# \[e-drug\] Improving medicines management. What works best?

**URL:** <https://talk.edrugplus.org/t/e-drug-improving-medicines-management-what-works-best/20162>\
**Category:** e-drug\
**Created:** [July 22, 2004, 5:23am UTC](https://talk.edrugplus.org/t/e-drug-improving-medicines-management-what-works-best/20162 "2004-07-22T05:23:30Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![david.woods](https://avatars.discourse-cdn.com/v4/letter/d/67e7ee/32.png) [@david.woods](https://talk.edrugplus.org/u/david.woods)\
**Post date:** [July 22, 2004, 5:23am UTC](https://talk.edrugplus.org/t/e-drug-improving-medicines-management-what-works-best/20162/1 "2004-07-22T05:23:30Z")

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E-drug: Improving medicines management. What works best?  
---------------------------------------------

&nbsp;&nbsp;Dear e-druggers

I was wondering if anyone has come across, authored or researched the use  
of guidelines for improving medicines management in hospital pharmacies in  
developing countries ? Specifically I am interested in the ward or patient  
level rather than the wider issues of supply management etc.

Many developed countries now have dedicated clinical pharmacy services.  
Such services are less common in developing countries and many hospitals  
do not even have a pharmacist on site even for basic supply functions. It  
will be many years before this situation changes although great strides  
are being made in some countries.

In the meantime should we not research and advise what can be done at ward  
or institution level to prevent medicines related problems, adrs, errors ?  
Could priorities be identified that would have the maximum impact with  
minimum resources ?. Even the basics such as administration of potassium  
chloride injection, identifying high risk patients, reconstitution and  
storage of injections. Studies in developed countries have shown that  
"medicines related problems" is a significant "disease" not far behind the  
major killers and causes of morbidity.

Until the pharmacists role is fully recognised internationally can  
progress be made in improving medicines management in hospitals, and if so  
how ?

Regards,

David Woods  
Consultant Pharmacist  
University of Otago  
Dunedin  
NEW ZEALAND  
david.woods@stonebow.otago.ac.nz

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