Governing for Results 6 - Washington State Digital Archives
Governing for Results 6 - Washington State Digital Archives
Governing for Results 6 - Washington State Digital Archives
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Department of Social and Health Services<br />
Improving Medication Distribution at Western <strong>State</strong><br />
A Western <strong>State</strong> Hospital pharmacy and nursing staff team focused on improving<br />
the process of refilling patient medications. Be<strong>for</strong>e this project, each patient’s<br />
medications were refilled once a month, a process that <strong>for</strong> the 40 wards took 200<br />
hours of pharmacy staff time. Ward medication nurses had to deliver and pickup<br />
the containers to be refilled requiring 33 hours per month. Wards were without<br />
the medications about six hours each month while being refilled in the pharmacy.<br />
Packaging of refills was not consistent. Many packages were physically difficult<br />
to open. Thirty days supply of medications took up a lot of ward space and<br />
increased the potential <strong>for</strong> errors. To improve the process, a machine was<br />
purchased that automatically fills prescriptions with 99% accuracy using easy-toopen<br />
packets. With the time saved, pharmacy staff could refill medications<br />
weekly, deliver the refills to the wards and still take less time than the prior<br />
process.<br />
<strong>Results</strong><br />
★ Eliminated the need to hire five additional pharmacy staff who would have<br />
been required in order to manually fill prescriptions on a weekly schedule,<br />
thereby saving annually 10,570 hours of staff time and $254,254 in salaries.<br />
★ Saves 84 hours of existing pharmacy staff time per year in filling and<br />
delivering refills while increasing the number of refills.<br />
★ Packaging medications by machine saves approximately $40,000 dollars a<br />
year in drug costs.<br />
★ More patient care time (396 hours) is available each year due to nurses not<br />
needing to deliver or pick up medications from the pharmacy.<br />
★ Over 70% of the nurses rated the prescription refilling process and the new<br />
packaging as convenient as or more convenient than the previous process.<br />
Team Name: WSH Medication Distribution Team<br />
Team Members: Stacia Gahms, PhT, (Team Leader); Julie Neff, RPH; Joni<br />
Rudin, PhT; Don Dicks, CAP4; Wanda Ray, LPN; Cliff Stewart, LPN; Connie<br />
Roth, RN3; Pat Pickett, ADNS; Katy Williams, Pharm.D.; Judy Miller, LPN;<br />
Pauline Montances, LPN; Suzette Reyes, RN3; Jessica Grant, RPh; Dan<br />
San<strong>for</strong>d, RN3; Amos Brinkley, LPN<br />
CONTACT: Carol Knobel-Ames, (360) 902-0832<br />
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