Automation of in-hospital pharmacy dispensing: a systematic review

Batson, Sarah; Herranz, Ana; Rohrbach, Nicolas; Canobbio, Michela; Mitchell, Stephen; Bonnabry, Pascal

doi:10.1136/ejhpharm-2019-002081

Cited by 38 publications

(32 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Should the solution come from health economists or from supply chain managers? In any case, it seems necessary to more systematically and more explicitly identify and value the gains (and costs) hidden by reallocating internal resources as also suggested by Batson et al (2020). This would increase the speed of the transformation of logistics practices and the performance achieved in hospitals where a lot has to be done to explore and understand the value of digitalisation and its impact on the organisation of flows, quality of service, working conditions, and skills acquisition and development for stakeholders (Ageron et al 2019).…”

Section: Resultsmentioning

confidence: 99%

“…The aim was to allow the hospital director to identify the organisational and financial impacts of this equipment and to help him decide whether it would be worth deploying at a larger scale. As noted by (Batson et al 2020), there is no robust body of literature to support evidence-based recommendations regarding the clinical or economic benefits of ADS. There are different ways of assessing the impact of an investment, depending on whether one considers the income and expenses actually recorded in the accounts or whether one considers the cash flow generated or the financial structure of the establishment (balance sheet).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Automated hospital pharmacy supply chain and the evaluation of organisational impacts and costs

Mathy

Pascal

Fizesan

et al. 2020

Supply Chain Forum: An International Journal

View full text Add to dashboard Cite

Supply chain digitalisation equipment's raise concerns for hospital decision-makers, especially regarding the cost-efficiency ratio, usually evaluated through health technologies assessments (HTA) at a national level or by return on investment (ROI) calculations by the hospital finance department. Unfortunately, none of the two methods identifies organisational impacts, nor hidden gains and costs, especially those that are related to the internal reallocation of resources as shows the example of automated dispensing systems (ADS) in the central pharmacy of a French hospital with a posteriori analysis from the hospital perspective. The introduction of the ADS caused some hidden costs or gains, which do not generate any financial flow and which are therefore not valued. When they are valued, as we do in this study by including them in the ROI calculation, the results change dramatically: the profitability of the investment goes from negative to positive. Given the importance of hidden gains and costs related to organisational impacts, they should be included in evaluations.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Automated hospital pharmacy supply chain and the evaluation of organisational impacts and costs

Mathy

Pascal

Fizesan

et al. 2020

Supply Chain Forum: An International Journal

View full text Add to dashboard Cite

show abstract

“…Another recent systematic review identified thirteen studies that reported on implementation of pharmacy-based automated dispensing systems, featuring a range of commercial products. 12 For some commercial products there is an absence of peer-reviewed studies, further highlighting the need for higher quality studies to be undertaken. This is also reflected in another examination of the published literature on automated and semi-automated drug dispensing systems, in which the relatively low quality of the published evidence limits the ability to compare the benefits of these systems.…”

Section: E D I T O R I a L S Reducing Medication-related Harm Through The Adoption Of Technologymentioning

confidence: 99%

Reducing medication‐related harm through the adoption of technology

Dooley¹

2021

Pharmacy Practice and Res

View full text Add to dashboard Cite

“…Over the last 20 years, there has been an increasing digitalisation of healthcare service delivery systems, especially in the context of medication prescribing, dispensing, administration and stock management (Ahtiainen et al, 2019;Batson et al, 2021). The use of Healthcare Information Technologies (HITs), such as computerised physician order entry (CPOE) and Automated Medication Dispensing (AMD) units or AMD systems, aims to provide safe, high-quality, patient-centred care (Ahtiainen et al, 2019;Batson et al, 2021;Brenner et al, 2016). However, as implementation of such systems has progressed, it has become clear that unintended and unanticipated consequences may result in suboptimal outcomes (Chaudhry et al, 2006;Coiera et al, 2016;Harrison et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Implementation of distributed automated medication dispensing units in a new hospital: Nursing and pharmacy experience

Craswell

Bennett

Hanson

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives: To explore the structures, processes and outcomes involved in an Automated Medication Dispensing system implementation and its impact on patient safety.Background: Increasing digitalisation of medication prescribing, dispensing, administration and stock management has occurred over the past two decades. While automated medication dispensing units aim to provide safe, high-quality, patient-centred care, the implementation may result in unintended consequences leading to suboptimal outcomes.Design: This study uses a qualitative approach guided by Donabedian's structure, process and outcome framework.Methods: Twenty-six registered nurses and pharmacy assistant staff, from clinical areas equipped with automated medication dispensing cabinets, participated in semi-structured interviews. In-depth, thematic analysis explored the structures and processes. Together with interview data, content analysis of text data generated by internal risk management and critical incident reporting systems was undertaken to evaluate outcomes. Findings were considered in light of the Interactive Sociotechnical Analysis approach to health information technology. The COREQ checklist was used in preparation of this article.Results: Pharmacy assistants reported better satisfaction with the system at implementation than nurses. Training provided for nurses and their involvement in system implementation was reported as insufficient; however, nurses' use of and satisfaction with the system improved over time. A recursive relationship between the changes imposed by the system and nurses' creative problem solving (workarounds) used to manage these changes, impacted work productivity for nurses and safety for patients. Conclusions:The individualised nature of "workarounds" employed offered both risks and opportunities which require further identification, investigation and management.Relevance to clinical practice: Nurses are the majority of the health workforce.Digitalisation of traditionally paper-based activities in health care, impacting nursing work, requires similar strategies to any practice change.

show abstract

Automation of in-hospital pharmacy dispensing: a systematic review

Cited by 38 publications

References 67 publications

Automated hospital pharmacy supply chain and the evaluation of organisational impacts and costs

Automated hospital pharmacy supply chain and the evaluation of organisational impacts and costs

Reducing medication‐related harm through the adoption of technology

Implementation of distributed automated medication dispensing units in a new hospital: Nursing and pharmacy experience

Contact Info

Product

Resources

About