Skip to main content
Log in

A Simulation Study to Improve Performance in the Preparation and Delivery of Antineoplastic Medications at a Community Hospital

  • Original Paper
  • Published:
Journal of Medical Systems Aims and scope Submit manuscript

Abstract

In this paper, we introduce a simulation study to improve the antineoplastic medication preparation and delivery performance at a pharmacy department in a large community hospital. The goal of this work is to help pharmacy reduce patients’ average waiting time when receiving chemotherapy. This will be achieved by simulating and analyzing the preparation and delivery procedures to identify process bottlenecks, carry out what-if analysis, predict the impact of improvement effort, and provide recommendations to hospital leadership. Using the simulation model, we discover that by introducing early preparation for the returning patients and dedicating an infusion staff member for medication delivery, patients’ waiting time for antineoplastic medications can be reduced substantially. Such improvements do not require additional floor space or significant investment. The recommendation has been accepted by hospital management and implemented in the pharmacy department. The preliminary results have verified the simulation output with the desired improvement predicted by the model.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Jacobson, S. H., Hall, S. N., and Swisher, J. R., Discrete-event simulation of health care systems. In: Hall, R. W. (Ed.), Patient flow: Reducing delay in healthcare delivery, Vol. 91, pp. 211–252, 2006.

  2. Brenner, S., Zeng, Z., Liu, Y., Wang, J., Li, J., and Howard, P. K., Modeling and analysis of emergency department at University of Kentucky Chandler Hospital using simulations. J. Emerg. Nurs. 36:303–310, 2010.

    Article  Google Scholar 

  3. Reynolds, J., Zeng, Z., Li, J., and Chiang, S.-Y., Design and analysis of a health care clinic for homeless people using simulations, Int. J. Health Care Qual. Assur. 23:607–620, 2010.

    Article  Google Scholar 

  4. Lu, L., Li J., and Gisler, P., Improving financial performance by modeling and analysis of radiology procedure scheduling at a large community hospital. J. Med. Syst. 35:299–307, 2011.

    Article  Google Scholar 

  5. Zeng, Z., Ma, X., Hu, Y., Li, J., and Bryant, D., A simulation study to improve quality of care in emergency department of a community hospital. J. Emerg. Nurs. 2011. doi:10.1016/j.jen.2011.03.005.

    Google Scholar 

  6. Wang, J., Li, J., Tussey, K., and Ross, K., Reducing length of stay in emergency department: A simulation study at a community hospital. IEEE Trans. Syst. Man Cybern., Part A accepted, 2011.

  7. Vemuri, S., Simulated analysis of patient waiting time in an outpatient pharmacy. Am. J. Hosp. Pharm. 41:1127–1130, 1984.

    Google Scholar 

  8. Ishimoto, K., Ishimitsu, T., Koshiro, A., and Hirose, S., Computer simulation of optimum personnel assignment in hospital pharmacy using a work-sampling method. Infor. Health and Soc. Care 15:343–354, 1990.

    Article  Google Scholar 

  9. Lin, A. C., Jang, R., Sedani, D., Thomas, S., Barker, K. N., and Flynn, E. A., Re-engineering a pharmacy work system and layout to facilate patient counceling. Am. J. Health-Syst. Pharm. 53:1558–1564, 1996.

    Google Scholar 

  10. Bryony, D., van Ackere, A., Gallivan, S., and Barber, N., When should pharmacists visit their wards? An application of simulation to planning hospital pharmacy services. Health Care Manage. Sci. 2:35–42, 1999.

    Article  Google Scholar 

  11. Tan, W. S., Chua, S. L. Yong, K. W., and Wu, T. S., Impact of pharmacy automation on patient waiting time: An application of computer simulation. Ann. Acad. Med. 38:501–507, 2009.

    Google Scholar 

  12. Hauge, J. W., and Paige, K. N., Learning SIMUL8: the complete guide. Bethlingham, WA: Plain Vu Publishers, 2002.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jingshan Li.

Additional information

This paper is supported in part by NSF Grant # CMMI 1063671.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lu, T., Wang, S., Li, J. et al. A Simulation Study to Improve Performance in the Preparation and Delivery of Antineoplastic Medications at a Community Hospital. J Med Syst 36, 3083–3089 (2012). https://doi.org/10.1007/s10916-011-9786-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10916-011-9786-y

Keywords

Navigation