School of Pharmacy, The University of Queensland, Brisbane, Australia.
School of Pharmacy, The University of Queensland, Brisbane, Australia; Pharmacy Department, Princess Alexandra Hospital, Brisbane, Australia.
Res Social Adm Pharm. 2020 Oct;16(10):1344-1353. doi: 10.1016/j.sapharm.2020.01.007. Epub 2020 Jan 18.
To critically appraise the literature to determine the cost and time savings for institutions when pharmacy technicians practice in advanced scope roles.
A systematic review was registered with Prospero and conducted in January 2019. Searches were conducted in Business Source Pro, CINAHL, EconLit, EMBASE, InformGlobal, Medline, ProQuest, PubMed, Scopus and Web of Science. Search terms included pharmacy technician/pharmacy assistant and cost or time or economic evaluation. After article selection in the web-based platform Covidence©, data was extracted, and a narrative review was performed.
A total of 16 publications were eligible for inclusion in the review. Pharmacy technicians practicing at advanced scope led to both cost savings and time savings. Six studies reported a cost saving, six reported a time saving and four reported both time and cost savings. Annual savings ranged from AUD $4526 - $88,719.89, linked primarily to the difference in wages between pharmacists and pharmacy technicians. Studies that focused on time savings evaluated checking dispensed items, taking medication histories and entering chemotherapy orders; demonstrating savings of up to 5 min per task completed.
CONCLUSION(S): Appropriately trained pharmacy technicians practicing at advanced scope have the potential to save time and reduce hospital costs. Identifying the cost saving opportunities from technicians acting in advance scope roles will provide incentives for hospitals to expand their technician workforce.
通过批判性评估文献,确定药剂师技术人员在高级实践范围内工作时机构的成本和时间节省。
在 Prospoero 上进行了系统评价,并于 2019 年 1 月进行了检索。在 Business Source Pro、CINAHL、EconLit、EMBASE、InformGlobal、Medline、ProQuest、PubMed、Scopus 和 Web of Science 中进行了检索。检索词包括药剂师技术人员/药剂师助理以及成本或时间或经济评估。在基于网络的 Covidence©平台上进行了文章选择后,提取了数据,并进行了叙述性审查。
共有 16 篇出版物符合纳入审查的标准。在高级实践范围内工作的药剂师技术人员可以节省成本和时间。六项研究报告了成本节省,六项研究报告了时间节省,四项研究报告了时间和成本节省。年节省额从澳元 4526 到 88719.89 不等,主要与药剂师和药剂师技术人员之间的工资差异有关。专注于时间节省的研究评估了核对分发的物品、记录用药史和输入化疗医嘱;证明每个完成的任务可节省高达 5 分钟的时间。
经过适当培训的药剂师技术人员在高级实践范围内工作,有潜力节省时间和降低医院成本。确定从技术人员在高级范围内工作中节省成本的机会,将为医院扩大技术人员队伍提供激励。