Berdot Sarah, Korb-Savoldelli Virginie, Jaccoulet Emmanuel, Zaugg Vincent, Prognon Patrice, Lê Laetitia Minh Maï, Sabatier Brigitte
Pharmacy Department, Hôpital Européen Georges Pompidou, APHP, 20 Rue Leblanc, Paris, France.
Equipe 22, Centre de Recherche des Cordeliers, UMR 1138 INSERM, 5 Rue de l'Ecole de Médecine, Paris, France.
Int J Qual Health Care. 2019 Apr 1;31(3):219-224. doi: 10.1093/intqhc/mzy152.
To evaluate the return on investment (ROI) and quality improvement after implementation of a centralized automated-dispensing system after 8 years of use.
Prospective evaluation of ROI; before and after study to evaluate dispensing errors; user satisfaction questionnaire after 8 years of use.
The study was conducted at a French teaching hospital in the pharmacy department, which is equipped with decentralized automated medication cabinets in the wards.
Pharmacy staff (technicians and residents).
INTERVENTION(S): Implementation of a centralized automated-dispensing robot.
MAIN OUTCOME MEASURE(S): The true ROI was prospectively and annually compared to estimated returns calculated after implementation and upgrade of the robot; dispensing errors determined by observation of global deliveries and the satisfaction of users based on a validated questionnaire were evaluated.
Following the upgrade, we found little difference for the ROI (+1.86%). The payback period increased by almost 3 years. There was a significant reduction of dispensing errors, from 2.9% to 1.7% (P < 0.001). User satisfaction of the robot by the pharmacy staff was reported (score of 5.52 ± 1.20 out of 7).
These systems are worthwhile investments and largely contribute to improving the quality and safety of the medication process.
评估在使用8年后实施集中式自动配药系统后的投资回报率（ROI）和质量改进情况。
对ROI进行前瞻性评估；在研究前后评估配药错误情况；在使用8年后进行用户满意度问卷调查。
该研究在法国一家教学医院的药房进行，病房配备了分散式自动药柜。
药房工作人员（技术人员和住院医师）。
实施集中式自动配药机器人。
前瞻性地逐年将实际ROI与机器人实施和升级后计算出的估计回报进行比较；通过观察整体配送情况确定配药错误，并根据一份经过验证的问卷评估用户满意度。
升级后，我们发现ROI差异不大（+1.86%）。投资回收期增加了近3年。配药错误显著减少，从2.9%降至1.7%（P < 0.001）。药房工作人员对机器人的用户满意度较高（满分7分，得分为5.52 ± 1.20）。
这些系统是值得的投资，并在很大程度上有助于提高用药过程的质量和安全性。
