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Browsing by Subject "huumausaineiden kulutuskortit"

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  • Nurmi, Tuomas (2020)
    Automated dispensing cabinets can improve patient safety by reducing medication errors, and consequently, the incidence of adverse drug events, as well as reduce the number of outdated drugs and the size of ward inventory. They can reduce the amount of time nurses and other staff spend on distribution and ordering of medicines, and time spent on taking inventory. In conjunction with an electronic narcotics registry, they may significantly reduce the time needed for filling, checking and correcting narcotics registry forms. This study evaluated the impact of automated dispensing cabinets on the amount of time nurses spend on selecting and picking doses for patients, as well as its effect on the size of ward inventory and wastage of drugs. The amount of time nurses, pharmacists, and technical staff spent on narcotics registry related activities in the hospital ward and hospital pharmacy was also measured. No evidence was found to support the conclusion that automated dispensing cabinets speed up selection and picking of doses, and they may in fact slow it down. With current number of narcotics distributed in the hospital annually, the overall time taken by narcotics registry activities can be 10.9 full time equivalents. Most of this time, roughly 8.7 FTE, consists of nurses filling narcotics registry forms while administering drugs, though only a tiny proportion of each nurses’ time is spent on this activity. On average, it the cost of labor needed to fill one form is 9.3 €. An electronic narcotics registry in combination with and ADC could reduce this down to 0.36 € - 1.16 € per narcotics package by removing the need to fill redundant information in different registries.