4. DRUG DISTRIBUTION

Written and reviewed by Dr. Saint Paul | Pharm.D Graduate from JNTUK | Pharmacy Educator and D.Pharmacy Academic Content Creator

DRUG DISTRIBUTION SYSTEM IN HOSPITAL

Introduction to Drug Distribution:

Drug distribution is the process of supplying medicines from the hospital pharmacy to patients. It includes storage, supply, and administration of drugs.

  • Drugs are supplied to in-patients.
  • Drugs are supplied to out-patients.

Types of Drug Distribution System:

  1. In-patient drug distribution
  2. Out-patient drug distribution

Drug Distribution to In-Patients:

1. Individual Prescription Order Method:

Doctor writes prescription and medicines are supplied individually.

Advantages:

  • Less staff required
  • Direct pharmacist review

Disadvantages:

  • More medication errors
  • Increased nursing workload
  • Drug wastage possible

2. Floor Stock Method:

Medicines are stored in wards and managed by nurses.

Types of Floor Stock Drugs:

A. Charge Drugs:

  • Cost charged to patient
  • Dispensed using envelope method

B. Non-Charge Drugs:

  • Common and low-cost drugs
  • Not billed individually

Drug Basket Method:

  • Nurse checks stock
  • Sends empty containers
  • Pharmacy refills and returns

Mobile Dispensing Unit:

  • Drug delivery using trolley
  • Helps in stock checking

Advantages of Floor Stock:

  • Fast availability
  • Reduced workload

Disadvantages:

  • No pharmacist review
  • Higher error risk
  • Wastage and theft risk

3. Combination Method:

  • Combination of individual and floor stock
  • Most commonly used

4. Unit Dose Drug Distribution System:

Drugs are supplied in single-dose packages.

Types of Unit Dose System:

  • Centralised Unit Dose System
  • Decentralised Unit Dose System

Advantages:

  • Reduced medication errors
  • Better safety
  • Less wastage
  • Improved records

Disadvantages:

  • Costly
  • Needs more staff
  • Time consuming
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