title: [Designing a software for drug management in special situations at a hospital's drug administration service].
abstract: OBJECTIVE
  to describe the features of a computer program for management of drugs in special situations (off-label and compassionate use) in a Department of Hospital Pharmacy (PD). To describe the methodology followed for its implementation in the Medical Services. To evaluate their use after 2 years of practice.
  
  
  METHODS
  the design was carried out by pharmacists of the PD. The stages of the process were: selection of a software development company, establishment of a working group, selection of a development platform, design of an interactive Viewer, definition of functionality and data processing, creation of databases, connection, installation and configuration, application testing and improvements development. A directed sequential strategy was used for implementation in the Medical Services. The program's utility and experience of use were evaluated after 2 years.
  
  
  RESULTS
  a multidisciplinary working group was formed and developed Pk_Usos®. The program works in web environment with a common viewer for all users enabling real time checking of the request files' status and that adapts to the management of medications in special situations procedure. Pk_Usos® was introduced first in the Oncology Department, with 15 oncologists as users of the program. 343 patients had 384 treatment requests managed, of which 363 are authorized throughout two years.
  
  
  CONCLUSIONS
  PK_Usos® is the first software designed for the management of drugs in special situations in the PD. It is a dynamic and efficient tool for all professionals involved in the process by optimization of times.
authors: Servicio de Farmacia. Hospital Universitario Ramón y Cajal. Madrid. España.. mscuervo@salud.madrid.org.
authors: Marina
authors: M
authors: Sánchez Cuervo
authors: Servicio de Farmacia. Hospital Universitario Ramón y Cajal. Madrid. España.. mscuervo@salud.madrid.org.
authors: María
authors: M
authors: Muñoz García
authors: Servicio de Farmacia. Hospital Universitario Ramón y Cajal. Madrid. España.. mscuervo@salud.madrid.org.
authors: María Esther
authors: ME
authors: Gómez de Salazar López de Silanes
authors: Servicio de Farmacia. Hospital Universitario Ramón y Cajal. Madrid. España.. mscuervo@salud.madrid.org.
authors: Teresa
authors: T
authors: Bermejo Vicedo
mesh_terms: D006801:Humans; D020407:Internet; D008495:Medical Oncology; D054539:Medication Therapy Management / Q000458:organization & administration*; D056687:Off-Label Use; D010607:Pharmacy Service, Hospital / Q000458:organization & administration*; D012984:Software