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Automated drug dispensing systems in the intensive care unit: a financial analysis
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 sy...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563942/ https://www.ncbi.nlm.nih.gov/pubmed/26349855 http://dx.doi.org/10.1186/s13054-015-1041-3 |
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author | Chapuis, Claire Bedouch, Pierrick Detavernier, Maxime Durand, Michel Francony, Gilles Lavagne, Pierre Foroni, Luc Albaladejo, Pierre Allenet, Benoit Payen, Jean-Francois |
author_facet | Chapuis, Claire Bedouch, Pierrick Detavernier, Maxime Durand, Michel Francony, Gilles Lavagne, Pierre Foroni, Luc Albaladejo, Pierre Allenet, Benoit Payen, Jean-Francois |
author_sort | Chapuis, Claire |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4563942 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-45639422015-09-10 Automated drug dispensing systems in the intensive care unit: a financial analysis Chapuis, Claire Bedouch, Pierrick Detavernier, Maxime Durand, Michel Francony, Gilles Lavagne, Pierre Foroni, Luc Albaladejo, Pierre Allenet, Benoit Payen, Jean-Francois Crit Care Research 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. BioMed Central 2015-09-09 2015 /pmc/articles/PMC4563942/ /pubmed/26349855 http://dx.doi.org/10.1186/s13054-015-1041-3 Text en © Chapuis et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Chapuis, Claire Bedouch, Pierrick Detavernier, Maxime Durand, Michel Francony, Gilles Lavagne, Pierre Foroni, Luc Albaladejo, Pierre Allenet, Benoit Payen, Jean-Francois Automated drug dispensing systems in the intensive care unit: a financial analysis |
title | Automated drug dispensing systems in the intensive care unit: a financial analysis |
title_full | Automated drug dispensing systems in the intensive care unit: a financial analysis |
title_fullStr | Automated drug dispensing systems in the intensive care unit: a financial analysis |
title_full_unstemmed | Automated drug dispensing systems in the intensive care unit: a financial analysis |
title_short | Automated drug dispensing systems in the intensive care unit: a financial analysis |
title_sort | automated drug dispensing systems in the intensive care unit: a financial analysis |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563942/ https://www.ncbi.nlm.nih.gov/pubmed/26349855 http://dx.doi.org/10.1186/s13054-015-1041-3 |
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