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Impact of Mobile Dose-Tracking Technology on Medication Distribution at an Academic Medical Center

机译：移动剂量跟踪技术对学术医学中心药物分配的影响

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>Background: Medication dose-tracking technologies have the potential to improve efficiency and reduce costs associated with re-dispensing doses reported as missing. Data describing this technology and its impact on the medication use process are limited.>Objective: The purpose of this study is to assess the impact of dose-tracking technology on pharmacy workload and drug expense at an academic, acute care medical center.>Methods: Dose-tracking technology was implemented in June 2014. Pre-implementation data were collected from February to April 2014. Post-implementation data were collected from July to September 2014. The primary endpoint was the percent of re-dispensed oral syringe and compounded sterile product (CSP) doses within the pre- and post-implementation periods per 1,000 discharges. Secondary endpoints included pharmaceutical expense generated from re-dispensing doses, labor costs, and staff satisfaction with the medication distribution process.>Results: We observed an average 6% decrease in re-dispensing of oral syringe and CSP doses from pre- to post-implementation (15,440 vs 14,547 doses; p = .047). However, when values were adjusted per 1,000 discharges, this trend did not reach statistical significance (p = .074). Pharmaceutical expense generated from re-dispensing doses was significantly reduced from pre- to post-implementation ($834,830 vs $746,466 [savings of $88,364]; p = .047). We estimated that $2,563 worth of technician labor was avoided in re-dispensing missing doses. We also saw significant improvement in staff perception of technology assisting in reducing missing doses (p = .0003), as well as improvement in effectiveness of resolving or minimizing missing doses (p = .01).>Conclusion: The use of mobile dose-tracking technology demonstrated meaningful reductions in both the number of doses re-dispensed and cost of pharmaceuticals dispensed.
机译：>背景：药物剂量跟踪技术具有提高效率并降低与据称丢失的重新分配剂量相关的成本的潜力。描述该技术及其对药物使用过程的影响的数据是有限的。>目的：本研究的目的是评估剂量追踪技术对学术性，急性期药物工作量和药物费用的影响护理医疗中心。>方法：剂量跟踪技术于2014年6月实施。实施前的数据收集于2014年2月至2014年4月。实施后的数据收集于2014年7月至9月。主要终点是在实施前和实施后每1,000次排放中重新分配的口服注射器和复合无菌产品（CSP）剂量的百分比。次要终点包括重新分配剂量，人工成本以及员工对药物分配过程的满意度所产生的药品费用。>结果：我们观察到口服注射器和CSP剂量的平均分配减少了6％从实施前到实施后（15,440对14,547剂； p = .047）。但是，每1000次放电调整值时，该趋势未达到统计显着性（p = .074）。从重新分配剂量产生的药品费用从实施前到实施后显着减少（834,83​​0美元对746,466美元[节省了88,364美元]； p = .047）。我们估计，在重新分配丢失的剂量时，避免了价值2563美元的技术人员劳动力。我们还发现，员工对技术的帮助显着改善，有助于减少遗失剂量（p = .0003），并且在解决或最小化遗失剂量方面的效果也得到了改善（p = .01）。>结论：移动剂量跟踪技术的使用表明，重新分配的剂量数量和分配的药物成本均显着降低。

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