Impact assessment of an automated drug-dispensing system in a tertiary hospital
Clinics
;
72(10): 629-636, Oct. 2017. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-890677
ABSTRACT
OBJECTIVE:
To evaluate the costs and patient safety of a pilot implementation of an automated dispensing cabinet in a critical care unit of a private tertiary hospital in São Paulo/Brazil.METHODS:
This study considered pre- (January-August 2013) and post- (October 2013-October 2014) intervention periods. We considered the time and cost of personnel, number of adverse events, audit adjustments to patient bills, and urgent requests and returns of medications to the central pharmacy. Costs were evaluated based on a 5-year analytical horizon and are reported in Brazilian Reals (R$) and US dollars (USD).RESULTS:
The observed decrease in the mean number of events reported with regard to the automated drug-dispensing system between pre- and post-implementation periods was not significant. Importantly, the numbers are small, which limits the power of the mean comparative analysis between the two periods. A reduction in work time was observed among the nurses and administrative assistants, whereas pharmacist assistants showed an increased work load that resulted in an overall 6.5 hours of work saved/day and a reduction of R$ 33,598 (USD 14,444) during the first year. The initial investment (R$ 206,065; USD 88,592) would have been paid off in 5 years considering only personnel savings. Other findings included significant reductions of audit adjustments to patient hospital bills and urgent requests and returns of medications to the central pharmacy.CONCLUSIONS:
Evidence of the positive impact of this technology on personnel time and costs and on other outcomes of interest is important for decision making by health managers.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Servicio de Farmacia en Hospital
/
Equipos y Suministros de Hospitales
/
Centros de Atención Terciaria
/
Unidades de Cuidados Intensivos
/
Sistemas de Medicación en Hospital
Tipo de estudio:
Estudios de evaluación
/
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Clinics
Asunto de la revista:
Medicina
Año:
2017
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Hospital Sírio-Libanês/BR
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