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Open AccessArticle

Pilot Implementation of Falsified Medicines Directive in Hospital Pharmacy to Develop Best Practices for Medicine Decommissioning Process

Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszyński University, Warsaw 01-938 Poland
First Department of Cardiology, Medical University of Gdansk, Gdańsk 80-211, Poland
dr. Józef Psarski Masovian Specialist Hospital in Ostrołęka, Ostrołęka 07-10, Poland
Standardisation Department, GS1 Expert in Healthcare, Poznan 61-755, Poland
National Institute of Medicines, Warsaw 00-725, Poland
MedAspis GmbH, Düsseldorf, Germany
UCL Centre for the Advancement of Sustainable Medical Innovation, The University of Oxford, Oxford OX39DU, UK
Author to whom correspondence should be addressed.
Pharmacy 2020, 8(1), 34;
Received: 14 January 2020 / Revised: 28 February 2020 / Accepted: 4 March 2020 / Published: 9 March 2020
(This article belongs to the Section Pharmacy Education and Student / Practitioner Training)
Background: The introduction of a medicines verification and decommissioning system into the hospital pharmacy may result in an increased workload for pharmacy staff. The pilot implementation allows us to understand all the implications of the process, optimize process workflows, and estimate the time and cost of implementation. Methods: All the packages received at the hospital pharmacy had a 2D data matrix codes and were scanned. We analyzed the time needed to unpack a variety of products, scan them, and receive the notification. Results: In total, 144 packages were scanned at an average time of 3.05 s, with most (86.9%) under 4 s. Manual decommissioning using handheld scanners was less efficient than the automated solution tested and resulted in an additional 0.4 full-time equivalent hours per million packages per year. The pattern and total time of manual scanning depended not only on the quantity but also the size of the package and type of packing. Conclusions: This evaluation of scanning performance allows optimizing the process at operational, technical, and resource levels for medicine verification and decommissioning. View Full-Text
Keywords: decommissioning; falsified medicines directive; hospital pharmacy decommissioning; falsified medicines directive; hospital pharmacy
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Merks, P.; Świeczkowski, D.; Zerhau, M.; Gawronska, A.; Kowalczuk, A.; Gajewski, K.; Däinghaus, R.; Jaguszewski, M.; Brindley, D. Pilot Implementation of Falsified Medicines Directive in Hospital Pharmacy to Develop Best Practices for Medicine Decommissioning Process. Pharmacy 2020, 8, 34.

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