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CHAPTER V: THE VIRTUAL WAREHOUSE IN A SANITARY DISTRICT

5.1.3 LOGISTIC STRUCTURE PUTS INTO EFFECT THEM

In analyzing the logistic structure of the making structures head to the SSN must keep in mind also the service which they are held lend.
The management of the assets, and in particular of drugs, not only goes estimated in the mere economic aspect, but above all in that organizational one and of appropriatness of the performance, finalized to guarantee it adapts to you, and possibly more and more it appropriates to you, levels of druggist attendance to the patient.
The U.O. of Pharmacy it has between several the tasks to it entrusted institutionally, that one to satisfy the medicinal demands for coming from from the stays in hospital, the services and the outpatients departments of the belongings company.
The pharmacy service carries out such task by means of:

  • Supplying of the druggist products and the matters on the base of the requirements represented from the utilizzatori;
  • The movementation and preparation orders;
  • The stoccaggio and conservation of the products;
  • The galeniche and druggist preparations second the norms previewed from the sanitary laws;
  • The preparation and delivery to the units petitioners and external patients (in the cases previewed from the norm in matter of druggist attendance) of the afferent healthy materials to following the various categories which: medicinal; diagnostic, chemical reagents and products; dispositi doctors and other sanitary material to you.
On all these activities come exercised the control and the vigilance from part of the managing staff druggist.
A plan that previews the internal-business centralization of reception and stoccaggio of the materials and the activation of a system of distribution directed to the final utilizzatori (units and services territorial hospitals worker and of Companies USL and hospitals worker), at least presupposes - of fact - the elimination of the single business druggist warehouses or a strong reorganization of the same ones.
To such purpose, but, it is necessary to characterize with clarity how much would have to residuare in " dismantle " the warehouses of the pharmacies hospitals worker in order to make forehead the so-called "urgent " demands, in particular to the emergencies.
Such argument will come more ahead deepened.

5.1.4 THE DISTRIBUTION

Scope and reason of being of the U.O. of Pharmacy in within hospital worker are to assure the development of the druggist functions of base and clinics previewed from the enforced norm, in the light of the new charitable and managerial requirements, distributing performances and services aimed you to a sure use and ration them of drugs and sanitary material remaining in order to satisfy the requirements of health of the citizens, exercising the monitoring and the vigilance on the prescription, developing in particular a job to interdisciplinare with all the business organizational articulations, like part of one total strategy of appropriatness d he sanitary participations.
In such logic, the U.O. pharmacy is engaged to plan and to put in action the own activities through the optimization of the use of the entrusted resources and the formation/training of the staff.
It is of easy understanding that the pharmacy and distribution of drugs assume an increasing role of protagonist in the area of the rationalization of the management and the expense.
The recepimento of the Pharmaceutical Beloveds places therefore the bases for a radical change of the distribution system of the drug today practiced in the hospitals, passing from a system of refueling of the supplyes of unit to a system that distributes single the prescription, therefore as already it happens in the pharmacies to the public.
That, even if only in part, already is realized for many drugs whose distribution happens for single patient on the base of demands that esplicitano the clinical motivations respect to one personalized specific precise diagnosis characterizing slowly a therapeutic one.
A favorable future arranges increased of personalized distribution could as an example offer ulterior to numerous advantages as the calculation of the cost of the therapy pharmacology.
At the moment, it puts into effect it them system of restoration of the supplyes of the units, already abandoned from years in the hospitals of the United States, and in via of abandonment in numerous European states, it does not concur single the computerized recording of the prescription; also however weekly magazine concurs (just in virtue of the presence of the druggist warehouse with the inside of the company) to limit the lyings in the unit to the strait medium requirementses, integrated from the so-called demands in regimen of " urgency ".
With regard to it is well to specify that multiple they are the factors that can give origin to one " demanded urgent " of medicinal or of other druggist products.
Between the others:

  • drug prescription (or other material) re-entering in does not accustom them therapies of the not present unit and therefore in the druggist closet of the unit that demands it;
  • sottostima of the requirementses of one or more produced in the within of the programmed demand with consequent necessity of immediate restoration of the supply;
  • prescribed specific therapy from "external advisers" to the stay in hospital unit;
  • personalized therapy to domicile that one agrees to continue;
  • therapeutic emergency in critical situations;
  • coincidence of a number of treatments, for the same type of drugs, advanced to the customary one.
The reperibilità in real time of how much is necessary also to outside of the refueling programmed today is rendered possible thanks to the presence of a druggist warehouse near the Company single, raggiungibile from anyone in little minuteren, and that for variety and amount, it makes available the greater part of the therapeutic instruments necessary to satisfy the requirements charitable.

 


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