TY - JOUR
T1 - Automated drug dispensing systems in the intensive care unit
T2 - A financial analysis
AU - Chapuis, Claire
AU - Bedouch, Pierrick
AU - Detavernier, Maxime
AU - Durand, Michel
AU - Francony, Gilles
AU - Lavagne, Pierre
AU - Foroni, Luc
AU - Albaladejo, Pierre
AU - Allenet, Benoit
AU - Payen, Jean Francois
N1 - Publisher Copyright:
© 2015 Chapuis et al.
PY - 2015/9/9
Y1 - 2015/9/9
N2 - Introduction: To evaluate the economic impact of automated-drug dispensing systems (ADS) in surgical intensive care units (ICUs). A financial analysis was conducted in three adult ICUs of one university hospital, where ADS were implemented, one in each unit, to replace the traditional floor stock system. Method: Costs were estimated before and after implementation of the ADS on the basis of floor stock inventories, expired drugs, and time spent by nurses and pharmacy technicians on medication-related work activities. A financial analysis was conducted that included operating cash flows, investment cash flows, global cash flow and net present value. Results: After ADS implementation, nurses spent less time on medication-related activities with an average of 14.7 hours saved per day/33 beds. Pharmacy technicians spent more time on floor-stock activities with an average of 3.5 additional hours per day across the three ICUs. The cost of drug storage was reduced by 44,298 and the cost of expired drugs was reduced by 14,772 per year across the three ICUs. Five years after the initial investment, the global cash flow was 148,229 and the net present value of the project was positive by 510,404. Conclusion: The financial modeling of the ADS implementation in three ICUs showed a high return on investment for the hospital. Medication-related costs and nursing time dedicated to medications are reduced with ADS.
AB - Introduction: To evaluate the economic impact of automated-drug dispensing systems (ADS) in surgical intensive care units (ICUs). A financial analysis was conducted in three adult ICUs of one university hospital, where ADS were implemented, one in each unit, to replace the traditional floor stock system. Method: Costs were estimated before and after implementation of the ADS on the basis of floor stock inventories, expired drugs, and time spent by nurses and pharmacy technicians on medication-related work activities. A financial analysis was conducted that included operating cash flows, investment cash flows, global cash flow and net present value. Results: After ADS implementation, nurses spent less time on medication-related activities with an average of 14.7 hours saved per day/33 beds. Pharmacy technicians spent more time on floor-stock activities with an average of 3.5 additional hours per day across the three ICUs. The cost of drug storage was reduced by 44,298 and the cost of expired drugs was reduced by 14,772 per year across the three ICUs. Five years after the initial investment, the global cash flow was 148,229 and the net present value of the project was positive by 510,404. Conclusion: The financial modeling of the ADS implementation in three ICUs showed a high return on investment for the hospital. Medication-related costs and nursing time dedicated to medications are reduced with ADS.
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U2 - 10.1186/s13054-015-1041-3
DO - 10.1186/s13054-015-1041-3
M3 - Article
C2 - 26349855
AN - SCOPUS:84941193621
SN - 1364-8535
VL - 19
JO - Critical Care
JF - Critical Care
IS - 1
M1 - 318
ER -