Automated drug dispensing systems in the intensive care unit: a financial analysis
| العنوان: | Automated drug dispensing systems in the intensive care unit: a financial analysis |
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| المؤلفون: | Pierrick Bedouch, Benoît Allenet, Jean François Payen, Luc Foroni, Pierre Albaladejo, Michel Durand, Pierre Lavagne, Maxime Detavernier, Gilles Francony, Claire Chapuis |
| المساهمون: | Université Grenoble Alpes - UFR Pharmacie (UGA UFRP), Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Techniques pour l'Evaluation et la Modélisation des Actions de la Santé (TIMC-IMAG-ThEMAS), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF), Neuro-imagerie fonctionnelle et métabolique (ANTE-INSERM U836, équipe 5), Grenoble Institut des Neurosciences (GIN), Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service d'anesthésie-réanimation, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-Hôpital Michallon, CHU Grenoble, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble |
| المصدر: | Critical Care Critical Care, BioMed Central, 2015, 19 (1) |
| بيانات النشر: | Springer Nature |
| مصطلحات موضوعية: | Medication Systems, Hospital, Cost-Benefit Analysis, [SHS.EDU]Humanities and Social Sciences/Education, [SHS.PSY]Humanities and Social Sciences/Psychology, Critical Care and Intensive Care Medicine, 030226 pharmacology & pharmacy, Net present value, Hospitals, University, Automation, 03 medical and health sciences, 0302 clinical medicine, [SDV.SP.MED]Life Sciences [q-bio]/Pharmaceutical sciences/Medication, Nursing, Cost Savings, Return on investment, Financial analysis, Humans, Medicine, Operations management, 030212 general & internal medicine, Hospital Costs, ComputingMilieux_MISCELLANEOUS, health care economics and organizations, Present value, Cost–benefit analysis, business.industry, Research, Intensive Care Units, Operating cash flow, Financial modeling, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Cash flow, business |
| الوصف: | Introduction To evaluate the economic impact of automated-drug dispensing systems (ADS) in surgical intensive care units (ICUs). A financial analysis was conducted in three adult ICUs of one university hospital, where ADS were implemented, one in each unit, to replace the traditional floor stock system. Method Costs were estimated before and after implementation of the ADS on the basis of floor stock inventories, expired drugs, and time spent by nurses and pharmacy technicians on medication-related work activities. A financial analysis was conducted that included operating cash flows, investment cash flows, global cash flow and net present value. Results After ADS implementation, nurses spent less time on medication-related activities with an average of 14.7 hours saved per day/33 beds. Pharmacy technicians spent more time on floor-stock activities with an average of 3.5 additional hours per day across the three ICUs. The cost of drug storage was reduced by €44,298 and the cost of expired drugs was reduced by €14,772 per year across the three ICUs. Five years after the initial investment, the global cash flow was €148,229 and the net present value of the project was positive by €510,404. Conclusion The financial modeling of the ADS implementation in three ICUs showed a high return on investment for the hospital. Medication-related costs and nursing time dedicated to medications are reduced with ADS. |
| اللغة: | English |
| تدمد: | 1364-8535 1466-609X |
| DOI: | 10.1186/s13054-015-1041-3 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a736cfa95a784d4ab0c70db61a6d0bfb |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....a736cfa95a784d4ab0c70db61a6d0bfb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13648535 1466609X |
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| DOI: | 10.1186/s13054-015-1041-3 |