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J Korean Soc Emerg Med > Volume 33(2); 2022 > Article
Journal of The Korean Society of Emergency Medicine 2022;33(2): 203-210.
응급의료센터 내 자동약품관리시스템 운영으로 인한 경험적 항생제 투약소요시간 개선
최욱진1 , 손동근1 , 윤현경2 , 황현주2 , 박은지3 , 이수연4 , 손서영4 , 오창근5
1울산대학교 의과대학 울산대학교병원 응급의학과
2울산대학교 의과대학 울산대학교병원 간호부
3울산대학교 의과대학 울산대학교병원 의학정보연구소
4울산대학교 의과대학 울산대학교병원 약제부
5울산대학교 의과대학 울산대학교병원 전산팀
Improving order-to-antibiotic time by operating an automated dispensing cabinet system in the emergency medical center
Wook Jin Choi1 , Dong Geun Son1 , Hyun Kyung Yoon2 , Hyun Ju Hwang2 , Eun Ji Park3 , Soo Yeon Lee4 , Seo Yeong Son4 , Chang Geun Oh5
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
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