FW: [Pharmwaste] Sampling of med take back items

[Tenace, Laurie]

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From: Rod Larson [mailto:larsonr at husson.edu]
Sent: Friday, January 22, 2010 8:39 AM
To: Stevan Gressitt; Jaramillo, Jeanie; pharmwaste at lists.dep.state.fl.us
Cc: John Schloss; Len Kaye; Jennifer_Crittenden at umit.maine.edu
Subject: Re: [Pharmwaste] Sampling of med take back items

I recently participated in the last count in Maine.  I think a sampling with extrapolation will certainly work.  The technique won't matter as much as making note of what was done (e.g., random, every 10th envelope).  Of course, the larger the sample size, the more powerful the results will be.  Thus, as much sampling should be done as time allows, and the sampling technique should be consistent and well-documented.

One thing I noticed in the most recent count is that we only counted controlled substances.  The rest was just roughly estimated.  Thus, the data derived from the controlled substances will be pretty good, but the rest is not nearly as useful when it comes to studying adherence and waste.  I propose that all medications (at least those in capsule and tablet form) be accurately counted.  An automatic pill counter might be a good investment (or see if we can borrow one for the counts), and would speed up the process quite a bit.  This will make a much more robust database and allow for a much greater opportunity to extract useful information out of the project.

Rod


On 1/22/10 7:37 AM, "Stevan Gressitt" <Stevan.Gressitt at maine.gov> wrote:
Your internal consistency idea looks good. I am not the mathematician or statistician, but I suspect there is enough horsepower on this list to advise. It might also be interesting to see the difference in consistency at 1/10 1/20 1/100 depending on sixze as we all who are trying to sample will probably do best if we adopt a "best practice"


Stevan Gressitt, M.D., Medical Director
Office of Adult Mental Health Services
Department of Health and Human Services
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Augusta, ME  04333-0011
Ph: (207)287-4273
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E-Mail : stevan.gressitt at maine.gov
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From: pharmwaste-bounces at lists.dep.state.fl.us [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Jaramillo, Jeanie
Sent: Wednesday, January 20, 2010 2:29 PM
To: pharmwaste at lists.dep.state.fl.us
Subject: [Pharmwaste] Sampling of med take back items

I had no luck with having our epidemiologist help with a sampling protocol. He's already being pulled in many different directions.  I did want to mention that our next event (3/27) will likely be the last one in which we conduct a full inventory.  We will be collating the items collected by participant (i.e. these 20 items all came from car #1), which will be a little more work this time around.  I believe this will allow us to validate sampling techniques that we could use for future events.  For instance, we could pull out the data from every Xth participant, summarize it, and extrapolate it to the total number of participants and then compare that to the full inventory.  I'm sure there's some statistical method to do that.

Jeanie Jaramillo, PharmD
Managing Director, Texas Panhandle Poison Center
Assistant Professor, Texas Tech UHSC School of Pharmacy
1501 S. Coulter St.
Amarillo, TX 79106
P: (806) 354-1611
C: (806) 672-0833
F: (806) 354-1667
Cisco IP: 30412

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