scholarly journals The Role of the Clinical Pharmacist in an Irish University Teaching Hospital: A Mixed-Methods Study

Pharmacy ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 14
Author(s):  
Sarah Ronan ◽  
Nicola Shannon ◽  
Katie Cooke ◽  
Trish McKeon ◽  
Elaine K. Walsh ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Cost Benefit ◽  
Mixed Methods Study ◽  
Drug Event ◽  
Benefit Ratio ◽  
Cost Avoidance ◽  
Cost Benefit Ratio ◽  
The Cost ◽  
The Impact

Medication review (MR) is a vital part of the pharmacist’s role in hospital. However, in the South Infirmary Victoria University Hospital (SIVUH), Cork, Ireland, this has not been fully implemented due to resource issues. In addition, the cost of providing this service has not been evaluated. Moreover, it is not clear how other members of the multidisciplinary team e.g., Nurses, value any interventions made as a result of the MR. This mixed methods study assessed the impact of MR in terms of (i) potential clinical harm, (ii) cost avoidance and (iii) the views of nursing staff on the role of the pharmacist. The setting is a 192-bed, voluntary, acute hospital, in the Munster region of Ireland. Study I: The pharmacist provided MR to patients conventionally once a week. Any interventions were then assessed for potential clinical harm and to calculate cost avoidance. Study II: Semi-structured interviews, guided by a topic guide were completed with 12 nurses (11 female). Thematic analysis was used to code the main themes. Main outcome measure: To estimate the cost, cost avoidance, and the net cost benefit ratio of MR provided by pharmacists. Study I: Of 128 patients who received the MR, 113 interventions were made. The estimated cost of providing the MR was €2559 (senior pharmacist). Using €1084 as the cost of an adverse drug event (ADE), the cost avoidance was calculated at €42,330. This led to a net cost benefit of €39,771 (senior pharmacist) which equated to a net cost benefit ratio of 16.5:1. Study II: The main themes were (i) perceptions of pharmacy services, (ii) the role of the pharmacist—past, present and future, and (iii) teamwork and communication. Nurses expressed a desire to have more pharmacists present on the wards.

scholarly journals Terrorism and National Morality

2015 ◽  
Vol 1 (1) ◽  
pp. 1 ◽  
Author(s):  
William R. DiPietro
Keyword(s):  
Regression Analysis ◽  
Negative Relationship ◽  
Cost Benefit ◽  
Social Benefits ◽  
Benefit Ratio ◽  
Theoretical Hypothesis ◽  
Cost Benefit Ratio ◽  
Cross Country ◽  
The Cost ◽  
The Impact

<p><em>This paper empirically investigates whether there is a negative relationship between the impact of terrorism in a country and national morality. A negative relationship between terrorism and national morality is predicted to exist, because it is reasoned that, in general, greater national morality leads to higher individual and social costs of terrorism, and to lower individual and social benefits from terrorism. Given the standard neoclassical assumption of rationality, an increase in the cost benefit ratio of terrorism due to increased national morality means that, with increased national morality, individuals will rationally choose to engage in less terrorism.The paper uses cross country regression analysis on contemporary data to test these ideas. It regresses the impact of terrorism on national morality and other variables. The results of the empirics of the paper are consistent with the key theoretical hypothesis. They show that the impact of terrorism is negatively associated with national morality. </em></p>

Home Visitation Investment

PEDIATRICS ◽  
1992 ◽  
Vol 89 (1) ◽  
pp. 169-169
Author(s):  
NORMAN J. SISSMAN
Keyword(s):  
Health Care ◽  
Home Visits ◽  
Cost Benefit ◽  
Home Visitation ◽  
Benefit Ratio ◽  
Health Care Resources ◽  
Detailed Consideration ◽  
Cost Benefit Ratio ◽  
Women And Children ◽  
The Cost

To the Editor.— Two recent reviews in Pediatrics1,2 provide much interesting information on the effect of home visits on the health of women and children. However, I was disappointed not to find in either article more than token reference to the cost of the programs reviewed. In this day of increasingly scarce health care resources, we no longer have the luxury of evaluating programs such as these without detailed consideration of their cost-benefit ratio.

