Automated drug dispensing systems in the intensive care unit: a financial analysis

Critical Care : the Official Journal of the Critical Care Forum
Claire ChapuisJean-Francois Payen

Abstract

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. 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. 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. The financial modeling of the ADS implementation in three ICUs showe...Continue Reading

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Citations

Aug 18, 2017·Critical Care Medicine·Sandra L Kane-GillBrian S Smith
Jul 19, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Sarah BerdotBrigitte Sabatier
Oct 9, 2019·Journal of Pharmaceutical Policy and Practice·Teijo Peltoniemi, Reima Suomi
May 10, 2019·International Journal of Nursing Practice·Mari KangasniemiAri Voutilainen
Oct 9, 2019·International Journal of Clinical Pharmacy·C ChapuisJ F Payen
May 22, 2020·European Journal of Hospital Pharmacy. Science and Practice·Sarah BatsonPascal Bonnabry
Nov 10, 2017·Applied Health Economics and Health Policy·Bettina Wulff RisørJan Sørensen
Aug 26, 2020·European Journal of Hospital Pharmacy. Science and Practice·Hanne Katriina AhtiainenAnna-Riia Holmström
Feb 6, 2019·Hospital Pharmacy·Anthony M Boyd, Bruce W Chaffee

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