Improving the efficiency of a hospital pharmacy service: the journey of one hospital pharmacy

Beard, Jon W.; Ashley, Mark; Chalkley, David

doi:10.1136/ejhpharm-2013-000429

Cited by 8 publications

(10 citation statements)

References 2 publications

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“…Throughput at this institution is clearly suboptimum, with major gaps existing in important throughput processes, such as pharmacy, lab, and radiology services (Tables 4 , 5 , and 6 ). Throughput services, such as pharmacy [ 42 ], radiology [ 43 ], clerical [ 44 ], and lab services [ 45 ] as well as patient flow [ 46 ], are major determinants of hospital efficiency [ 47 , 48 ]. As such, throughput optimisation would naturally increase efficiency [ 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Health services in Trinidad: throughput, throughput challenges, and the impact of a throughput intervention on overcrowding in a public health institution

Bahall

2018

BMC Health Serv Res

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BackgroundThroughput might be partially responsible for sub-optimum organisational and medical outcomes. The present study examined throughput and the challenges to ensuring optimum throughput in hospitals, and determined the effectiveness of a throughput intervention in reducing overcrowding in a public healthcare institution in Trinidad and Tobago.MethodsFirst, a literature review of throughput and its processes in relation to improving hospital care was conducted. Second, the challenges to throughput in healthcare were reviewed. Data were also collected from print media, hospital records, and the central statistical office in Trinidad and Tobago to discuss throughput and describe the throughput status in hospitals. Finally, the effect of a throughput intervention on overcrowding was determined. The intervention was implemented over six months, from October 2010 to March 2011, and comprised three stages of a five-stage throughput process: transferring patients to a specific medical ward, bedside electrocardiograms (ECG), and promptly obtaining patient investigative reports and patient files.ResultsProblems with the throughput process led to prolonged delays or failures in obtaining lab reports, radiology services, ECGs, and pharmaceutical supplies, as well as inadequate social work services and other specialised services. During the throughput intervention, there was a reduction in overcrowding/overflow to 5–10 patients per day with a daily admission rate of 58. However, at post-intervention, there was increased overcrowding/overflow to 20–30 per day but fewer admissions (52 per day) i.e. similar to pre-intervention period. Additionally, there was an increase in bed complement in the department of medicine from 209 (2011) to 227 (2012). Overcrowding continued into 2016 and beyond: medical admissions in 2016 were 46.4 per day and the medical bed capacity was 327 (indicating a 44% increase in capacity from 2012).ConclusionHospital throughput processes are currently suboptimum. Improving specific throughput processes or targeting the greatest primary constraints might help decrease overcrowding.

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Section: Discussionmentioning

confidence: 99%

Health services in Trinidad: throughput, throughput challenges, and the impact of a throughput intervention on overcrowding in a public health institution

Bahall

2018

BMC Health Serv Res

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“…Na distribuição de medicamentos, o LH tem sido utilizado principalmente para melhorar os processos relacionados com o manuseio de medicamentos injetáveis, destacando--se os quimioterápicos (Aboumatar et al, 2010;Lingaratnam et al, 2013;Beard et al, 2014;Sullivan et al, 2014;Lamm et al, 2015;Shah et al, 2016). A aplicação de LH permitiu reduzir erros e desperdícios (Lingaratnam et al, 2013), o tempo de preparação de um medicamento (Aboumatar et al, 2010;Lamm et al, 2015), e o tempo de espera para os pacientes (Beard et al, 2014), incluindo o tempo para administrar a primeira dose (Lingaratnam et al, 2013). Outras abordagens incluem o redesenho da distribuição de medicamentos contra o aumento da automação (Lindsay et al, 2014) e a aplicação dos conceitos do sistema de produção da Toyota com o objetivo de melhorar a segurança e reduzir o tempo para o processo de distribuição de medicamentos (Newell et al, 2011).…”

