J Korean Soc Emerg Med.
2022 Apr;33(2):203-210.
Improving order-to-antibiotic time by operating an automated dispensing cabinet system in the emergency medical center
- Affiliations
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- 1Department of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- 2Department of Nursing, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- 3Department of Medical Information Research Institute, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- 4Department of Pharmaceutical, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- 5Department, Computing Team, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
Abstract
Objective
If empirical antibiotics must be administered, the pharmacy needs to deliver the drug to emergency patients as soon as possible. The purpose of this study was to investigate the impact of the installation of an automated dispensing cabinet system in an emergency center.
Methods
A retrospective study was conducted through the analysis of medical records in an emergency medical center for 12 months before and after the installation of the system. The order-to-antibiotic time and door-to-antibiotic time were collected retrospectively through a system log analysis. For the satisfaction survey, nursing providers who use the dispensing system were administered a survey questionnaire related to the system.
Results
This study covered 1,292 prescriptions before and 1,377 after the introduction of the system in the emergency center. It was observed that the average time from the order-to-drug administration decreased (48.7±57.9 vs. 41.1±52.3, P=0.001) after the introduction of the system. The door-to-drug administration time also showed a decrease (293.6±260.2 vs. 267.4±221.1, P=0.006). A satisfaction survey was conducted on 38 users of the system who agreed to participate and respond. The score of the satisfaction survey was 3.63±0.44. The user response showed that they were most satisfied with the prevention of medication errors (4.00±0.62) and system control (4.00±0.57).
Conclusion
The automated dispensing cabinet system in an emergency center can shorten the order-to-drug time and door-to-drug time. In addition, it helps to improve the satisfaction and work efficiency of emergency medical workers related to medication dispensation.
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