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Updated: Aug 15, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Cost-benefit analysis of the implementation of automated drug-dispensing systems in Critical Care and Emergency
J L Poveda Andrés1, C García Gómez, M Hernández Sansalvador
1Servicio de Farmacia, Complejo Hospitalario y Universitario, Albacete, 02003 Spain. jpoveda@hgab.insalud.es
Objective:
To determine monetary impact when traditional drug floor stocks are replaced by Automated Drug Dispensing Systems (ADDS) in the Medical Intensive Care Unit, Surgical Intensive Care Unit and the Emergency Room.
Methods:
We analysed four different flows considered to be determinant when implementing ADDS in a hospital environment: capital investment, staff costs, inventory costs and costs related to drug use policies.
Results:
Costs were estimated by calculation of the current net value. Its analysis shows that those expenses derived from initial investment are compensated by the three remaining flows, with costs related to drug use policies showing the most substantial savings. Five years after initial investment, global cash-flows have been estimated at 300.525 euros.
Conclusion:
Replacement of traditional floor stocks by ADDS in the Medical Intensive Care Unit, Surgery Intensive Care Unit and the Emergency Room produces a positive benefit/cost ratio (1.95).
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