scholarly journals Ultrasound scan as a potential source of nosocomial and cross-infection: a literature review

2015 ◽  
Vol 48 (5) ◽  
pp. 319-323 ◽  
Author(s):  
André Hadyme Miyague ◽  
Fernando Marum Mauad ◽  
Wellington de Paula Martins ◽  
Augusto César Garcia Benedetti ◽  
Ana Elizabeth Gomes de Melo Tavares Ferreira ◽  
...  
Keyword(s):  
Literature Review ◽  
Cost Benefit ◽  
Cross Infection ◽  
Ultrasound Scan ◽  
Benefit Ratio ◽  
Source Of Infection ◽  
Potential Source ◽  
Cost Benefit Ratio ◽  
The Cost

AbstractThe authors review the main concepts regarding the importance of cleaning/disinfection of ultrasonography probes, aiming a better comprehension by practitioners and thus enabling strategies to establish a safe practice without compromising the quality of the examination and the operator productivity. In the context of biosafety, it is imperative to assume that contact with blood or body fluids represents a potential source of infection. Thus, in order to implement cleaning/disinfection practice, it is necessary to understand the principles of infection control, to consider the cost/benefit ratio of the measures to be implemented, and most importantly, to comprehend that such measures will not only benefit the health professional and the patient, but the society as a whole.

scholarly journals Cost efficient internet of things based smart farm system for rural farmers: Leveraging design thinking approach

2021 ◽  
Vol 3 (2) ◽  
pp. 111-120
Author(s):  
Segun Adebayo ◽  
Ozichi Emuoyibofarhe ◽  
Tolulope Awofolaju
Keyword(s):  
Design Thinking ◽  
Agricultural Sector ◽  
Cost Benefit ◽  
Design Development ◽  
Impact Performance ◽  
Farm Productivity ◽  
Cost Benefit Ratio ◽  
Cost Efficient ◽  
The Cost ◽  
The Impact

Farmers are faced with challenges of producing enough food and the use of traditional methods seems not to keep pace with the ever-growing demand of the populace thus creating increased concern in food scarcity. Although it has been identified that smart tools will enhance the production pace needed in the Agricultural sector, unfortunately, most of these tools are designed for farmers without their inputs, thus creating tools that are not meeting demands. This study focused on a farmer-centered design, development, and deployment approach to improving farm productivity. The design thinking approach was used to identify the specific need of the farmers in selected areas, ideas were created using brainstorming sessions involving experts in the field, and prototypes were developed and deployed to evaluate the impact performance. The result shows that the proposed system improved the cost-benefit ratio of crop farming from 2.14 to 2.26. This is a 12% productivity increase.

scholarly journals Firms Political Connections and Winning Government Contracts

2016 ◽  
Vol 8 (2) ◽  
pp. 19 ◽  
Author(s):  
Saidatou Dicko
Keyword(s):  
Cost Benefit ◽  
Political Connections ◽  
Government Contracts ◽  
Competitive Advantages ◽  
Governmental Organizations ◽  
Canadian Context ◽  
Cost Benefit Ratio ◽  
Corporate Actions ◽  
The Cost ◽  
The Impact

<p>This study investigates the impact of political connections on the awarding of government contracts to Canadian companies.<strong> </strong>Two-stage least squares (2SLS) analyses were performed on a sample of S&amp;P/TSX companies from 2010 to 2014 inclusively.<strong> </strong>The results show that political connections are positively and significantly associated with the winning of government contracts. Politically connected firms obtain more government contracts and higher contract values than non-connected firms. Political connections thus appear to be directly associated with securing government contracts in the Canadian context. Firms can view political connections as a non-market, long-term strategy to help them gain competitive advantages and improve their performance. Accordingly, they tend to appoint directors and managers taking these connections and the advantages that can be gained into account. However, they must seriously consider the cost-benefit ratio of this strategy. For example, the costs incurred could be ethical in nature and firms could find themselves in a position of conflict of interest that could lead to extensive negative media exposure.<strong> </strong>These results alert regulatory and governmental organizations to the need for them to remain vigilant and to strengthen corporate governance regulations to prevent the excesses and abuses that could arise from firms’ political actions.<strong> </strong>Our study is the first to demonstrate a direct relationship between corporate political connections and government contracts in the Canadian context. The results confirm the growing interdependence between politics and business, particularly the increase in the number of corporate actions intended to influence government decisions.</p>

scholarly journals 51 Evaluation of a Clinical Pharmacy Service on an Inpatient Ward in an Acute Hospital

