Automated drug dispensing system reduces medication errors in an intensive care setting

Chapuis, Claire; Roustit, Matthieu; Bal, G.; Schwebel, Carole; Pansu, Pascal; David-Tchouda, Sandra; Foroni, L.; Calop, J.; Timsit, Jean‐François; Allenet, Benoît; Bosson, Jean‐Luc; Bedouch, Pierrick

doi:10.1097/ccm.0b013e3181f8569b

Cited by 124 publications

(136 citation statements)

References 29 publications

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“…In Grenoble University Hospital, both the intensive care unit (ICU) and the haematology ward are now equipped with automated dispensing systems (ADSs). 9 Pharmacy technicians reload the ADS compartments on a daily basis using drug trolleys routed from the pharmacy to the ward.…”

Section: Introductionmentioning

confidence: 99%

Invasive aspergillosis: drug-dispensing systems as a source of filamentous fungal contamination in high-risk units?

Gibert

Brudieu

Timsit

et al. 2012

Journal of Hospital Infection

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Section: Introductionmentioning

confidence: 99%

Invasive aspergillosis: drug-dispensing systems as a source of filamentous fungal contamination in high-risk units?

Gibert

Brudieu

Timsit

et al. 2012

Journal of Hospital Infection

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“…In UK hospital pharmacies, Franklin et al [11] showed that the implementation of ADS represents a 23% increase in storage capacity in the first site and a 123% increase in the second site, compared to traditional storage [7]. Installing ADS contributes to medication safety [3][4][5][6]11]. ADS ensures that drugs resources are secure, organized, tracked and ready for use.…”

Section: Discussionmentioning

confidence: 99%

“…Both systems are complementary. ADSs start to be widely established in hospital medication organization in Europe and especially in UK, and many studies have demonstrated their contribution to decrease iatrogenic injuries by reducing potentially preventable events [3][4][5][6]. But high cost of these available technologies must have to be considered regarding to the efficiency.…”

mentioning

confidence: 99%

Return on Investment after Implementation of a Centralized Automated Storage System in a Hospital Pharmacy

Berdot¹,

Savoldelli²,

Zaugg³

et al. 2016

JPP

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An ADS (automated dispensing system) was implemented in our hospital pharmacy in 2008 to optimize and secure the medication process. The main objective of this study was to compare the projected and the real ROI (return on investment), after seven years of use. ROI was calculated annually (from 2008 to 2015), by deducting the cost of investment (ADS buying and implementation, maintenance, repairs and ADS upgrade) from the cost saving (drugs stock reduction and decrease of pharmacy staff dedicated to global dispensing). In 2015, total costs saving (+$1,141,987) were divided between decreasing drug stock value and reduction of pharmacy staff. Total costs of investment (−$978,656) were acquisition, maintenance, repairs and an unplanned upgrade costs. Finally, the real ROI was +$163,331 after seven years of use. In 2008, projected ROI was +$410,786. The real payback period has been increased by approximately two years (six years of use, instead of four years as expected). Despite their cost, ADSs are a worthwhile investment, leading to a ROI within a few years. These economic considerations should be put into perspective with optimization of drugs stock management, greater efficiency of the global dispensing process, securitization of medication process and redeployment of pharmacy staff.

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“…7,8 When utilized with careful supervisory oversight, these devices have been shown to decrease medication administration errors. [9][10][11][12] For this reason, professional pharmacy organizations generally are supportive of implementation and utilization of ADCs in institutional patient care areas. 13 ADCs designed for use within the hospital pharmacy are likewise available (eg, NarcStation from Aesynt; Pyxis C II Safe from CareFusion).…”

Section: Electronic Inventory Systems and Barcode Technologymentioning

confidence: 99%

Electronic Inventory Systems and Barcode Technology: Impact on Pharmacy Technical Accuracy and Error Liability

et al. 2015

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Purpose: To measure the effects associated with sequential implementation of electronic medication storage and inventory systems and product verification devices on pharmacy technical accuracy and rates of potential medication dispensing errors in an academic medical center. Methods: During four 28-day periods of observation, pharmacists recorded all technical errors identified at the final visual check of pharmaceuticals prior to dispensing. Technical filling errors involving deviations from order-specific selection of product, dosage form, strength, or quantity were documented when dispensing medications using (a) a conventional unit dose (UD) drug distribution system, (b) an electronic storage and inventory system utilizing automated dispensing cabinets (ADCs) within the pharmacy, (c) ADCs combined with barcode (BC) verification, and (d) ADCs and BC verification utilized with changes in product labeling and individualized personnel training in systems application. Results: Using a conventional UD system, the overall incidence of technical error was 0.157% (24/15,271). Following implementation of ADCs, the comparative overall incidence of technical error was 0.135% (10/7,379; P = .841). Following implementation of BC scanning, the comparative overall incidence of technical error was 0.137% (27/19,708; P = .729). Subsequent changes in product labeling and intensified staff training in the use of BC systems was associated with a decrease in the rate of technical error to 0.050% (13/26,200; P = .002). Conclusions: Pharmacy ADCs and BC systems provide complementary effects that improve technical accuracy and reduce the incidence of potential medication dispensing errors if this technology is used with comprehensive personnel training.

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Automated drug dispensing system reduces medication errors in an intensive care setting

Abstract: The implementation of an automated dispensing system reduced overall medication errors related to picking, preparation, and administration of drugs in the intensive care unit. Furthermore, most nurses favored the new drug dispensation organization.

Cited by 124 publications

References 29 publications

Invasive aspergillosis: drug-dispensing systems as a source of filamentous fungal contamination in high-risk units?

Invasive aspergillosis: drug-dispensing systems as a source of filamentous fungal contamination in high-risk units?

Return on Investment after Implementation of a Centralized Automated Storage System in a Hospital Pharmacy

Electronic Inventory Systems and Barcode Technology: Impact on Pharmacy Technical Accuracy and Error Liability

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