The benefits of automated dispensing machine for hospital pharmacy in Indonesia: situation, implementation, and feasibility

Haryman Utama Suryadinata

Abstract

Background: Pharmacy as the main core of hospital is responsible for the quality and safety of medicines.Yet the numbers of medication errors are still high. Automated Dispensing Machine (ADM) is one of the solutions to reduce the dispensing errors in pharmacy. Many countries had studied and proved that the use of ADM gives more benefit than liability. However, ADM is considered as something new, a “nice to have” product.

Aims: This study will explain the benefits of ADM especially in Indonesian hospital pharmacy.

Methods: Systemic Review with PRISMA method uses 5 databases as Scopus, Springerlink, Google Scholar, Science Direct and ProQuest, with keywords Automated Dispensing Machine, Automated Dispensing Device, Automated Dispensing System, Automated Drug Dispensing System, or Robotic Dispensing System. The inclusion criteria are all the studies that showed any impact in minimum of one aspect ofADM in hospital.

Results: There are 13 studies that explained ADM benefits such as increase staff satisfaction for the nurse and pharmacist, reduce dispensing errors about 35% or up to reducing all dispensing errors, time saving until 50% in peak hours and cost analysis and effectiveness. The cost anaylsis such as inventory stock reduction, increases the cost saving.

Conclusion:In Indonesia, it needs many considerations to implement ADM but it had already installed in 1 Indonesia Hospital. This hospital had proved that ADM can reduce dispensing errors and can solve some pharmacy problem such as the human resources problems and the long waiting time.With the proven benefits of ADM, it is justified for Indonesian hospital to implement ADM and information system in their pharmacy. The effectiveness will perceive the pharmacy andpositively affect to all related departments in hospital.

 

Keywords: Automated dispensing machine, automated dispensing system, automated dispensing device, robotic dispensing system, automated drug dispensing system

 

Full Text:

PDF

References

Suciati S, Adisasmito WBB. Jurnal manajemen pelayanan kesehatan. J Manaj Pelayanan Kesehat. 2006;9(4):177–84.

Beso A, Franklin BD, Barber N. The frequency and potential causes of dispensing errors in a hospital pharmacy. Pharm World Sci. 2005;27(3):182–90.

James KL, Barlow D, McArtney R, Hiom S, Roberts D, Whittlesea C. Incidence, type and causes of dispensing errors: a review of the literature. Int J Pharm Pract. 2009;17(1):9–30.

Anacleto TA, Perini E, Rosa MB, César CC. Drug-dispensing errors in the hospital pharmacy. Clinics (Sao Paulo). 2007;62(3):243–50.

Duane C, Montgomery, Larry, Spernow, T J. Chudy Group, LLC; Patient Issued for Methods for Item Management. Journanl Eng. 2016;

Fitzpatrick R, Cooke P, Southall C, Kauldhar K, Waters P. Evaluation of an automated dispensing system in a hospital pharmacy dispensary. Pharm J. 2005;274(7354):763–5.

Gonzalez R, Alonso H, Manzorro G, Vilaplana E, Larisgoiria A, Herrero R, et al. Staff Satisfaction After The Implementation of A Robotic Dispensing System in An Outpatient Pharmacy. Eur J Hosp Pharm. 2016;23.

Balar DJ. Medbox, Inc.; Medbox Provides Automated Drug Dispensing System to Reduce Medication Errors in an Intensive Care Setting. Medical Patent Business Week. 2012;1090.

Tsao NW, Lo C, Babich M, Shah K, Bansback NJ. Decentralized automated dispensing devices: systematic review of clinical and economic impacts in hospitals. Can J Hosp Pharm [Internet]. 2014;67(2):138–48. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24799724%5Cnhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4006759

Chapuis C, Roustit M, Bal G, Schwebel C, Pansu P, David-Tchouda S, et al. Automated drug dispensing system reduces medication errors in an intensive care setting. Crit Care Med [Internet]. 2010;38(12):2275–81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20838333

Zaidan M, Rustom F, Kassem N, Al Yafei S, Peters L, Ibrahim MIM. Nurses’ perceptions of and satisfaction with the use of automated dispensing cabinets at the Heart and Cancer Centers in Qatar: a cross-sectional study. BMC Nurs [Internet]. 2016;15(1):4. Available from: http://www.biomedcentral.com/1472-6955/15/4%5Cnhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4712505&tool=pmcentrez&rendertype=abstract

Risør BW, Lisby M, Sørensen J. An automated medication system reduces errors in the medication administration process: results from a Danish hospital study. Eur J Hosp Pharm [Internet]. 2015;(June 2013):ejhpharm-2015-000749. Available from: http://ejhp.bmj.com/lookup/doi/10.1136/ejhpharm-2015-000749

Sujatno P, Pinzon RT, Meliala A. Evaluasi dampak penerapan Automated Dispensing Machine terhadap dispensing error di farmasi rawat jalan instalasi farmasi rumah sakit Bethesda Yogyakarta. 2016;13(1):7–14.

Ong YSP, Chen LL, Wong JA, Gunawan Y, Goh WJ, Tan MC, et al. Evaluating the Impact of Drug Dispensing Systems on the Safety and Efficacy in a Singapore Outpatient Pharmacy. Value Heal [Internet]. 2014;17(7):A791–2. Available from: http://www.sciencedirect.com/science/article/pii/S1098301514023705

Beard RJ, Smith P. Integrated electronic prescribing and robotic dispensing: a case study. Springerplus [Internet]. 2013;2(2009):295. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3724990&tool=pmcentrez&rendertype=abstract

Serrano S, Pin C, Copa C, Rodriguez P. Introduction of An Automated Drug Dispensing System in An Intensive Care Unit. Eur J Hosp Pharm [Internet]. 2012;19(2). Available from: http://dx.doi.org/10.1016/j.taap.2012.11.001

Roman C, Poole S, Walker C, Smit DV, Dooley MJ. A “time and motion” evaluation of automated dispensing machines in the emergency department. Australas Emerg Nurs J [Internet]. 2016;19(2):112–7. Available from: http://dx.doi.org/10.1016/j.aenj.2016.01.004

Noparatayaporn P, Sakulbumrungsil R, Thaweethamcharoen T, Sangseenil W. Comparison of unit cost of pharmacy service using automatic and manual dispensing system. 2016;40:168–71.

Chapuis C, Bedouch P, Detavernier M, Durand M, Francony G, Lavagne P, et al. Automated drug dispensing systems in the intensive care unit: a financial analysis. Crit Care [Internet]. 2015;19(1):318. Available from: http://ccforum.com/content/19/1/318

Refbacks

  • There are currently no refbacks.