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Introduction of Unit-Dose Care in the 1,125 Bed Teaching Hospital: Practical Experience and Time Saving on Wards.
Herrmann, Saskia; Giesel-Gerstmeier, Jana; Steiner, Thomas; Lendholt, Florian; Fenske, Dominic.
Afiliação
  • Herrmann S; Hospital Pharmacy, Helios Kliniken GmbH, Berlin, Berlin, Germany.
  • Giesel-Gerstmeier J; Department of Pharmaceutical/Medicinal Chemistry, Institute of Pharmacy, Friedrich Schiller University Jena, Jena, Thuringia, Germany.
  • Steiner T; Hospital Pharmacy, Helios Kliniken GmbH, Berlin, Berlin, Germany.
  • Lendholt F; Department of Urology, Helios Klinikum Erfurt, Erfurt, Thuringia, Germany.
  • Fenske D; Medicine, HMU Health and Medical University Erfurt, Erfurt, Thuringia, Germany.
J Multidiscip Healthc ; 17: 1137-1145, 2024.
Article em En | MEDLINE | ID: mdl-38500480
ABSTRACT

Purpose:

The shortage of nursing staff as well as the slow progress in the German health care system's digitalisation has gained much attention due to COVID-19. Patient-specific medication management using the unit-dose dispensing system (UDDS) has the potential for a lasting and positive influence on both digitalisation and the relief of nursing staff.

Methods:

Nursing staff UDDS-acceptance was determined via a validated online survey. For the evaluation of stock keeping on the wards, the delivery quantities were determined for a comparative period before and after the introduction of the UDDS. The time required for on-ward medication-related processes on ward before and after the introduction of UDDS was recorded based on a survey form and the nursing relief in full-time equivalent (FTE) was calculated using the data obtained.

Results:

We show that nurses appreciate the UDDS and confirm a significant reduction in drug stocks on the wards. The UDDS reduces the time needed to dispense medications from 4.52 ± 0.35 min to 1.67 ± 0.15 min/day/patient. In relation to the entire medication process, this corresponds to a reduction of 50% per day and per patient. Based on 40,000 patients/year and a supply of 1,125 beds with unit-dose blisters, 7.36 FTE nursing staff can be relieved per year. In contrast, 6.5 FTE in the hospital pharmacy are required for supplying the hospitals.

Conclusion:

UDDS is well accepted by nurses, reduces stock levels on ward, and fulfils criteria as a nursing-relief measure.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article