carousel 分配技术在大学医疗中心药房中的实施与评估。

Implementation and evaluation of carousel dispensing technology in a university medical center pharmacy.

机构信息

Department of Pharmacy, University of Wisconsin Hospital and Clinics, Madison, WI 53792, USA.

出版信息

Am J Health Syst Pharm. 2010 May 15;67(10):821-9. doi: 10.2146/ajhp090307.

DOI:10.2146/ajhp090307

PMID:20479105

Abstract

PURPOSE

The implementation of carousel dispensing technology (CDT) at a university medical center pharmacy and the associated changes in drug distribution are described.

METHODS

An evaluation of CDT was conducted in three phases: before implementation, during implementation, and after implementation. The preimplementation phase consisted of data collection and facility planning leading up to the physical installation. The implementation phase included the physical installation, carousel medication assignment, and user training. The postimplementation phase included data collection and analysis. The data collected were used to compare preimplementation and postimplementation time studies, labor requirements, inventory turns, and accuracy rates.

RESULTS

The estimated labor savings comparing the preimplementation and postimplementation time studies for automated dispensing cabinet (ADC) refills, first-dose requests, supplemental cart fill, and medication procurement totaled 2.6 full-time equivalents (FTEs). After departmental reorganization, a net reduction of 2.0 technician FTEs was achieved. The average turnaround time for stat medication requests using CDT was 7.19 minutes, and the percentage of doses filled in less than 20 minutes was 95.1%. After implementing CDT, the average accuracy rate for all dispense requests increased from 99.02% to 99.48%. The inventory carrying cost was reduced by $25,059.

CONCLUSION

CDT improved the overall efficiency and accuracy of medication dispensing in a university medical center pharmacy. Workflow efficiencies achieved in ADC refill, first-dose dispensing, supplemental cart fill, and the medication procurement process allowed the department to reduce the amount of technician labor required to support the medication distribution process, as well as reallocate technician labor to other areas in need.

摘要

目的

描述了在大学医疗中心药房实施旋转式配药技术（CDT）以及相关药物配送变化。

方法

对 CDT 进行了三个阶段的评估：实施前、实施中和实施后。实施前阶段包括数据收集和设施规划，以进行物理安装。实施阶段包括物理安装、旋转式药物分配和用户培训。实施后阶段包括数据收集和分析。收集的数据用于比较实施前和实施后的时间研究、劳动力需求、库存周转率和准确率。

结果

与自动化配药柜（ADC）补充、首剂量请求、补充推车填充和药物采购的实施前和实施后时间研究相比，估计的劳动力节省总计为 2.6 个全职等效（FTE）。部门重组后，技术人员的净减少量为 2.0 个 FTE。使用 CDT 的即时用药请求的平均周转时间为 7.19 分钟，20 分钟内完成的剂量比例为 95.1%。实施 CDT 后，所有配药请求的平均准确率从 99.02%提高到 99.48%。库存持有成本降低了 25059 美元。