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Ciara McGann ◽  
Bernie Love ◽  
James Carr ◽  
Marie O'Connor ◽  
Eamon Dolan
Keyword(s):  
Patient Safety ◽  
Clinical Pharmacy ◽  
Cost Benefit ◽  
Pharmacy Service ◽  
Clinical Pharmacy Service ◽  
Potential Cost ◽  
Benefit Ratio ◽  
Cost Avoidance ◽  
Medication Incident ◽  
Cost Benefit Ratio

Abstract Background Intensive clinical pharmacy input from admission to discharge has been shown to improve patient outcomes. The clinical pharmacy service in our institution has historically been under-resourced. The aim of this study is to develop a ward-based clinical pharmacy service and to evaluate its impact using a number of clinical, safety and financial metrics. Methods A clinical pharmacist was assigned to provide pharmaceutical care to patients on a Medicine for the Older Person ward. Over an eight week period, the pharmacist prospectively recorded her interventions/activities. To assess impact on patient care, interventions were graded according to the Eadon criteria. The potential cost avoidance associated with interventions was estimated. Medication incident reporting was analysed to assess the impact on patient safety. Results 87% of patients had at least one pharmacist intervention, across a spectrum of activities including medication reconciliation and clinical review. 90% of interventions requiring follow-up with the medical team were accepted and resulted in a change to patient’s care. Eadon grading of interventions deemed 99% to be significant, with 81% improving the standard of patient care. Two different methods were used to estimate potential cost avoidance: one estimated annual savings of €154,103 - €344,926; the other estimated these at €174,373. Given current pharmacist salary costs, this equates to a cost-benefit ratio of 2.8:1 to 6.3:1. (This does not include the 27% reduction in drug spend observed during the study period. However, more longitudinal data are required to confirm and characterise this phenomenon.) A five-fold increase in medication incident reporting from the ward was observed, suggestive of an enhanced culture of patient safety. Conclusion This study assessed and quantified a wide spectrum of pharmacist contributions to medication management and safety. Costing of these contributions estimates the cost-benefit ratio of the clinical pharmacy service, providing compelling support for the extension of this service throughout the hospital.

scholarly journals The unpopularity of incentive-based instruments: what improves the cost–benefit ratio?

Public Choice ◽  
2018 ◽  
Vol 175 (1-2) ◽  
pp. 37-62 ◽  
Author(s):  
Isabelle Stadelmann-Steffen ◽  
Clau Dermont
Keyword(s):  
Cost Benefit ◽  
Benefit Ratio ◽  
Cost Benefit Ratio ◽  
The Cost

An Economic Evaluation of the Introduction of Vaccination Against Hepatitis a in a Peacekeeping Operation: The Case of the United Nations Protection Force in Yugoslavia

1994 ◽  
Vol 10 (3) ◽  
pp. 490-497 ◽  
Author(s):  
Tom Jefferson ◽  
Vittorio Demicheli ◽  
David Wright
Keyword(s):  
United Nations ◽  
Marginal Cost ◽  
Hepatitis A ◽  
Passive Immunization ◽  
Cost Benefit ◽  
Low Risk ◽  
Costs And Benefits ◽  
Benefit Ratio ◽  
Cost Benefit Ratio ◽  
The Cost

AbstractThe costs and benefits of vaccinating troops on United Nations tours in Yugoslavia against hepatitis A were compared. The marginal cost of one case of hepatitis A avoided by vaccination was calculated and compared with the marginal cost of achieving the same outcome by passive immunization. The cost-benefit ratio (medium estimate) for troops at low risk of contracting hepatitis A was 0.01 and for those at high risk was 0.03.Vaccinating troops against hepatitis A for a single deployment appears to be an inefficient procedure, especially in troops at low risk. However, in professional troops from countries of low hepatitis A endemicity who are likely to be involved in several operational deployments, vaccination becomes more efficient the more times the same troops are deployed.

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