SRINAGARIND MEDICAL JOURNALVolume 35, No. 03, Month MAY, Year 2020, Pages 311 - 319
Efficacy and safety of dispensing system by pharmacy robot and handset electronic picking in hospitalized patients at srinagarind hospital
Abstract Download PDFBackground and Objective: The technology machines
was used for filling the medicines for hospitalized
patients at Srinagarind Hospital. The objective of this
study was to evaluate efficacy and safety of dispensing
system by pharmacy robot and handset electronic
Methods: This was a retrospective descriptive study.
Drug prescriptions, dispensing items, waiting time, and
dispensing errors were compared between before and
after implementation of the robotic medicine and
handset electronic picking for continued order items,
narcotics and psychotropics category 2 items while
other items were filled manually for hospitalized
Results: Mean waiting time for overall prescriptions
was not significantly different between pre- and postintervention
(15.9 vs. 15.5 minutes per prescription).
The mean waiting time for continued order prescriptions
significantly increased 21.5% (0.7 vs. 0.8 minutes
per item). The increased waiting time for continued
order items occurred in the process of pharmacist
checking since the continued order items increased
51.4% in the post- intervention period (666,888 vs.
1,009,667 items) and drug distribution system was
changed from three days dose to one day dose which
led to decreasing time for nurse to prepare medications
for patients. The mean waiting time for stat order
item significantly decreased 14.4% (14.9 vs. 12.8 min utes per item). For other subtype of prescription, no
significant change of waiting time was found. Dispensing
error significantly decreased 51.1% of prescriptions
or 52.3% of items. The largest decrease in dispensing
error was found in continued order items (77% decreased).
Dispensing errors with severity category B
and C decreased 50.3% and 89.1% of items.
Conclusions: Implementation of pharmacy robot and
handset electronic picking of drug dispensing improved
efficacy, dispensing errors, and patient safety for hospitalized
Pharmacy robot, Handset electronic picking, Robotic medicine