Background: The medicines’ shortage has arisen as a global crisis, which jeopardizes the continuity of care and overloads pharmacists and healthcare professionals. Purpose: The paper aims 1) to determine the therapeutic classes mostly affected by shortages in pre-COVID scenario and investigate their impact; 2) to collect the perception of physicians and nurses on shortages to assess the effect on clinical practice and to improve interprofessional collaboration. Methods: A 16-question survey developed by hospital pharmacists was administered to physicians and nurses at Presidio Ospedaliero Luigi Sacco in Milan (Italy). Discussion: A total of 148 medicinal products were reported as unavailable by 58 interviewees. Since in 66% of cases therapeutic alternatives were available, healthcare professionals did not perceive them as so critical since effect on patients can be mitigate by effective interprofessional collaboration. Conclusion: Risk assessment and management of shortages should be based on a bottom-up approach that takes in consideration the ward operability and the perception of healthcare professionals.

Medicines shortages and the perception of healthcare professionals working in hospitals: An Italian case study / A. Zovi, U.M. Musazzi, C. D'Angelo, M. Piacenza, S. Vimercati, F. Cilurzo. - In: JOURNAL OF INTERPROFESSIONAL EDUCATION & PRACTICE. - ISSN 2405-4526. - 25:(2021 Dec), pp. 100472.1-100472.7. [10.1016/j.xjep.2021.100472]

Medicines shortages and the perception of healthcare professionals working in hospitals: An Italian case study

A. Zovi
Primo
;
U.M. Musazzi
Secondo
;
F. Cilurzo
Ultimo
2021

Abstract

Background: The medicines’ shortage has arisen as a global crisis, which jeopardizes the continuity of care and overloads pharmacists and healthcare professionals. Purpose: The paper aims 1) to determine the therapeutic classes mostly affected by shortages in pre-COVID scenario and investigate their impact; 2) to collect the perception of physicians and nurses on shortages to assess the effect on clinical practice and to improve interprofessional collaboration. Methods: A 16-question survey developed by hospital pharmacists was administered to physicians and nurses at Presidio Ospedaliero Luigi Sacco in Milan (Italy). Discussion: A total of 148 medicinal products were reported as unavailable by 58 interviewees. Since in 66% of cases therapeutic alternatives were available, healthcare professionals did not perceive them as so critical since effect on patients can be mitigate by effective interprofessional collaboration. Conclusion: Risk assessment and management of shortages should be based on a bottom-up approach that takes in consideration the ward operability and the perception of healthcare professionals.
Shortages; Hospital pharmacy; Therapeutic switch; Perception; Physicians; Nurses
Settore CHIM/09 - Farmaceutico Tecnologico Applicativo
8-set-2021
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/869550
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