The Experience of Using an Automated Dispensing System to Improve Medication Safety and Management at King Abdul Aziz University Hospital

Darwesh, Bayan; Machudo, Sabo; John, Shiney

doi:10.5530/jppcm.2017.3.26

Cited by 8 publications

(10 citation statements)

References 7 publications

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“…Selain itu, dapat juga menggunakan Automated Dispensing System (ADS), selama dekade terakhir, penggunaan teknologi ini di apotek rumah sakit telah meningkat dengan 97% apotek rumah sakit AS menggunakan ADS pada 2014. Kehabisan obat yang sering terjadi dan kedaluwarsa karena praktik kuantifikasi dan koordinasi yang buruk juga dapat dikelola dengan menggunakan ADS (Darwesh, Machudo, & John, 2017) Sistem Pemberian Otomatis adalah teknologi otomatis yang mengeluarkan dan mendistribusikan obat-obatan dan mendokumentasikan transaksi ini di apotek. Penggunaan sistem tersebut telah mendapatkan popularitas karena efisiensi dan relatif keselamatan yang diberikannya dalam manajemen Kesehatan (Cottney, 2014;Grissinger, 2012).…”

Section: Usulan Jangka Menengahunclassified

“…Untuk kesalahan yang terjadi di unit laboratorium bisa diatasi dengan penerapan Total Laboratory Automation (TLA). Saat ini sistem otomatisasi lab yang tersedia membuat TLA lebih mudah diakses ke laboratorium klinis volume menengah dan tinggi (Darwesh et al, 2017). Data menunjukkan peningkatan 88,91% dan 76,97% dalam volume tes imunologi dan kimia pada Juli 2019 dibandingkan dengan Juli 2016, sebelum dan sesudah implementasi TLA.…”

Section: Usulan Jangka Menengahunclassified

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Implementasi Lean Hospital dalam Meningkatkan Pelayanan Rawat Jalan Poliklinik Penyakit Dalam

Kurniasih

Nuryakin²,

Pribadi³

2021

performance

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Permasalahan yang umum terjadi dalam pelayanan rawat jalan di rumah sakit adalah lamanya waktu tunggu, proses administrasi, ketersediaan informasi, dan yang lainnya. Salah satu pendekatan perbaikan kualitas yang digunakan dalam penelitian ini adalah lean hospital dengan tujuan untuk mencapai efektivitas dan efisiensi penggunaan waktu, tenaga kerja, ruang, dan sumber daya lainnya. Penelitian ini bertujuan untuk mengetahui gambaran value stream mapping (VSM), menganalisa hal yang menjadi waste, dan usulan perbaikan menggunakan pendekatan lean hospital pada pelayanan rawat jalan poliklnik penyakit dalam RS “X” di Indonesia. Penelitian dilakukan dengan pendekatan kualitatif melalui observasi langsung, wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan nilai Non Value Added tertinggi adalah pada unit poliklinik yaitu sebesar (97,09%) dengan Value Added sebesar (2,91%) dan waiting time (107,22 menit) pada pelayanan pasien non-asuransi dengan pemeriksaan penunjang. Waste yang terjadi berupa waste of waiting, transportation, overproduction, overprocessing, inventory, motion, human potential dan defect. Dari hasil fishbone diagram diketahui bahwa akar penyebab masalah yang terjadi di unit poliklinik adalah dalam hal manajemen, peralatan, layout, petugas dan sistem informasi. Usulan perbaikan yang dapat diberikan berupa usulan jangka pendek, jangka menengah dan jangka panjang. Kata kunci: rawat jalan, lean hospital, waste, value added, non value added, VSM

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Section: Usulan Jangka Menengahunclassified

Implementasi Lean Hospital dalam Meningkatkan Pelayanan Rawat Jalan Poliklinik Penyakit Dalam

Kurniasih

Nuryakin²,

Pribadi³

2021

performance

View full text Add to dashboard Cite

show abstract

“… 18 Recently, Saudi Arabia started adopting ADDs in their largest hospitals to ensure the quality in patient care. 19 - 21 One study conducted in Jeddah city, Saudi Arabia, addressed the errors with adoption of ADDs followed by the consequences of ADE. 19 These researchers recommended that the future research to address the pitfalls in implementing ADDs for patient safety.…”

