Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety in small community hospitals
| Autor: | Eula Beasley, Stephen F. Eckel, Sarah Hardt, Jordyn P Higgins, Debby Cowan |
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| Rok vydání: | 2019 |
| Předmět: |
Pharmacology
Technology Assessment Biomedical Time Factors Computer science Health Policy Hospitals Community 02 engineering and technology Efficiency Organizational Turnaround time United States Workflow 03 medical and health sciences 0302 clinical medicine Multicenter study 0202 electrical engineering electronic engineering information engineering Humans Medication Errors 020201 artificial intelligence & image processing Operations management 030212 general & internal medicine Product (category theory) Patient Safety Infusions Intravenous Pharmacy Service Hospital |
| Zdroj: | American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 76(13) |
| ISSN: | 1535-2900 |
| Popis: | Purpose To evaluate the benefits of technology-assisted workflow (TAWF) compared to manual workflow (non-TAWF) on i.v. room efficiency, costs, and safety at community hospitals with less than 200 beds. Methods Four hospitals in the United States (2 with and 2 without TAWF) were evaluated, and characteristics of medication errors and frequency of each error type were measured across the institutions. The average turnaround time per workflow step and cost to prepare each compounded sterile product (CSP) were also calculated. The results were evaluated using descriptive and inferential statistics. Results The TAWF hospital sites detected errors at a significantly higher rate (3.78%) compared to the non-TAWF hospital sites (0.13%) (p < 0.05). The top error-reporting category for the TAWF sites was incorrect medication (71.66%), whereas the top error-reporting category for the non-TAWF sites could not be determined because of the small number of errors detected. Use of TAWF may be associated with a decrease in turnaround time and a decrease in overall cost to prepare a CSP. Conclusion Significantly more errors were detected in small community hospitals that use TAWF in the i.v. room compared to those not using it. There were differences in error types observed between technology and nontechnology groups. The use of TAWF was associated with faster preparation times and lower costs of preparation per CSP. |
| Databáze: | OpenAIRE |
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