IMPLANTATION OF A PHARMACEUTICAL CARE AND HOME DELIVERY CIRCUIT FOR OUTPATIENTS DURING THE ALARM STATE FOR COVID-19

European Statement: 

  • Clinical Pharmacy Services

Author(s): 

ROCÍO TAMAYO BERMEJO
ARANZAZU LINARES ALARCÓN
CASILDA ORTEGA DE LA CRUZ
ISABEL MUÑOZ CASTILLO

What was done?: 

A circuit of Pharmaceutical Care and home delivery was implemented for outpatients in the alarm state due to COVID-19.

Why was it done?: 

In the alarm state due to COVID-19 in March 2020, in order to reduce the number of visits to the hospital to outpatients who go to the Outpatient Pharmaceutical Care Area, a new Pharmaceutical Care and home delivery circuit is implemented.

How was it done?: 

The needs, possibilities and resources of the Hospital were identified. Material resources were adapted: supply and stock management. A logistical solution was sought and a review of thermolabile drug stabilities was made. Human resources were restructured: definition of a new team, functions and responsibilities.
A new circuit was implemented with remote access. When the patient contacts, he´s attended by a pharmacist who performs the screening and interview (initiation/follow-up), who after reviewing the clinical records, validates the treatment and selects the dispensing process of the patient according to individualized. The preparation of shipments is organized through the use of a web resource, by a pharmacy technician and at a specific time, based on a list of shipments per day, dispensing sheets and personalized labels. Once the dispensations have been prepared, a double check is made by another pharmacy technician on a different shift.
Three phone lines and an email weren´t enough to attend to all concurrents demands in a period of less than 24 hours. To mitigate this situation, a multichannel information strategy was implemented to notify all patients.
Other limitations: incidents by the logistic operator, errors in addresses and incorrect dose shipments.

What has been achieved?: 

During two months (April-May), 1103 patients benefited from the new circuit, approximately 30% of the patients who collect medication in our Outpatient Pharmaceutical Care Area during this period.

What next?: 

The pharmaceutical care and home delivery circuit has been shown to be safe, and has been able to meet the needs that are required in a alarm state. Also, it´s a circuit applicable to other Pharmacy Deparments since it doesn´t require a large investment in resources.

Keywords: 

  • Drug dispensingDispensing drugs

Conflict of interest: 

I have no potential conflict of interest to disclose

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