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Cost-effectiveness analysis of a hospital electronic medication management system
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| Zeitschriftentitel: | Journal of the American Medical Informatics Association |
|---|---|
| Personen und Körperschaften: | , , , , , , , |
| In: | Journal of the American Medical Informatics Association, 22, 2015, 4, S. 784-793 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Oxford University Press (OUP)
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| Schlagwörter: |
| author_facet |
Westbrook, Johanna I Gospodarevskaya, Elena Li, Ling Richardson, Katrina L Roffe, David Heywood, Maureen Day, Richard O Graves, Nicholas Westbrook, Johanna I Gospodarevskaya, Elena Li, Ling Richardson, Katrina L Roffe, David Heywood, Maureen Day, Richard O Graves, Nicholas |
|---|---|
| author |
Westbrook, Johanna I Gospodarevskaya, Elena Li, Ling Richardson, Katrina L Roffe, David Heywood, Maureen Day, Richard O Graves, Nicholas |
| spellingShingle |
Westbrook, Johanna I Gospodarevskaya, Elena Li, Ling Richardson, Katrina L Roffe, David Heywood, Maureen Day, Richard O Graves, Nicholas Journal of the American Medical Informatics Association Cost-effectiveness analysis of a hospital electronic medication management system Health Informatics |
| author_sort |
westbrook, johanna i |
| spelling |
Westbrook, Johanna I Gospodarevskaya, Elena Li, Ling Richardson, Katrina L Roffe, David Heywood, Maureen Day, Richard O Graves, Nicholas 1527-974X 1067-5027 Oxford University Press (OUP) Health Informatics http://dx.doi.org/10.1093/jamia/ocu014 <jats:title>Abstract</jats:title> <jats:p>Objective To conduct a cost–effectiveness analysis of a hospital electronic medication management system (eMMS).</jats:p> <jats:p>Methods We compared costs and benefits of paper-based prescribing with a commercial eMMS (CSC MedChart) on one cardiology ward in a major 326-bed teaching hospital, assuming a 15-year time horizon and a health system perspective. The eMMS implementation and operating costs were obtained from the study site. We used data on eMMS effectiveness in reducing potential adverse drug events (ADEs), and potential ADEs intercepted, based on review of 1 202 patient charts before (n = 801) and after (n = 401) eMMS. These were combined with published estimates of actual ADEs and their costs.</jats:p> <jats:p>Results The rate of potential ADEs following eMMS fell from 0.17 per admission to 0.05; a reduction of 71%. The annualized eMMS implementation, maintenance, and operating costs for the cardiology ward were A$61 741 (US$55 296). The estimated reduction in ADEs post eMMS was approximately 80 actual ADEs per year. The reduced costs associated with these ADEs were more than sufficient to offset the costs of the eMMS. Estimated savings resulting from eMMS implementation were A$63–66 (US$56–59) per admission (A$97 740–$102 000 per annum for this ward). Sensitivity analyses demonstrated results were robust when both eMMS effectiveness and costs of actual ADEs were varied substantially.</jats:p> <jats:p>Conclusion The eMMS within this setting was more effective and less expensive than paper-based prescribing. Comparison with the few previous full economic evaluations available suggests a marked improvement in the cost–effectiveness of eMMS, largely driven by increased effectiveness of contemporary eMMs in reducing medication errors.</jats:p> Cost-effectiveness analysis of a hospital electronic medication management system Journal of the American Medical Informatics Association |
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1527-974X 1067-5027 |
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Cost-effectiveness analysis of a hospital electronic medication management system |
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Cost-effectiveness analysis of a hospital electronic medication management system |
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Cost-effectiveness analysis of a hospital electronic medication management system |
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Cost-effectiveness analysis of a hospital electronic medication management system |
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Cost-effectiveness analysis of a hospital electronic medication management system |
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Cost-effectiveness analysis of a hospital electronic medication management system |
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cost-effectiveness analysis of a hospital electronic medication management system |
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Health Informatics |
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http://dx.doi.org/10.1093/jamia/ocu014 |
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2015 |
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784-793 |
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<jats:title>Abstract</jats:title>
<jats:p>Objective To conduct a cost–effectiveness analysis of a hospital electronic medication management system (eMMS).</jats:p>
<jats:p>Methods We compared costs and benefits of paper-based prescribing with a commercial eMMS (CSC MedChart) on one cardiology ward in a major 326-bed teaching hospital, assuming a 15-year time horizon and a health system perspective. The eMMS implementation and operating costs were obtained from the study site. We used data on eMMS effectiveness in reducing potential adverse drug events (ADEs), and potential ADEs intercepted, based on review of 1 202 patient charts before (n = 801) and after (n = 401) eMMS. These were combined with published estimates of actual ADEs and their costs.</jats:p>
<jats:p>Results The rate of potential ADEs following eMMS fell from 0.17 per admission to 0.05; a reduction of 71%. The annualized eMMS implementation, maintenance, and operating costs for the cardiology ward were A$61 741 (US$55 296). The estimated reduction in ADEs post eMMS was approximately 80 actual ADEs per year. The reduced costs associated with these ADEs were more than sufficient to offset the costs of the eMMS. Estimated savings resulting from eMMS implementation were A$63–66 (US$56–59) per admission (A$97 740–$102 000 per annum for this ward). Sensitivity analyses demonstrated results were robust when both eMMS effectiveness and costs of actual ADEs were varied substantially.</jats:p>
