Lean methodology in i.v. Medication processes in a children's hospital.
Purpose. The impact of lean methodology in i.v. medication processes in a children's hospital was studied. Methods. Medication orders at a children's hospital were analyzed for 30 days to identify the specific times when most medications were changed or discontinued. Value-stream mapping was used to...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 67; no. 24; pp. 2115 - 2119 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
12/15/2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104973693&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104973693 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 12/15/2010 vid: 67 iid: 24 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104973693 56587716 10.2146/ajhp100151 NLM21116003 104973693 ppf: 2115 ppct: 4 formats: fmt: @attributes: type: P tig: atl: Lean methodology in i.v. Medication processes in a children's hospital. aug: au: L¿Hommedieu T Kappeler K affil: Pharmacy Manager, St. Joseph¿s Hospital and St. Joseph¿s Children¿s Hospital, Tampa, FL sug: subj: Pharmacy Service Administration Hospitals, Pediatric Administration Drug Compounding Infusions, Intravenous Health Care Costs Human Child Adolescence Health Resource Utilization Evaluation Outcomes (Health Care) Health Facility Administration Time Factors Audit Program Development Child: 6-12 years Adolescent: 13-18 years ab: Purpose. The impact of lean methodology in i.v. medication processes in a children's hospital was studied. Methods. Medication orders at a children's hospital were analyzed for 30 days to identify the specific times when most medications were changed or discontinued. Value-stream mapping was used to define the current state of preparation and identify non-value-added tasks in the i.v. medication preparation and dispensing processes. An optimization model was created using specific measurements to establish the optimal number of batches and batch preparation times of batches. Returned i.v. medications were collected for 7 days before and after implementation of the lean process to determine the impact of the lean process changes. Results. Patient-days increased from 1,836 during the first collection period to 2,017 during the second, and the total number of i.v. doses dispensed increased from 8,054 to 9,907. Wasted i.v. doses decreased from 1,339 (16.6% of the total doses dispensed) to 853 (8.6%). With the new process, Nationwide Children's Hospital was projected to realize a weekly savings of $8,197 ($426,244 annually), resulting in a 2.6% reduction in annual drug expenditure. The annual savings is a conservative estimate, due to the 10% increase in patient-days after the lean collection period compared with baseline. The differences in wasted doses and their costs were significant (p < 0.05). Conclusion. Implementing lean concepts in the i.v. medication preparation process had a positive effect on efficiency and drug cost. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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