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Health Care Manag Sci ; 15(4): 339-54, 2012 Dec.
Article in English | MEDLINE | ID: mdl-22350742

ABSTRACT

In this paper we investigate the problem of locating medications in automated dispensing cabinets (ADCs) to minimize human selection errors. We formulate the multiple-drawer medication layout problem and show that the problem can be formulated as a quadratic assignment problem. As a way to evaluate various medication layouts, we develop a similarity rating for medication pairs. To solve industry-sized problem instances, we develop a heuristic approach. We use hospital ADC transaction data to conduct a computational experiment to test the performance of our developed heuristics, to demonstrate how our approach can aid in ADC design trade-offs, and to illustrate the potential improvements that can be made when applying an analytical process to the multiple-drawer medication layout problem. Finally, we present conclusions and future research directions.


Subject(s)
Automation , Medication Errors/prevention & control , Medication Systems, Hospital/organization & administration , Pharmacy Service, Hospital/organization & administration , Computer Simulation , Humans , Models, Theoretical , Workflow
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