<jats:p>Conclusion The eMMS within this setting was more effective and less expensive than paper-based prescribing. Comparison with the few previous full economic evaluations available suggests a marked improvement in the cost–effectiveness of eMMS, largely driven by increased effectiveness of contemporary eMMs in reducing medication errors.</jats:p> |
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| author | Westbrook, Johanna I, Gospodarevskaya, Elena, Li, Ling, Richardson, Katrina L, Roffe, David, Heywood, Maureen, Day, Richard O, Graves, Nicholas |
| author_facet | Westbrook, Johanna I, Gospodarevskaya, Elena, Li, Ling, Richardson, Katrina L, Roffe, David, Heywood, Maureen, Day, Richard O, Graves, Nicholas, Westbrook, Johanna I, Gospodarevskaya, Elena, Li, Ling, Richardson, Katrina L, Roffe, David, Heywood, Maureen, Day, Richard O, Graves, Nicholas |
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| description | <jats:title>Abstract</jats:title> <jats:p>Objective To conduct a cost–effectiveness analysis of a hospital electronic medication management system (eMMS).</jats:p> <jats:p>Methods We compared costs and benefits of paper-based prescribing with a commercial eMMS (CSC MedChart) on one cardiology ward in a major 326-bed teaching hospital, assuming a 15-year time horizon and a health system perspective. The eMMS implementation and operating costs were obtained from the study site. We used data on eMMS effectiveness in reducing potential adverse drug events (ADEs), and potential ADEs intercepted, based on review of 1 202 patient charts before (n = 801) and after (n = 401) eMMS. These were combined with published estimates of actual ADEs and their costs.</jats:p> <jats:p>Results The rate of potential ADEs following eMMS fell from 0.17 per admission to 0.05; a reduction of 71%. The annualized eMMS implementation, maintenance, and operating costs for the cardiology ward were A$61 741 (US$55 296). The estimated reduction in ADEs post eMMS was approximately 80 actual ADEs per year. The reduced costs associated with these ADEs were more than sufficient to offset the costs of the eMMS. Estimated savings resulting from eMMS implementation were A$63–66 (US$56–59) per admission (A$97 740–$102 000 per annum for this ward). Sensitivity analyses demonstrated results were robust when both eMMS effectiveness and costs of actual ADEs were varied substantially.</jats:p> <jats:p>Conclusion The eMMS within this setting was more effective and less expensive than paper-based prescribing. Comparison with the few previous full economic evaluations available suggests a marked improvement in the cost–effectiveness of eMMS, largely driven by increased effectiveness of contemporary eMMs in reducing medication errors.</jats:p> |
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| imprint_str_mv | Oxford University Press (OUP), 2015 |
| institution | DE-Ch1, DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161, DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14 |
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| spelling | Westbrook, Johanna I Gospodarevskaya, Elena Li, Ling Richardson, Katrina L Roffe, David Heywood, Maureen Day, Richard O Graves, Nicholas 1527-974X 1067-5027 Oxford University Press (OUP) Health Informatics http://dx.doi.org/10.1093/jamia/ocu014 <jats:title>Abstract</jats:title> <jats:p>Objective To conduct a cost–effectiveness analysis of a hospital electronic medication management system (eMMS).</jats:p> <jats:p>Methods We compared costs and benefits of paper-based prescribing with a commercial eMMS (CSC MedChart) on one cardiology ward in a major 326-bed teaching hospital, assuming a 15-year time horizon and a health system perspective. The eMMS implementation and operating costs were obtained from the study site. We used data on eMMS effectiveness in reducing potential adverse drug events (ADEs), and potential ADEs intercepted, based on review of 1 202 patient charts before (n = 801) and after (n = 401) eMMS. These were combined with published estimates of actual ADEs and their costs.</jats:p> <jats:p>Results The rate of potential ADEs following eMMS fell from 0.17 per admission to 0.05; a reduction of 71%. The annualized eMMS implementation, maintenance, and operating costs for the cardiology ward were A$61 741 (US$55 296). The estimated reduction in ADEs post eMMS was approximately 80 actual ADEs per year. The reduced costs associated with these ADEs were more than sufficient to offset the costs of the eMMS. Estimated savings resulting from eMMS implementation were A$63–66 (US$56–59) per admission (A$97 740–$102 000 per annum for this ward). Sensitivity analyses demonstrated results were robust when both eMMS effectiveness and costs of actual ADEs were varied substantially.</jats:p> <jats:p>Conclusion The eMMS within this setting was more effective and less expensive than paper-based prescribing. Comparison with the few previous full economic evaluations available suggests a marked improvement in the cost–effectiveness of eMMS, largely driven by increased effectiveness of contemporary eMMs in reducing medication errors.</jats:p> Cost-effectiveness analysis of a hospital electronic medication management system Journal of the American Medical Informatics Association |
| spellingShingle | Westbrook, Johanna I, Gospodarevskaya, Elena, Li, Ling, Richardson, Katrina L, Roffe, David, Heywood, Maureen, Day, Richard O, Graves, Nicholas, Journal of the American Medical Informatics Association, Cost-effectiveness analysis of a hospital electronic medication management system, Health Informatics |
| title | Cost-effectiveness analysis of a hospital electronic medication management system |
| title_full | Cost-effectiveness analysis of a hospital electronic medication management system |
| title_fullStr | Cost-effectiveness analysis of a hospital electronic medication management system |
| title_full_unstemmed | Cost-effectiveness analysis of a hospital electronic medication management system |
| title_short | Cost-effectiveness analysis of a hospital electronic medication management system |
| title_sort | cost-effectiveness analysis of a hospital electronic medication management system |
| title_unstemmed | Cost-effectiveness analysis of a hospital electronic medication management system |
| topic | Health Informatics |
| url | http://dx.doi.org/10.1093/jamia/ocu014 |