The Pharmacy Department at Beth Israel Deaconess Medical Center (BIDMC) has approximately 100 full-time employees including pharmacists, technicians, students and other support personnel who provide pharmacy services to patients and healthcare professionals.
Unit-Based Practice Model
In-patient pharmacy services at BIDMC are provided by decentralized clinical pharmacists in a unit-based practice model. Within this model, pharmacists are assigned to cover several patient care areas and are responsible for the pharmaceutical care of the patients on those units.
Medication Order Processing
The pharmacy's computer system interfaces with the hospital's Provider Order Entry (POE) computer program, allowing the pharmacists to access patient information throughout the medical center. Unit-based pharmacists screen medication orders for potential problems with dosing, drug allergies, drug interactions and other drug-related problems and inform prescribers of potential problems and possible drug therapy modification.
Full Spectrum of Care
Pharmacists are actively involved in providing drug information, performing pharmacokinetic evaluation and dosing for select medications, reviewing medications for renal dose adjustment, evaluating patients for potential intravenous to oral medication interchange and monitoring target medications. This spectrum of care includes provision of services to adult and geriatric patient populations as well as premature and full term infants.
In addition to the unit-based pharmacy practice, the pharmacy staffs operates several specialty areas including parenteral nutrition/metabolic support, investigational drug services, oncology, and operating room services.
24-Hour Drug Distribution
The Department provides 24-hour drug distribution from central pharmacy areas and automated dispensing units throughout the hospital. The department utilizes state of the art technology including Omnicell automated dispensing cabinets and Omnicell Carousel Inventory management.
Medication Reliability and Safety
Medication reliability and safety are integral to the provision of optimal pharmaceutical care and the pharmacy continually reviews medication incident reports, adverse drug events and medication errors to identify potential areas for improvement of systems. Active involvement in multidisciplinary quality assurance programs, assist the pharmacy in evaluating the specific needs of its patients.
Pharmacy and Therapeutics Committee
The Department of Pharmacy works with the Pharmacy and Therapeutics (P&T) committee to review medications for formulary status, to perform and review medication use evaluations, to develop medication use policies and to contribute to clinical resource management activities of the medical center. The P&T Committee provides an interdisciplinary forum that facilitates consistent communication between the members of the Department of Pharmacy and physicians, nurses, and other allied health professionals.
Pharmacy Practice Experience and Education
In additional to the provision of inpatient and outpatient pharmaceutical services, the pharmacy also serves as an Advanced Pharmacy Practice Experience and Cooperative Education site for pharmacy students from both Massachusetts College of Pharmacy and Health Sciences and Northeastern University College of Pharmacy.