โครงการการพัฒนาระบบบริหาร จัดการยาปราศจากเชื้อในห้องยา หู ตา คอ และจมูก คณะแพทยศาสตร์ ศิริราชพยาบาล

Abstract

Objective: To develop the compounding sterile preparations management and to reduce waste from the
expired compounding sterile preparations at Ear Eye Nose Throat Pharmacy
Methods: The expiration date table for managing compounding sterile preparations was designed, implemented
and communicated to involved practitioners by QR code system. The numbers of expired compounding sterile
preparations were collected 4-month, before and after starting project at Ear Eye Nose Throat Pharmacy. The
effect of using this expiration date table was studied by comparing the numbers of expired compounding sterile
preparations 4-month before and after using the expiration date table. Descriptive and inferential statistics were
used in data analysis.
Results: Twenty-four of 3,020 items (0.80%) from ten types of compounding sterile preparations were found
expired during four months before starting the project. The waste costs 10,450 baht or 2,615 baht per month.
After using the expiration date table for 4 months, no expired medication was found (0.00%). Drug expiration
rate was statistically significant decreased (p<0.001).
Conclusion: The development of compounding sterile preparations management of Ear Eye Nose Throat Pharmacy
at Siriraj Hospital in this study can reduce the costs of expired medicines or prevent pharmaceutical waste.