ASHP national survey of pharmacy practice in acute care settings: Prescribing and transcribing - 1998

Debra Jones Ringold, John P. Santell, Philip J Schneider, Steven Arenberg

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Results of the 1998 ASHP national survey of pharmacy practice in acute care settings that pertain to prescribing and transcribing practices are presented. Pharmacy directors at 1058 general and children's medical-surgical hospitals in the United States were surveyed by mail. Data on hospital characteristics were supplied by SMG Marketing Group, Inc.; the survey sample was drawn from SMG's hospital database. The response rate was 51.8%. Respondents reported that at least 90% of hospital and health-system pharmacy and therapeutics (P and T) committees are responsible for formulary development and management, drug policy development, medication-use evaluation, adverse-drug-reaction reporting, and medication error monitoring. More than 90% of the facilities use pharmacoeconomic, clinical and therapeutic, and cost information in formulary development; 83% have a medication-use-evaluation program designed to improve prescribing; more than 95% have P and T committees, infection control committees, and quality control commitees; and more than 80% provide pharmacist consultations on drug information, dosage adjustments for patients with renal impairment, antimicrobials, and pharmacokinetics. A majority of respondents reported that accurate transcription of medication, orders is ensured by use of standardized physician order forms, clarification of illegible orders, reconciliation of medication administration records (MARs) and pharmacy profiles at least daily, and use of computer-generated MARs. The 1998 ASHP survey results suggest that pharmacists in acute care settings have positioned themselves well to improve the prescribing and transcription components of the medication-use process.

Original languageEnglish (US)
Pages (from-to)142-157
Number of pages16
JournalAmerican Journal of Health-System Pharmacy
Volume56
Issue number2
StatePublished - Jan 15 1999
Externally publishedYes

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Pharmacy and Therapeutics Committee
Formularies
Pharmacists
Pharmacy Administration
Medication Reconciliation
Pharmaceutical Economics
Medication Errors
Policy Making
Program Evaluation
Postal Service
Infection Control
Marketing
Drug-Related Side Effects and Adverse Reactions
Quality Control
Pharmaceutical Preparations
Referral and Consultation
Pharmacokinetics
Surveys and Questionnaires
Databases
Physicians

Keywords

  • Administration
  • American Society of Health-System Pharmacists
  • Clinical pharmacy
  • Computers
  • Data collection
  • Drug use
  • Formularies
  • Medication orders
  • Organizations
  • Pharmaceutical services
  • Pharmacists, hospital
  • Pharmacy and therapeutics committee
  • Pharmacy, institutional, hospital
  • Prescribing

ASJC Scopus subject areas

  • Pharmaceutical Science
  • Leadership and Management

Cite this

ASHP national survey of pharmacy practice in acute care settings : Prescribing and transcribing - 1998. / Ringold, Debra Jones; Santell, John P.; Schneider, Philip J; Arenberg, Steven.

In: American Journal of Health-System Pharmacy, Vol. 56, No. 2, 15.01.1999, p. 142-157.

Research output: Contribution to journalArticle

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