Wednesday, July 07, 2010

Report; Interrupting Pharmacist Improves Prescription Accuracy.

OMAHA, NE (Drugmonkey News Service)- In a surprising report that may have major implications for public health, researchers at Creighton University released a new study today that shows a wide array of distractions to the prescription filling process can decrease misfiled prescriptions by as much as 90 percent.

The report surprised everyone that is, except for you, who knew it all along.

"For well over a century, pharmacy as a profession has operated under the assumption that the tasks of its practitioners would be better attended to if attention were paid to them. Calculating overdoses, evaluating the significance of potential drug interactions, accurately transcribing verbal orders and answering questions from both other health professionals and the general public, it seemed intuitive that some level of concentration should be allowed for, but now we can conclusively say this isn't the case." said lead researcher Burt Von Klaussen. "It would seem as if pharmacy customers had it right all along. The more times a pharmacist is interrupted in the process of filling a prescription, the more you can trust that prescription to be filled accurately"

The muti-year, muti-center study, funded by CVS, found that while the activation of a fax machine in the background had a significantly significant impact on prescription accuracy, it paled in comparison to the most effective method, having a pharmacist stop what they were doing, walk over to the other side of the pharmacy, and be asked by you what was taking so long. That maneuver almost completely eliminated prescription errors.

"While we would love to be able to implement a "What is taking so long?" step into every prescription we fill, unfortunately, it is cost prohibitive at this time." said CVS Chief Operating Officer Larry J. Merlo. "Fortunately, our new program of adding a full time employee to do nothing but stare at the pharmacist from the other side of the counter and sigh periodically is producing exciting results, with errors already down 25%, our corporate malpractice rates have been reduced."

Number three drug store chain Rite Aid responded to the study by installing air-raid sirens that will randomly emit 100 decibel blasts from the main computer workstation in 2,000 of its stores. Analysts said that while the extra noise ultimately should have a positive effect on the troubled retailer's pharmacy operations, the company may have erred by deciding to spend $11 trillion on the new system, and financing that amount over the next 2 years.

"I don't understand what the deal is, God I have a tee time in 10 minutes!" You said when reached for comment. You then proceeded to stand right next to the cash register while people were being rung out, increasing the chances they would be willing to ask about their medication's side effects by 15 percent.

15 comments:

Anonymous said...

My head hurts already thinking of the implications of this exciting finding...

Tyler said...

Pure Brilliance!!!!

Anonymous said...

There was a WC Fields movie made long long ago..might actually have been called "the Druggist" and I don't even have to describe it because a lot of you live it daily. It has actually affected my personality (or lack thereof) Never really relax etc. etc. I always think I should be doing something...and quickly.

Rex Henricus

Tonina said...

I foresee that all Americans concerned about the safe and efficient fulfillment of prescription drug needs will soon call their pharmacists at least once a week to ask random stupid questions and make irritated comments regarding hold times.

It's just our responsibility as responsible health care consumers and American citizens.

*cue the Lee Greenwood music*

Từ Thanh Giác said...

This also works in other professions. I was inspecting trucks for pollution equipment that I pulled over at a weigh station. While I was checking the engine this cracker sounded a train air horn. He got a good laugh. The CHP with me accurately gave him a ticket for an illegal horn in addition to the ticket that I accurately filled out for a non compliant engine.

pillroller said...

Hey how can you screw up a prescription if you have to recheck it 5 frickin times!

Phrustrated Pharmacist said...

Hey buddy, where are the cotton balls?

Anonymous said...

Try buying a cell phone...it took me 2 hours to buy and activate 2 new cell phones on one plan. Why are people ok with this but not ok that it takes me 10 min to:
1.Interpret the Dr.'s writing, abbreviations, etc..
2. Check for drug interactions/overdosage
3. Bill an insurance company real time and get a paid claim (sometimes involving several phone calls)
4. Correctly count and label the prescription.
5. Double check the dosage, directions, drug and patient, so that no one is killed or harmed.
6. Ring up and explain your copay to you.
7. Answer your questions about what your mothers best friend sister told you would happen to you if you take this.

and..

8. Get you to sign the signature log after explaining to you why you have to agree that you actually picked up your medicine.

I don't understand, obviously activating a cell phone is way more important of a task that 2 hours is needed and its ok that it takes that long to complete a task of that magnitude.

Ben S said...

"...had a significantly significant impact..."

Nice.

Madam Z said...

I have always been quiet and respectful while standing at the pharmacy window, waiting patiently for my prescription to be filled. I did not realize that my complacency was increasing the chances of life-threatening mistakes being made! In the interest of increasing efficiency and safety, I will, from now on, make an absolute nuisance of myself, constantly complaining and peppering the pharmacist with inane questions. Thank you so much, Drug Monkey, for this helpful post.

r0t said...

I love you.

Apinya Wong said...

I can see this happening:

175...180...185... *AIR-RAID SIREN BLARING* Ah damn, I dropped all t pills...5...10...15...the

RedCueQueen said...

Here's another possible case in point.

Anonymous said...

Tarzhay is right on board with CVS (I was told I could get fired if I spelled it right). The "guest" must be able not only to interrupt the pharmacist, but to breathe on her while she is counting, verifying, labeling, manipulating, doing origami (whatever the eff we di back here with our heads down)and ask "where is the dog food?" Not only does Tarzhay's "system" not insulate the pharmacist from interruption, it absolutely encourages it. Meanwhile, our archaic technology trudges on (who the hell uses PDX anymore fer chrissake?) at a blistering rate, capable of 90 Rx's/day. Unfortunately, we do about 250 and we are dyin' in here.... On a brighter note, we are assured that our new system, whose release has been delayed for months by our IT guys trying to understand this newfangled "windows" thing, will lead us boldly into the 1990's. Can't wait...

Keith said...

I like the way these corporations design pharmacies so that we will be accessible to the customers. I enjoy the interruption of the customer wanting to find Preperation-H. There is no better time to be interrupted than when trying to read a doc's rx and it is written in the new, symbolic language called "Chicken Scratch". One especially rewarding aspect of pharmacy is the enjoyment I get from listening to people on their cellphones. I have heard all sorts of "personal stuff". It is better than watching "Days of Our Lives".