Impact of an Automated Dispensing Cabinet-Regulated Community Insulin Vial Pilot Program on Inventory Costs

Purpose: To assess the impact of an automated dispensing cabinet-regulated community insulin vial pilot program on inventory costs associated with insulin regular, insulin NPH, and insulin detemir and average employee satisfaction survey scores. Methods: An automated dispensing cabinet-regulated community insulin vial pilot program was implemented in a designated surgical unit and a medical intensive care unit (MICU) of a Level I trauma center. Insulin dispensing volumes were analyzed over a 3-month period prior to implementation and 1-month after implementation. Pharmacy and nursing employee satisfaction were measured via voluntary anonymous pre-and post-implementation surveys. Results: Before implementation of the pilot program, inventory costs of insulin regular, insulin NPH, and insulin detemir averaged to $56.87, $30.92, and $1,699.68 in the designated surgical unit and $140.98, $23.50, and $1,720.44 in the MICU respectively. After implementation, inventory costs for insulin regular, insulin NPH, and insulin detemir were $63.07 (10.9% increase), $22.26 (28.1% decrease), $907.00 (46.6% decrease) for the designated surgical unit and $59.36 (57.9% decrease), $22.26 (28% decrease), and $0 for the MICU respectively. The reduction in MICU insulin detemir inventory costs after implementation was due to the lack of active orders. Average employee satisfaction scores decreased 57.4% (3.1 to 1.32, P < 0.0001) for nursing and increased 48.2% (2.51 to 3.72, P = 0.0007) for pharmacy after implementation. Conclusion: The implementation of a community insulin vial pilot program resulted in a decrease in insulin NPH inventory costs in both nursing units. Additionally a decrease in nursing employee satisfaction and an increase in pharmacy employee satisfaction were observed.

Name thesis:degree_name

Master of Science

Level thesis:degree_level

Masters

Discipline thesis:degree_discipline

Pharmacy Leadership & Administration

Grantor

University of Houston

Year dc:date.issued

2017

Author dc:creator

• Grego, Amanda

Advisors dc:contributor.advisor

• Wanat, Matthew A.
• Garey, Kevin W.

Committee members dc:contributor.committeemember

• Erowele, Goldina
• Varghese, Shaji

• Community vial
• Cost
• Insulin
• Inventories
• Pilot program

Statement dc:rights

• The author of this work is the copyright owner. UH Libraries and the Texas Digital Library have their permission to store and provide access to this work. Further transmission, reproduction, or presentation of this work is prohibited except with permission of the author(s).

Language dc:language.iso

eng

Handle dc:identifier.uri

https://hdl.handle.net/10657/4577

OAI identifier oai:identifier

oai:uh-ir.tdl.org:10657/4577