Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety
| Autor: | Elizabeth Hess, Jennifer B Civiello, Thomas Cerbone, Stephen F. Eckel, Lynn Thornton, Jordyn P Higgins, Shailly Shah, Stephen L. Speth, Nilofar Jafari, Christian Conley |
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| Rok vydání: | 2019 |
| Předmět: |
Technology Assessment
Biomedical Time Factors Computer science Cost-Benefit Analysis Drug Compounding Efficiency Organizational 030226 pharmacology & pharmacy Turnaround time Workflow 03 medical and health sciences 0302 clinical medicine Statistics Error reporting Humans Medication Errors 030212 general & internal medicine Hospital Costs Infusions Intravenous Pharmacology Drug compounding Cost–benefit analysis Descriptive statistics Health Policy United States Multicenter study Lower cost Pharmacy Service Hospital Program Evaluation |
| Zdroj: | American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 76(12) |
| ISSN: | 1535-2900 |
| Popis: | PURPOSE The benefits of technology-assisted workflow (TAWF) compared with manual workflow (non-TAWF) on i.v. room efficiency, costs, and safety at hospitals with more than 200 beds are evaluated. METHODS Eight hospitals across the United States (4 with TAWF, 4 without) were evaluated, and the characteristics of medication errors and frequency of each error type were measured across the different institutions. The average turnaround time per workflow step and the cost to prepare each compounded sterile preparation (CSP) were also calculated, using descriptive statistics. RESULTS The TAWF hospital sites detected errors at a significantly higher rate (3.13%) than the non-TAWF hospital sites (0.22%) (p < 0.05). The top error reporting category for the TAWF sites was incorrect medication (63.30%), while the top error reporting category for the non-TAWF sites was incorrect medication volume (18.34%). Use of TAWF was associated with a preparation time decrease of 2.82 min/CSP, a compounding time decrease of 2.94 min/CSP, and a decrease in overall cost to prepare of $1.60/CSP. CONCLUSION The use of TAWF in the i.v. room was associated with the detection of 14 times more errors than the use of non-TAWF, demonstrating different frequency of error in the results. TAWF also led to a faster preparation time that had a lower cost for preparation. |
| Databáze: | OpenAIRE |
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