Using discrete event simulation to design a more efficient hospital pharmacy for outpatients

被引：40

作者：

Reynolds, Matthew ^{[2
]}

Vasilakis, Christos ^{[3
]}

McLeod, Monsey ^{[2
,6
]}

Barber, Nicholas ^{[6
]}

Mounsey, Ann ^{[4
]}

Newton, Sue ^{[5
]}

Jacklin, Ann ^{[6
]}

Franklin, Bryony Dean ^{[1
,2
,6
]}

机构：

[1] Charing Cross Hosp, Dept Pharm, London W6 8RF, England

[2] Imperial Coll Healthcare NHS Trust, Ctr Medicat Safety & Serv Qual, London, England

[3] UCL, Clin Operat Res Unit, London, England

[4] Imperial Coll Healthcare NHS Trust, Charing Cross Hosp, London, England

[5] Imperial Coll Healthcare NHS Trust, Hammersmith Hosp, London, England

[6] Univ London, Ctr Medicat Safety & Serv Qual, Sch Pharm, London, England

来源：

HEALTH CARE MANAGEMENT SCIENCE | 2011年 / 14卷 / 03期

关键词：

Health care; Hospitals; Pharmacy dispensary; Simulation; COMPUTER-SIMULATION; HEALTH;

D O I：

10.1007/s10729-011-9151-1

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We present the findings of a discrete event simulation study of the hospital pharmacy outpatient dispensing systems at two London hospitals. Having created a model and established its face validity, we tested scenarios to estimate the likely impact of changes in prescription workload, staffing levels and skill-mix, and utilisation of the dispensaries' automatic dispensing robots. The scenarios were compared in terms of mean prescription turnaround times and percentage of prescriptions completed within 45 min. The findings are being used to support business cases for changes in staffing levels and skill-mix in response to changes in workload.

引用

页码：223 / 236

页数：14

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