A centralized automated-dispensing system in a French teaching hospital: return on investment and quality improvement

Autor: Brigitte Sabatier, Patrice Prognon, Emmanuel Jaccoulet, Laetitia Minh Mai Lê, Vincent Zaugg, Sarah Berdot, Virginie Korb-Savoldelli
Přispěvatelé: Service de pharmacie [CHU HEGP], Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Centre de Recherche des Cordeliers (CRC (UMR_S_1138 / U1138)), École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Université de Paris (UP), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Université Paris Cité (UPCité), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Barrières physiologiques et réponses thérapeutiques, Université Paris-Sud - Paris 11 (UP11), Lipides : systèmes analytiques et biologiques (Lip(Sys)²), Université Paris-Saclay, Berdot, Sarah
Rok vydání: 2018
Předmět:
Medication Systems
Hospital
Quality management
Payback period
return on investment
[SDV]Life Sciences [q-bio]
media_common.quotation_subject
Pharmacy
centralized automated-dispensing system
Teaching hospital
03 medical and health sciences
0302 clinical medicine
Return on investment
Humans
Medication Errors
medication process
Medicine
Operations management
Quality (business)
Prospective Studies
030212 general & internal medicine
Hospitals
Teaching
ComputingMilieux_MISCELLANEOUS
media_common
business.industry
030503 health policy & services
Health Policy
User satisfaction
satisfaction
Public Health
Environmental and Occupational Health
Robotics
General Medicine
Quality Improvement
[STAT] Statistics [stat]
3. Good health
[SDV] Life Sciences [q-bio]
[STAT]Statistics [stat]
Upgrade
France
Pharmacy Service
Hospital
0305 other medical science
business
Zdroj: International Journal for Quality in Health Care
International Journal for Quality in Health Care, Oxford University Press (OUP), 2019, 31 (3), pp.219-224. ⟨10.1093/intqhc/mzy152⟩
International Journal for Quality in Health Care, 2019, 31 (3), pp.219-224. ⟨10.1093/intqhc/mzy152⟩
ISSN: 1464-3677
1353-4505
DOI: 10.1093/intqhc/mzy152
Popis: International audience; Objectives: To evaluate the return on investment (ROI) and quality improvement after implementation of a centralized automated-dispensing system after 8 years of use.Design: Prospective evaluation of ROI; before and after study to evaluate dispensing errors; user satisfaction questionnaire after 8 years of use.Setting: The study was conducted at a French teaching hospital in the pharmacy department, which is equipped with decentralized automated medication cabinets in the wards.Participants: Pharmacy staff (technicians and residents).Intervention(s): Implementation of a centralized automated-dispensing robot.Main outcome measure(s): The true ROI was prospectively and annually compared to estimated returns calculated after implementation and upgrade of the robot; dispensing errors determined by observation of global deliveries and the satisfaction of users based on a validated questionnaire were evaluated.Results: Following the upgrade, we found little difference for the ROI (+1.86%). The payback period increased by almost 3 years. There was a significant reduction of dispensing errors, from 2.9% to 1.7% (P < 0.001). User satisfaction of the robot by the pharmacy staff was reported (score of 5.52 ± 1.20 out of 7).Conclusions: These systems are worthwhile investments and largely contribute to improving the quality and safety of the medication process.
Databáze: OpenAIRE
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