To Err Is Human

May 2019 - Vol.16 No. 5 - Page #1

As the clearinghouse of medication therapy in clinical settings, pharmacy must manage an ever-ballooning number of interfaces. In addition to the external dynamics of managing a hospital pharmacy, from formulary and P&T committees to improved patient outcomes programs, pharmacy leadership must meticulously manage the delicate and highly risk-agitative expectation of simultaneously securing powerful and expensive drug therapies, and making those therapies available rapidly and accurately at all times.

Active processes, such as those described in this issue’s articles on implementing an OR tray management system or developing a comprehensive unit dose packaging strategy, not only afford a detailed accounting and inventory system, they also provide security against inadvertent drug mismanagement.

Pharmacy must simultaneously protect against willful drug mismanagement. Raising the topic of diversion tends to cause a visceral reaction among pharmacy management, and for good reason. Human resources are both the most important element in health care and the most prone to introducing error.

As with all challenges in pharmacy practice, many leaders have stood forth and acknowledged the universal risk of diversion, and sought communal efforts to address this formidable problem. We ask that you pay close attention to this month’s diversion supplement, and make use of our detailed coverage in past issues ( Facing this challenge head on is always the best option.

Lastly, we expect to see many familiar faces at this year’s ASHP Summer Meetings and Exhibition in Boston, June 8-12. Please stop by Booth 400 and let us know what successes and challenges you have faced recently. Like you, we are always looking for ways to improve.

All the best,

R. Mitchell Halvorsen

Announcing PP&P’s State of Pharmacy Compounding SURVEY WINNER


Congratulations to Lisa Karlin, RPh, Director of Pharmacy at Rooks County Health Center in Plainville, Kansas.

Lisa won an iRoomba after completing our 2019 survey.

Watch for future surveys from PP&P for your chance to win!


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