Evaluación del impacto económico, organizativo y de la seguridad de la dispensación robotizada de fármacos en hospitales en España
Evaluación del impacto económico, organizativo y de la seguridad de la dispensación robotizada de fármacos en hospitales en España, 2019 (1.405Mb)
Introduction Introducing robotization in hospitals to automate drug dispensing systems is a process of high costs. More than 20 Spanish hospitals have already implemented it in 2017. Up to now, there are not any updated studies that have reviewed drug dispensing process safety or impact of implementation under the prospect of the Spanish National Health System. Objective Estimate the impact of the implantation of drug robotic dispensing systems in Spanish hospitals for replacing non-robotic dispensing systems in the Spanish National Health System. This analysis will focus on safety and economic return of the investment. Methods: A systematic review of the literature on safety and organizational changes when introducing robotization in the drug dispensing process in hospitals was carried out. Preliminary results of this review were discussed with nine pharmacy heads who had experience in introducing robotization. The aim of these interviews was to find coincidence points, gaps or imprecisions taking into account their opinions and the results of the literature review. An economic analysis was eventually conducted to know the investment return with four hypothetical models for hospitals of 300, 600, 900 and 1,200 beds (unidose integral process) and outpatients. Results: Thirty three documents were selected for a comprehensive reading. Fifteen accomplished with the criteria of the PICOTs question (Population, Intervention, Comparison, Outcomes, Timing, Setting) as well as criteria to be included in this systematic review. The main result on safety changes found about the pre and post robotization process in hospitalized patients was a decrease in errors dispensation from 0.8-1% (pre) to a variation between 0.08-0.13% (post). Likewise, dispensation errors in outpatients were from 0.64%-1.3% (pre), and between 0.27%-0.6% (post). On the other hand, the administration errors would go from a 10.6% previous to the automated robotic dispensing in hospitalized patients to 5% in a posterior way. The main result in organizational changes for hospitalized patients was that there is a reduction in nursing human resources as well as in time for stock selection and the annual value of the inventory.
Drug robotic dispensing; Hospitals; Impact; Investment
Giménez E, Reynolds J, Espallargues M. Evaluación del impacto económico, organizativo y de la seguridad de la dispensación robotizada de fármacos en hospitales en España. Barcelona: Agència de Qualitat i Avaluació Sanitàries de Catalunya; 2019. (Informes de Evaluación de Tecnologías Sanitarias).
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