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Results for “Hospital Distribution Systems”

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At least 145 records · Page 8Linked to original sources
PubMed1980

An exchange cart supply-distribution system employed on an institution-wide basis.

This paper describes a drug distribution system developed for replenishment of stock supplies for hospital patient-care units, ambulatory care areas, and clinical support service areas. The method employed, a modified exchange cart system in which duplicate sets of supplies are exchanged at regular and predetermined intervals, utilizes unit-of-use packaging whenever feasible and is an extension of our centralized unit dose drug distribution system. Various supply-distribution techniques and inventory surveillance and control techniques, as well as cost identification and charge recovery procedures, are discussed.

Connecticut↗
PubMed2004

Efficiency of different systems for medication distribution in an academic children's hospital in The Netherlands.

BACKGROUND: In the Sophia Children's Hospital, both a ward stock system and a decentralized, patient-orientated, ready-to-use drug distribution system (a 'satellite pharmacy system') exist. Hospital management considered expanding the concept of the satellite pharmacies. Little was known, however, about the efficiency of this drug distribution system, whereas there is increasing pressure to demonstrate the cost-effectiveness of pharmacy services. OBJECTIVE: To analyze the efficiency of satellite pharmacies compared with other medication distribution systems. METHODS: All medication orders and prepared doses were counted. The workload of the two current distribution systems was calculated using the direct time study method. Furthermore, the consequences of altering the distribution system were calculated by formulating nine variants in which certain activities surrounding the medication distribution were moved between nurses and pharmacy technicians. Moreover, we varied the degree of computerization of the medication order registration. RESULTS: The required working hours are the largest in the variants in which nurses do the preparation of the drugs. Moving the distribution of some drug categories, such as ready-to-use drugs, prepared oral drugs, and prepared inhalation drugs, from pharmacy technicians to nurses appeared not to produce noticeable benefits compared with the current distribution system. Expanding the concept of the satellite pharmacies involves a small rise in total working hours compared with the current situation, but does not raise personnel costs. The largest cost savings can be achieved by introducing an on-line computerized physician order-entry system. CONCLUSIONS: The concept of satellite pharmacies offers an efficient distribution system for the Sophia Children's Hospital.

Costs and Cost Analysis↗
PubMed2001

Towards integration of clinical decision support in commercial hospital information systems using distributed, reusable software and knowledge components.

PROBLEM: Clinicians' acceptance of clinical decision support depends on its workflow-oriented, context-sensitive accessibility and availability at the point of care, integrated into the Electronic Patient Record (EPR). Commercially available Hospital Information Systems (HIS) often focus on administrative tasks and mostly do not provide additional knowledge based functionality. Their traditionally monolithic and closed software architecture encumbers integration of and interaction with external software modules. Our aim was to develop methods and interfaces to integrate knowledge sources into two different commercial hospital information systems to provide the best decision support possible within the context of available patient data. METHODS: An existing, proven standalone scoring system for acute abdominal pain was supplemented by a communication interface. In both HIS we defined data entry forms and developed individual and reusable mechanisms for data exchange with external software modules. We designed an additional knowledge support frontend which controls data exchange between HIS and the knowledge modules. Finally, we added guidelines and algorithms to the knowledge library. RESULTS: Despite some major drawbacks which resulted mainly from the HIS' closed software architectures we showed exemplary, how external knowledge support can be integrated almost seamlessly into different commercial HIS. This paper describes the prototypical design and current implementation and discusses our experiences.

Abdominal Pain↗
PubMed1994

A computerized dispatch system that really delivers.

In 1990, Victoria Hospital in London, Ontario undertook a review of its Central Portering Department. The department's name was changed to Distribution Services and its need for more efficient servicing of customers led to the search for a computer system to replace the manual dispatch operation. After failing to find an existing system, the hospital contracted to develop its own system, called Vic Tracker. The system categorizes and prioritizes requests and produces various activity reports. Response time has improved 50% on average, and improved efficiency and a pre-booking feature has resulted in a decrease of approximately 100 calls per day.

Computer Systems↗
PubMed1989

Developing a DSS for a distribution facility: an application in the healthcare industry.

This article details a successful project in the design and implementation of a decision support system for practical use in a hospital setting. The approach used, the steps followed, the problems encountered, and the lessons learned are described and discussed with special emphasis on the managerial issues and management involvement during the decision support system life cycle.

Decision Support Systems, Management↗
PubMedDate not supplied

Image and report distribution on the Internet.

The Internet links together millions of computers to share a wide variety of information--words, sounds and images--which makes it ideally suited for applications in diagnostic imaging departments. Timely availability of patient information is critical to patient care. In the form of a report, image or both, information is the final product of every imaging department. Internet applications can allow physicians easy access to and review of patient information. Many imaging departments already have the basic components of Internet technology in place, which may include an existing image distribution network. At the University of Kansas Medical Center (UKMC), we had a good network base and digital digitation and distribution system, but had not found an appropriate PACS for image distribution and display. When a home page was designed for the radiology department at UKMC, it was intended for report distribution. However, we quickly discovered that it could also function as a low-cost/low-resolution image distribution system. Before making confidential patient information accessible on the Internet, appropriate information security requirements must be in place. At UKMC, access is strictly controlled through the medical records department. Programmers in the radiology department at UKMC are also using the Internet to develop applications for on-line review, editing and electronic signature. Early experience with the Internet as a basis for radiology image and report distribution has been extremely successful and popular with referring physicians at UKMC.

Academic Medical Centers↗