Development of an acuity scoring system to proactively address drug shortages and increase supply chain resiliency.
Purpose Drug shortages pose a serious threat to the quality of healthcare provided to patients, particularly in a pediatric care setting. The Delphi method was used to develop acuity scores for medication supply chain redundancy planning. We prioritized redundancy measures for medications for which...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 83; no. 14; pp. 787 - 797 |
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| Autores principales: | , , , , , , |
| Formato: | case study tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195186117&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195186117 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: Jul2026 vid: 83 iid: 14 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195186117 195186117 195186117 10.1093/ajhp/zxag017 195186117 ppf: 787 ppct: 10 formats: tig: atl: Development of an acuity scoring system to proactively address drug shortages and increase supply chain resiliency. aug: au: Canedo, Joanne Elizabeth Andrews, Eric Mabry, William A Allen, Delia C Robertson, Jennifer Hoffman, James M Aguero, David affil: Department of Pharmacy and Pharmaceutical Sciences, St.Jude Children's Research Hospital, Memphis, TNDepartment of Pharmacy Administration, University of Mississippi, Oxford, MS, USA sug: subj: Medication Shortage Pharmacy Service Quality Improvement Healthcare Supply Chain Pharmaceutical Companies Hospitals, Pediatric Decision Making, Organizational Cost Control Algorithms Health Facility Administration Organizational Change Delphi Technique Strategic Planning Health Care Costs Chemotherapy, Cancer Neoplasms Drug Therapy ab: Purpose Drug shortages pose a serious threat to the quality of healthcare provided to patients, particularly in a pediatric care setting. The Delphi method was used to develop acuity scores for medication supply chain redundancy planning. We prioritized redundancy measures for medications for which a shortage would result in the greatest disruption to patient care. Summary The acuity scoring system developed at St. Jude Children's Research Hospital included 4 primary criteria: historical supply disruption, medication unit cost, operational impact, and clinical impact. A list of medications was developed based on disruptive supply distributor patterns and carrying cost classification for inventory valuation. To rank the medications of highest priority, the Delphi method facilitated consensus over 2 rounds of scoring to assess operational and clinical impact. Medications with less than 75% agreement were addressed in the first round, and 80% consensus was achieved in the second round. After weighting operational and clinical impact scores based on cutoff standard deviations, the scores for all 4 primary criteria were combined, with the final aggregated shortage list containing 95 medications and formulation combinations. The top 10 medications of highest priority (acuity) had similar operational and clinical impact scores. Conclusion This approach and the proposed scoring algorithm can be used by other institutions to implement shortage mitigation and resilience measures. Future research could assess the reliability of this scoring algorithm for use at other institutions. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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