Section: Introductionmentioning

confidence: 99%

Impact of automated drug dispensing system on patient safety

Alanazi¹,

Shahein²,

Alsharif³

et al. 2022

PHARMPRACT

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Objectives: Automated drug dispensing system (ADDs) is an emerging technology positively impacts drug dispensing efficiency by minimizing medication errors. However, the pharmacist perception of the impact of ADDs on patient safety is not well-established. This cross-sectional observational study aimed to evaluate the dispensing practice and pharmacist perception of ADDs towards patient safety through a validated questionnaire. Methods: A selfdesigned questionnaire was validated and the pharmacist perception of dispensing practice was compared between two hospitals adopting ADDs and traditional drug dispensing system (TDDs). Results: The developed questionnaire had an excellent internal consistency (both Cronbach's α and McDonald's ω coefficients were >0.9). Factor analysis retained three significant factors (subscales) that explained pharmacist perception of dispensing system, dispensing practice, and patient counseling (p<0.001 for each factor). The average number of prescriptions dispensed per day, drugs contained in each prescription, average time for labeling each prescription and inventory management were significantly varied between ADDs and TDDs (p=0.027, 0.013 0.044 and 0.004, respectively). The perception of pharmacists using ADDs on three domains were higher than the TDDs. The pharmacists in ADDs agreed that they had enough time to review the medications before dispensing than TDDs and this difference was found to be statistically significant (p=0.028). Conclusions: ADDs was highly effective in improving dispensing practice and medication review; however, the pharmacists need to emphasize the importance of ADDs to translate the pharmacists' freed-time towards patient care.

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“…21 A significant increase in prescription demand over the years increased the workload of the medical staff which caused the issue to be more serious. 22 Therefore, an implementation of an automated dispensing machine (ADM) has been initiated in the pharmacy department with the objectives to minimize those errors 26 and reduce human direct involvement in the prescription and dispensing process. 27 Thus, it contributed to the patients' outcomes improvement.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, an implementation of an automated dispensing machine (ADM) has been initiated in the pharmacy department with the objectives to minimize those errors 26 and reduce human direct involvement in the prescription and dispensing process. 27 Thus, it contributed to the patients’ outcomes improvement.…”

Section: Introductionmentioning

confidence: 99%

Design and development of automated dispensing machine as medical device-based application: A review

Mazlan

Salleh

Karim

et al. 2022

Proceedings of the Institution of Mechanical Engineers, Part C:

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An automatic system in equipment can be recognized as a systematic control system to minimize human tasks or automatically complete repetitive tasks without human involvement. This review paper focused on the dispensing machines in the medical field particularly the design development of the automated dispensing machines which can be considered as one of the important technologies in pharmacy. This paper also briefly describes the main criteria for fabricating the dispensing machine. Next, different fabrication methods of the dispensing machine such as simple fabrication and 3D printing as well as the materials used in 3D printing are also thoroughly discussed. The last section consisted of the evaluation methods to justify the developed devices by comparing the performance of fabricated products and also through surveys and feedback from patients and medical staff. Based on the performance evaluation of automated dispensing machines as reported in the literature, it can be concluded that the implementation of an automated dispensing machine is necessary for the high-quality guarantee of community healthcare.

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The Experience of Using an Automated Dispensing System to Improve Medication Safety and Management at King Abdul Aziz University Hospital

Abstract: Background: The use of automated dispensing systems has been lauded for improving patient safety within the processes of healthcare. Adverse drug events, for example, are a common manifestation of faults in the service delivery of a pharmacy department that endanger patient

Cited by 8 publications

References 7 publications

Implementasi Lean Hospital dalam Meningkatkan Pelayanan Rawat Jalan Poliklinik Penyakit Dalam

Implementasi Lean Hospital dalam Meningkatkan Pelayanan Rawat Jalan Poliklinik Penyakit Dalam

Impact of automated drug dispensing system on patient safety

Design and development of automated dispensing machine as medical device-based application: A review

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