Evidence map›Paper›PMID 40598337›Full record

ArticleBMC health services research2025

Analysis of the efficiency and effectiveness of technology transformation through the introduction of ADC in the Emergency Department: a Taiwanese case study.

Valerio Brescia, Yafang Tsai, Sue-Ting Chung, Cheng-Chieh Lin, Federico Chmet, Ginevra Degregori, Ying-Chun Lai

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Valerio Brescia *Department of Management, University of Turin, Corso Orbassano 218 bis, Turin, 10126, Italy. valerio.brescia@unimi.it.ORCID http://orcid.org/0000-0001-7919-5370
Yafang Tsai *Department Health Policy and Management, Chung Shan Medical University, No. 110, Section 1, Jianguo N Rd, South District, Taichung City, 40201, Taiwan.ORCID http://orcid.org/0000-0001-7591-2854
Sue-Ting ChungKuang Tien General Hospital, No. 117, Shatien Rd, Shalu District, Taichung City, 433, Taiwan.
Cheng-Chieh LinDepartment of Information Technology, Kuang Tien General Hospital, No. 117, Shatian Rd, Shalu District, Taichung City, 433, Taiwan.
Federico ChmetDepartment of Management, University of Turin, Corso Orbassano 218 bis, Turin, 10126, Italy.
Ginevra DegregoriDepartment of Management, University of Turin, Corso Orbassano 218 bis, Turin, 10126, Italy.
Ying-Chun LaiDepartment of Applied Foreign Languages, Chung Shan Medical University, Taichung City, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluates the impact of Automated Dispensing Cabinets (ADCs) on workflow efficiency, cost savings, and medication therapy management in the Emergency Department of a Taiwanese regional hospital. ADCs are a key technology in healthcare, aimed at improving the efficiency and effectiveness of medication management processes.

methodData were collected from the hospital’s information system, comparing one year before and one year after the ADC implementation. The study focused on the Emergency Department of Dajia Hospital and included a comparison with Shalu Hospital. Additionally, semi-structured interviews were conducted with nurses and pharmacists to gather qualitative insights.

resultsThe implementation of ADCs significantly improved workflow efficiency by reducing the time required for drug preparation and administration, leading to an average time savings of 25.68 min per patient. Cost savings were realized through a 10.99% reduction in nursing activity costs, amounting to $83,326.25 annually. The ADCs also enhanced medication therapy management by improving drug tracking and availability. However, challenges such as manual errors in medication dispensing and system limitations were identified.

conclusionsADCs improve operational efficiency and cost-effectiveness in Emergency Departments, reducing healthcare professionals’ workload and enhancing medication management. Despite these benefits, ongoing training and system optimization are necessary to address remaining challenges and enhance overall performance.

Indexed as

Efficiency, OrganizationalEmergency Service, HospitalMedication Systems, HospitalCost-Benefit AnalysisCost SavingsDrug DispensariesHumansInterviews as TopicOrganizational Case StudiesTaiwanWorkflowADCCost-effectivenessCost-efficiencyEmergency departmentHealthcare organization

Identifiers

PMID40598337
PMCPMC12219333

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.