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Comparison of traditional methods versus SAFEcount for filling prescriptions: A pilot study of an innovative pill counting solution in eSwatini


Autoři: Paul J. Krezanoski aff001;  Joseph D. Krezanoski aff002;  Nkosinathi Nxumalo aff004;  Rose Gabert aff002;  Alison B. Comfort aff001;  Phinda Khumalo aff006;  Kidwell Matshotyana aff007
Působiště autorů: University of California San Francisco, San Francisco, CA, United States of America aff001;  Opportunity Solutions International, San Francisco, CA, United States of America aff002;  Massachusetts General Hospital Institute of Health Professions, Boston, MA, United States of America aff003;  ICAP at Columbia University, Mbabane, eSwatini aff004;  University of Washington, Seattle, WA, United States of America aff005;  National Yang Ming University, Taipei, Taiwan aff006;  Eastern Cape Department of Health, Bhisho, South Africa aff007
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0224323

Souhrn

Background

Packaging medications is a crucial component of health system efficiency and quality. In developing countries, medications often arrive in bulk containers that need to be counted by hand. Traditional counting is time-consuming, inaccurate and tedious. SAFEcount is a novel and inexpensive handheld device that may improve the accuracy and speed of pill-counting in resource limited settings. We designed a head-to-head trial to compare traditional and SAFEcount prescription filling in eSwatini.

Methods

We recruited 31 participants from 13 health facilities throughout eSwatini. Speed and accuracy for each prescription was recorded while each participant filled prescriptions of various quantities using both the traditional and SAFEcount methods.

Results

Traditional pill counting resulted in an error rate of 12.6% inaccurate prescriptions compared to 4.8% for SAFEcount (p<0.0001). SAFEcount was 42.3% faster than traditional counting (99.9 pills per minute versus 70.2; p<0.0001). Using SAFEcount was preferred over traditional pill counting by 97% (29/30) of participants.

Conclusions

The SAFEcount device is a preferred alternative by counting personnel and is significantly faster and more accurate compared to traditional counting methods. SAFEcount could help improve the efficiency and quality of health care delivery in place of traditional hand counting.

Klíčová slova:

Nurses – Schools – Pilot studies – Opportunistic infections – Balance and falls – Consumer electronics – Imaging equipment


Zdroje

1. Stenberg K, Hanssen O, Edejer TT, Bertram M, Brindley C, Meshreky A. Financing transformative health systems towards achievement of the health Sustainable Development Goals: a model for projected resource needs in 67 low-income and middle-income countries. Lancet Glob Health. 2017;5(9):e875–e887. doi: 10.1016/S2214-109X(17)30263-2 28728918

2. Fuangchan A, Dhippayom T, Kongkaew C. Intervention to promote patients' adherence to antimalarial medication: a systematic review. The American Journal of Tropical Medicine and Hygiene. 2014;90(1):11–19. doi: 10.4269/ajtmh.12-0598 24166045

3. Boeni F, Spinatsch E, Suter K, Hersberger KE, Arnet I. Effect of drug reminder packaging on medication adherence: a systematic review revealing research gaps. Systematic reviews. 2014;3(1):29.

4. World Health Organization (WHO). "Swaziland: Country Cooperation Strategy at a Glance. WHO. 2014. http://www.who.int/countryfocus/cooperation_strategy/ccsbrief_swz_en.pdf. Accessed 11 June 2018.

5. Avert. HIV and AIDS in Swaziland. Avert. 2017. http://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/eSwatini. Accessed 11 June 2018.

6. WHO. Guidelines on Co-Trimoxazole Prophylaxis for HIVRelated Infections among Children, Adolescents and Adults in Resource-Limited Settings: Recommendations for a Public Health Approach. WHO. 2006. http://www.who.int/hiv/pub/guidelines/WHO%20CTX.pdf. Accessed 11 June 2018.

7. Swaziland Ministry of Health. HIV management guidelines. WHO. 2017. https://aidsfree.usaid.gov/sites/default/files/tx_swaziland_2015.pdf. Accessed 11. June 2018.

8. Adlan OMA, Alzubaidi AJ. Pharmacy Automation-Pill Counting Design. International Journal of Engineering Research and Applications. 2015;5(3):35–38.

9. Walsh KE, Chui MA, Kieser MA, Williams SM, Sutter SL, Sutter, JG. Exploring the impact of an automated prescription-filling device on community pharmacy technician workflow. Journal of the American Pharmacists Association. 2011;51(5):613–618. doi: 10.1331/JAPhA.2011.09166 21896459

10. Berg KM, Arnsten, JH. Practical and conceptual challenges in measuring antiretroviral adherence. Journal of acquired immune deficiency syndromes. 2006;43(Suppl 1):S79.

11. Management Sciences for Health. International Drug Price Indicator. WHO. 2010. http://apps.who.int/medicinedocs/documents/s18714en/s18714en.pdf. Accessed 11 June 2018.


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2019 Číslo 12
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