Section: Classificação De Artigosunclassified

“…Houve uma concentração de estudos relacionados com a etapa de uso do medicamento (25 artigos), com foco na dispensação, que foi abordada no contexto do atendimento em ambas as unidades de internação (Al-Araidah et al, 2010; Beard; Wood, 2010) e unidades ambulatoriais (Jenkins;Eckel, 2012;Hunter et al, 2013;Amerine et al, 2017). Tais abordagens pretendem analisar aspectos como o tempo do ciclo do processo de dispensação (Al-Araidah et al, 2010;Wood, 2010;Declaye et al, 2015;Elsheikh et al, 2017), tempo de espera para o paciente (Hunter et al, 2013;Beard et al, 2014;Abuhejleh et al, 2016;Amerine et al, 2017), e redução do desperdício e eliminação de atividades que não agregam valor (Mazur;Chen, 2008;Jenkins;Eckel, 2012;Nazar et al, 2016).…”

Section: Classificação De Artigosunclassified

Analysis of the lean healthcare utilization in the context of pharmaceutical services

Pontes

Paula

Campos

et al. 2020

S&G

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Background: Expenses with medicines are relevant and growing in health sector. Therefore, Pharmaceutical Services (PS) operations are designed to play a significant role in improving the social and economic contexts of health.Objective: This article aims to analyze if the Lean Healthcare (LH) practices have been contributing to the improvement of the PS processes.Methods: This study is based on PRISMA guidelines. The search was made in the literature through databases, such as Web of Science, Scopus, Medline (via PubMed), and Embase. In this study, 2878 identified papers were screened. Articles published up to the end of 2017 (and considering a 10-year period) were surveyed. In total, 43 studies met the pre-defined inclusion and exclusion criteria for data analysis in this work, 37 of which were published in 25 periodicals and six in congresses.Results: United States and United Kingdom concentrated 65% of the articles. A predominance of studies was observed in the context of the Hospital Pharmacy sector, emphasizing the LH practices in the Distribution and Use steps in the PS context.Conclusion: The literature on lean thinking applied in the specific context of the PS is relatively recent and scarce, highlighting a more pronounced growth in recent years. It was verified that LH practices in PS have been applied with more emphasis on reducing time and waste of resources, while contributing to process improvement and increased patient safety.

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“…Pembayaran klaim dilakukan berdasarkan sistem pengelompokan jenis penyakit (Hakim, Nuswandari and Negoro, 2016). Pembayaran dengan sistem INA-CBG tidak diketahui secara detil berapa biaya obat setiap pasien, sehingga dibutuhkan strategi peningkatan mutu dan pembiayaan obat (Beard, Ashley and Chalkley, 2014). Obat di rumah sakit dikelola oleh unit farmasi.…”

Section: Pendahuluanunclassified

Pengaruh Kejadian Waste Dengan Pendekatan Lean Hospital Terhadap Profitabilitas Instalasi Farmasi Melalui Pengendalian Produksi Di Era BPJS

et al. 2019

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Background: Change in claim payment of Healthcare and Social Security Agency (BPJS) requires hospitals to improve the management using lean hospital approach. Hospital pharmacy installation attempts to reduce waste and control production costs to increase profitability. Objective: The study aimed to know the effect of waste events with lean hospital approach on the profitability of hospital pharmacy installation in XX Hospital through production costs control. Method: The study used quantitative observational research design with cross sectional study. The research was carried at XX Hospital in July-August 2018. The number of respondents was 36 obtained from total sampling technique.Then, Partial Least Square (PLS) was applied to analyze the obtained data. Results: The PLS results showed that waste had a direct negative effect on production costs control (0.727) while it had positive direct effect on profitability (3.757). Production costs control had positive direct effect on profitability (19.422). Waste did not significantly affect profitability through production costs control (-0.726). Conclusion: It can be concluded that waste decrease can increase production costs control. Effective and efficient production costs control can increase profitability. The more waste decrease results in the higher profitability.

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Improving the efficiency of a hospital pharmacy service: the journey of one hospital pharmacy

Cited by 8 publications

References 2 publications

Health services in Trinidad: throughput, throughput challenges, and the impact of a throughput intervention on overcrowding in a public health institution

Health services in Trinidad: throughput, throughput challenges, and the impact of a throughput intervention on overcrowding in a public health institution

Analysis of the lean healthcare utilization in the context of pharmaceutical services

Pengaruh Kejadian Waste Dengan Pendekatan Lean Hospital Terhadap Profitabilitas Instalasi Farmasi Melalui Pengendalian Produksi Di Era BPJS

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