Misurare la performance della logistica del farmaco: applicazione di una metodologia a due casi studio.

The present work presents a methodological framework for the analysis of costs and benefits of innovation in healthcare logistics. This framework is then applied to two different hospital sites with different logistical models. One hospital is characterized by the introduction of advanced technologies (such as Computerized Physician Order Entry, bar coding for patient identification and the unit dose system for drugs distribution) and by the complete outsourcing of transportation. The other one is characterized by a traditional logistic system. The performance analysis has been carried out along four dimensions: quality, costs, financial savings and patient safety. The unit dose system shows relevant advantages in terms of costs and patient safety. The FMEA methodology shows that in the hospital that adopts the unit dose system employees are more aware of the possibility of making errors.