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Work analysis of an admixture service.

G Sebastian, T S Thielke

    American Journal of Hospital Pharmacy
    |December 1, 1983
    PubMed
    Summary

    Work analysis improved hospital pharmacy intravenous admixture services by identifying workflow issues and measuring procedural changes. Implementing changes like automated labeling and batch production reduced preparation times and enhanced efficiency.

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    Area of Science:

    • Pharmacy Practice
    • Healthcare Management
    • Process Improvement

    Background:

    • Hospital pharmacy intravenous admixture services are complex operations.
    • Identifying and addressing workflow inefficiencies is crucial for optimal service delivery.
    • Previous methods for evaluating such services may lack quantitative data.

    Purpose of the Study:

    • To describe the application of work analysis in a hospital pharmacy's intravenous admixture service.
    • To identify workflow problems and quantify the impact of procedural changes.
    • To evaluate the efficiency of the sterile-products area (SPA).

    Main Methods:

    • Process analysis to identify workflow problems in the sterile-products area (SPA).
    • Work-sampling study to quantify time spent on various activities.
    • Measurement of unused/expired large-volume parenterals (LVPs) and order-to-preparation lag times.
    • Implementation of four procedural changes: automated label typing, new total parenteral nutrient (TPN) base solution, batch production/storage of antibiotic minibags, and scheduling adjustments.

    Main Results:

    • Post-implementation, time spent on label typing, TPN preparation, and minibag production decreased.
    • A minor reduction in returned LVPs was noted, linked to scheduling changes.
    • Failure of decentralized pharmacists to report discontinued orders impacted efficiency.
    • Work analysis proved effective in evaluating and enhancing SPA efficiency.

    Conclusions:

    • Work analysis is a valuable tool for evaluating and improving hospital pharmacy intravenous admixture services.
    • Procedural changes can lead to significant time savings in key pharmacy operations.
    • Policy enforcement regarding order discontinuation notifications is essential for workflow efficiency.
    • The work analysis methodology can be applied to other pharmacy department areas.

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