial order sheets, standardized dosage regimens, restriction policies for certain antimicrobial agents, and position statements on the use of restricted agents. A cornerstone of the program is the support for cost-reduction interventions offered by the pharmacy and therapeutics committee and its subcommittee on therapeutics; that support is demonstrated through endorsement and enforcement of pharmacy programs. Physicians are reminded of the cost-reduction programs through periodic articles in the pharmacy newsletter and an "antibiogram" card supplied by the division of epidemiology. The effectiveness of these interventions has been demonstrated by progressive decreases in expenditures for antimicrobial agents during 1987 and 1988. Antimicrobial agents also account for increasingly smaller percentages of the total drug budget. This combination of clinical and administrative strategies reduced expenditures for antimicrobial agents by more than $700,000 over two years without the use of clinical specialists or any apparent sacrifice in the quality of patient care.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicio de Farmacia en Hospital / Antiinfecciosos Tipo de estudio: Health_economic_evaluation País/Región como asunto: America do norte Idioma: En Revista: Am J Hosp Pharm Año: 1990 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicio de Farmacia en Hospital / Antiinfecciosos Tipo de estudio: Health_economic_evaluation País/Región como asunto: America do norte Idioma: En Revista: Am J Hosp Pharm Año: 1990 Tipo del documento: Article Pais de publicación: Estados Unidos