In recent years, many drug shortages have compromised patient care. Drug shortages can lead to altered therapeutic outcomes, increased risk of medication errors, and increased medical costs. This article presents one hospital's successful algorithm for managing medication shortages. Methods included drafting a shortage policy and procedure; identifying a primary contact person to assess the impact of the shortage; identifying appropriate clinicians to perform research; establishing references for identification of alternative agents; and promptly communicating with and disseminating shortage information to appropriate individuals.
Provisional observations on drug product shortages: Effects, causes, and potential solutions. Summary of a stakeholders' meeting on drug shortages convened by the American Medical Association and the American Society of Health-System Pharmacists. Washington, DC; July 12, 2002.Am J Health Syst Pharm.2002; 59: 2173–82.
2.
TylerL.S., FoxE.R., CaravatiE.M.The challenge of drug shortages for emergency medicine.Ann Emerg Med.2002; 40(6): 598–602.
3.
JensenV.J., KimzeyL.M., GoldbergerM.J.FDA's role in responding to drug shortages.Am J Health Syst Pharm.2002; 59: 1423–5.
4.
Institute for Safe Medication Practices.National survey on drug shortages reveals high level of frustration, low regard for safety. March 21, 2001.
5.
YoungD.Outsourced compounding can be problematic.Am J Health Syst Pharm.2002; 59: 2261–4.
6.
TamerH.R., SweetB.V.Compounding pharmaceuticals for investigational use.Am J Health Syst Pharm.2002; 59: 1716–9.
BabinchakT.J.Drug shortages, part 1: Antimicrobial shortages.Pharm Therapeutics.2002; 27(2): 66–8.
9.
American Society of Health-System Pharmacists.ASHP guidelines on managing drug product shortages.Am J Health Syst Pharm.2001; 58: 1445–50.
10.
American Society of Health-Systems Pharmacists.Drug Product Shortages Management Resource Center.www.ashp.org/shortage/. Accessed on February 13, 2003.
11.
Institute for Safe Medication Practices (ISMP).Part 2 of our national survey on drug shortages: Proactive guidelines to safely manage scarce supplies.ISMP Medication Saftety Alert! April 4, 2001.
12.
FoxE.R., TylerL.S.One pharmacy's approach to managing drug shortages.Am J Health Syst Pharm.2003; 60: 27–31.