联网配药技术与先进分析技术在多中心医疗系统中的影响。

IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY American Journal of Health-System Pharmacy Pub Date : 2024-11-22 DOI:10.1093/ajhp/zxae198
Steven Freeman-Muhammad, Regina Chipman-Ashley, Richard E Martin, Jennifer Williams, Amanda Prochazka, Doina Dumitru, Craig Greszler
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引用次数: 0

摘要

免责声明:为了加快文章的出版速度,AJHP在接受稿件后会尽快在网上发布。被录用的稿件已经过同行评审和校对,但在进行技术格式化和作者校对之前会在网上发布。目的:本研究旨在评估企业库存优化(EIO)技术和分析对大型综合配送网络(IDN)内药房劳动力、成本和药物可用性的影响:本文介绍了一项混合方法的市场后观察研究,评估了不同技术解决方案的影响,包括自动配药柜 (ADC)、集中药房库存软件以及通过库存优化分析 (IOA) 工具连接的受控物质库。在 10 个月内实施了四个研究模块。干预措施包括实施 IOA 软件,将不同的自动化技术连接起来。在干预前和干预后收集了交易数据,并与用户感知调查数据进行了汇总。结果:共有 11 家床位数在 22 到 908 张之间的机构参与了这项研究。在企业层面,用户在干预后完成的定期自动补货(PAR)水平变化平均增加了 2.8 倍,估计企业每年可节省超过 1 个全职等效工时(2,099 个工时)。尽管企业决定将手头的 ADC 库存从 3 天供应量增加到 5 天供应量,但有 5 个站点(45%)的总库存量减少了,而有 9 个站点(82%)的 ADC 库存成本降低了。此外,干预后,7 个医疗点(64%)的 ADC 缺货率下降,所有 11 个医疗点(100%)的中心药房缺货率下降:结论:联网库存管理技术的整合与优化对提高劳动生产率、降低 ADC 库存成本和提高药品可用性具有积极影响。
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Impact of connected dispensing technology with advanced analytics in a multicenter health system.

Purpose: This study was designed to evaluate the impact of enterprise inventory optimization (EIO) technology and analytics on pharmacy labor, costs, and medication availability within a large integrated delivery network (IDN).

Methods: This article describes a mixed-methods, postmarket observational study assessing the impact of a solution of disparate technologies including automated dispensing cabinets (ADCs), centralized pharmacy inventory software, and controlled substance vaults connected by an inventory optimization analytics (IOA) tool. Four study modules were implemented over a 10-month period. The intervention consisted of implementation of the IOA software, linking the disparate automated technologies. Transactional data was collected and aggregated with user perception survey data in both the pre- and postintervention periods. Descriptive and comparative statistical testing was used to assess outcomes.

Results: A total of 11 facilities with bed counts ranging between 22 and 908 beds were included in this study. At an enterprise level, users were able to complete an average of 2.8 times more periodic automated replenishment (PAR) level changes post intervention, resulting in an estimated enterprise labor avoidance of over 1 full-time equivalent (2,099 labor hours) annually. Despite an enterprise decision to increase ADC inventory on hand from a 3-day supply to a 5-day supply, 5 sites (45%) had a decrease in total inventory, while 9 sites (82%) saw a decrease in ADC inventory costs. Additionally, 7 sites (64%) saw a reduction in the ADC stockout percentage and all 11 sites (100%) saw a decrease in the central pharmacy stockout percentage post intervention.

Conclusion: Integration and optimization of connected inventory management technology was observed to have positive impacts on improving labor productivity, reducing ADC inventory carrying costs, and increasing medication availability.

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来源期刊
CiteScore
2.90
自引率
18.50%
发文量
341
审稿时长
3-8 weeks
期刊介绍: The American Journal of Health-System Pharmacy (AJHP) is the official publication of the American Society of Health-System Pharmacists (ASHP). It publishes peer-reviewed scientific papers on contemporary drug therapy and pharmacy practice innovations in hospitals and health systems. With a circulation of more than 43,000, AJHP is the most widely recognized and respected clinical pharmacy journal in the world.
期刊最新文献
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