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J Adv Pharm Technol Res. 2016 Jul-Sep;7(3):70-4. doi: 10.4103/2231-4040.184590.

Accreditation status of hospital pharmacies and their challenges of medication management: A case of south Iranian largest university.

Journal of advanced pharmaceutical technology & research

Omid Barati, Hesam Dorosti, Alireza Talebzadeh, Peivand Bastani

Affiliations

  1. Health Human Resources Research Center, Department of Health Service Management, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
  2. Department of Food and Drug Deputy, Shiraz University of Medical Sciences, Shiraz, Iran.

PMID: 27429924 PMCID: PMC4932808 DOI: 10.4103/2231-4040.184590

Abstract

Considering the importance of accreditation for hospital pharmacies, this study was to determine the challenges of medication management in hospital pharmacies affiliated with Shiraz University of Medical Sciences, Iran. The study was a mix-method research conducted in two qualitative and quantitative phases during the years 2014-2015 in Shiraz, Iran. National Accreditation Standard checklist for hospitals was used for data collection in the first phase, and Delphi method was applied in three rounds to achieve the most challenges of medication management and the related solutions. Results indicated a medium status of accreditation for all three dimensions in the above hospital pharmacies (3.53, 42.15 and 7, respectively). Lack of clinical pharmacists, nonparticipation of the pharmacy director in annual budgeting, lack of access to patient information, discontinuity of pharmaceutical care for patients discharged, defects in pharmacy staff training, lack of legislation in support of pharmacists and lack of adequate access to physicians' prescriptions, shortages in reporting medication errors, and lack of evidence related to microbial contamination are the most challenges extracted from the second phase. It seems that the studied hospital pharmacies encounter numerous problems regarding accreditation, pharmaceutical care as well as appropriate medication management and supply chain. Attempts to solve these problems can play an important role in improving the efficiency and effectiveness of pharmacies in Iran.

Keywords: Accreditation; Iran; hospital pharmacy; medication management

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