Abstract：
OBJECTIVE: Manipulation of tablet medications to produce a customized dose is common practice, and splitting tablets may reduce the acquisition cost of the medication. However, cost savings may be diminished by the cost of the increased labor and repackaging materials needed when splitting tablets. Splitting tablets may also result in safety concerns if the final products are under (eg, reduced benefit) or over (eg, toxicity) the desired dosage. The purpose of this quality improvement project was to evaluate and recommend changes for all half- and quarter-tablet medications prepared and distributed from the inpatient pharmacy at University of Utah Health (U of U Health).
CONCLUSIONS: The evaluation included all half- and quarter-tablet medications prepared by pharmacy technicians for administration to patients admitted to U of U Health hospitals. A final list of 173 half- and quarter-tablet dosages was evaluated for opportunities to decrease the total number. On the basis of the developed criteria, 93 half- and quarter-tablet dosages (54%) were recommended to be removed from routine stock in the inpatient pharmacy. Systems remain in place to create customized half and quarter tablets if required for patient care.
CONCLUSIONS: Reducing the number of medications for which half and quarter tablets are used may allow pharmacy technicians to prioritize other patient care tasks and potentially decrease waste.
CONCLUSIONS: The evaluation included all half- and quarter-tablet medications prepared by pharmacy technicians for administration to patients admitted to U of U Health hospitals. A final list of 173 half- and quarter-tablet dosages was evaluated for opportunities to decrease the total number. On the basis of the developed criteria, 93 half- and quarter-tablet dosages (54%) were recommended to be removed from routine stock in the inpatient pharmacy. Systems remain in place to create customized half and quarter tablets if required for patient care.
CONCLUSIONS: Reducing the number of medications for which half and quarter tablets are used may allow pharmacy technicians to prioritize other patient care tasks and potentially decrease waste.
摘要：
结论：为了加快文章的发表，AJHP在接受后尽快在线发布手稿。接受的手稿经过同行评审和复制编辑，但在技术格式化和作者打样之前在线发布。这些手稿不是记录的最终版本，将在以后替换为最终文章（按照AJHP样式格式化并由作者证明）。
目的：操作片剂药物以产生定制剂量是常见的做法，和拆分片剂可以降低药物的获取成本。然而,当分割片剂时,增加的劳动力和所需的重新包装材料的成本可以减少成本节约。如果最终产品低于（例如，收益减少)或超过(例如，毒性)所需剂量。此质量改进项目的目的是评估并推荐从犹他大学健康大学（U健康大学）住院药房制备和分发的所有半片剂和四分之一片剂药物的更改。
结论：评估包括药学技术人员准备的所有半片和四分之一片药物，用于向U.U.Health医院收治的患者给药。评估了173个半片和四分之一片剂量的最终列表，以获得减少总数的机会。根据制定的标准，建议从住院药房的常规库存中删除93个半片和四分之一片剂量（54％）。如果患者护理需要，系统仍然可以创建定制的一半和四分之一平板电脑。
结论：减少使用一半和四分之一片剂的药物数量可能会使药房技术人员优先考虑其他患者护理任务，并有可能减少浪费。
目的：操作片剂药物以产生定制剂量是常见的做法，和拆分片剂可以降低药物的获取成本。然而,当分割片剂时,增加的劳动力和所需的重新包装材料的成本可以减少成本节约。如果最终产品低于（例如，收益减少)或超过(例如，毒性)所需剂量。此质量改进项目的目的是评估并推荐从犹他大学健康大学（U健康大学）住院药房制备和分发的所有半片剂和四分之一片剂药物的更改。
结论：评估包括药学技术人员准备的所有半片和四分之一片药物，用于向U.U.Health医院收治的患者给药。评估了173个半片和四分之一片剂量的最终列表，以获得减少总数的机会。根据制定的标准，建议从住院药房的常规库存中删除93个半片和四分之一片剂量（54％）。如果患者护理需要，系统仍然可以创建定制的一半和四分之一平板电脑。
结论：减少使用一半和四分之一片剂的药物数量可能会使药房技术人员优先考虑其他患者护理任务，并有可能减少浪费。
