Sustainability pharmacy assistants in large urban hospital system.

IF 2.5 Q3 PHARMACOLOGY & PHARMACY
Sanjit Bains, Sharmain Ho, Michelle Sze, Sahar Moafi, Isla Drummond, Gigi Wong, Alfie Chung, Aaron M Tejani, Elissa Aeng
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Abstract

Objectives: The financial feasibility and practical viability of implementing a Sustainability Pharmacy Assistant Position (SPAP) program were assessed in this study. Human resources operating independently of the site were utilized by this innovative strategy to process medication returns for redistribution.

Methods: The cost-effectiveness of employing SPAPs solely responsible for processing medication returns for redistribution was assessed in a 3-month pilot service at two hospital sites. Funding was sourced from unfilled positions, and the SPAP's tasks and schedule were coordinated with site staff. Data on medication returns and workflow were collected and analysed as well as labor costs and expenses to evaluate cost savings and operational impact. The results of the pilot were extrapolated to yield an estimate of the impacts of an expanded SPAP program for 12 hospitals in the area.

Key findings: The pilot service revealed net savings from SPAPs at two hospitals of $19 951. Extrapolating the net savings to two SPAPs working for a full year and servicing 12 Fraser Health hospitals, the return on investment was $6.51 per dollar invested for the first year. SPAPs are highly cost-effective and address previous problems with site-based resource issues. The SPAP was smoothly integrated into each site's workflow, with no disruptions or complaints from staff, allowing them to focus on their primary duties.

Conclusions: Costs are effectively reduced, and operational efficiency is enhanced by the SPAPs through the processing of medication returns for redistribution. Given these positive outcomes, plans are in place to expand the program to additional sites, and similar initiatives are recommended for other healthcare systems. Financial savings are yielded by this approach, along with environmental benefits through the reduction of medication waste and incineration.

大型城市医院系统的可持续性药房助理。
目的:在本研究中评估实施可持续药房助理职位(SPAP)计划的财务可行性和实际可行性。这一创新策略利用了独立于站点的人力资源来处理药品的再分配。方法:在两家医院进行了为期3个月的试点服务,评估了使用SPAPs单独负责处理药品退货再分配的成本效益。资金来自空缺职位,SPAP的任务和时间表与现场工作人员协调。收集和分析药物退货和工作流程的数据,以及人工成本和费用,以评估成本节约和运营影响。对试点结果进行了外推,以估计扩大SPAP方案对该地区12家医院的影响。主要调查结果:试点服务显示,两家医院的特殊方案净节省19 951美元。按两个spap全年工作并为12家弗雷泽保健医院提供服务的净节省来推算,第一年的投资回报率为每投资1美元6.51美元。spap具有很高的成本效益,并解决了以前基于站点的资源问题。SPAP顺利地集成到每个站点的工作流程中,没有员工的中断或抱怨,使他们能够专注于他们的主要职责。结论:SPAPs通过处理药品退货进行再分配,有效降低了成本,提高了操作效率。鉴于这些积极的结果,计划将该计划扩展到其他地点,并建议其他医疗保健系统采取类似的举措。这种方法节省了资金,并通过减少药物废物和焚烧带来了环境效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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