Improving order-to-antibiotic time by operating an automated dispensing cabinet system in the emergency medical center

¹Department of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
²Department of Nursing, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
³Department of Medical Information Research Institute, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
⁴Department of Pharmaceutical, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
⁵Department, Computing Team, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea

Correspondence

Wook Jin Choi ,Tel: 052-250-7000, Fax: 052-250-8150, Email: korean.er.md@gmail.com,

Received: June 2, 2021; Revised: August 15, 2021 Accepted: August 19, 2021. Published online: April 30, 2022.

ABSTRACT

Objective:
If empirical antibiotics must be administered, the pharmacy needs to deliver the drug to emergency patients as soon as possible. The purpose of this study was to investigate the impact of the installation of an automated dispensing cabinet system in an emergency center.
Method:
A retrospective study was conducted through the analysis of medical records in an emergency medical center for 12 months before and after the installation of the system. The order-to-antibiotic time and door-to-antibiotic time were collected retrospectively through a system log analysis. For the satisfaction survey, nursing providers who use the dispensing system were administered a survey questionnaire related to the system.
Results:
This study covered 1,292 prescriptions before and 1,377 after the introduction of the system in the emergency center. It was observed that the average time from the order-to-drug administration decreased (48.7±57.9 vs. 41.1±52.3, P=0.001) after the introduction of the system. The door-to-drug administration time also showed a decrease (293.6±260.2 vs. 267.4±221.1, P=0.006). A satisfaction survey was conducted on 38 users of the system who agreed to participate and respond. The score of the satisfaction survey was 3.63±0.44. The user response showed that they were most satisfied with the prevention of medication errors (4.00±0.62) and system control (4.00±0.57).
Conclusion:
The automated dispensing cabinet system in an emergency center can shorten the order-to-drug time and door-to-drug time. In addition, it helps to improve the satisfaction and work efficiency of emergency medical workers related to medication dispensation.

Key words: Antibiotics; Emergency treatment; Pharmacy service; Hospital; Job satisfaction