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Record W7123360081 · doi:10.1093/ijpp/riaf132

Sustainability pharmacy assistants in large urban hospital system

2025· article· en· W7123360081 on OpenAlexaff
Sanjit Bains, Sharmain Ho, Michelle Sze, Sahar Moafi, Isla Drummond, Gigi Wong, Alfie Chung, Aaron M Tejani, Elissa S Y Aeng

Bibliographic record

VenueInternational Journal of Pharmacy Practice · 2025
Typearticle
Languageen
FieldMedicine
TopicHealthcare and Environmental Waste Management
Canadian institutionsFraser HealthUniversity of British Columbia
Fundersnot available
KeywordsSustainabilityPharmacyHealth careHospital pharmacyHealthcare systemPatient carePharmacy practiceHospital care

Abstract

fetched live from OpenAlex

OBJECTIVES: The financial feasibility and practical viability of implementing a Sustainability Pharmacy Assistant Position (SPAP) program were assessed in this study. Human resources operating independently of the site were utilized by this innovative strategy to process medication returns for redistribution. METHODS: The cost-effectiveness of employing SPAPs solely responsible for processing medication returns for redistribution was assessed in a 3-month pilot service at two hospital sites. Funding was sourced from unfilled positions, and the SPAP's tasks and schedule were coordinated with site staff. Data on medication returns and workflow were collected and analysed as well as labor costs and expenses to evaluate cost savings and operational impact. The results of the pilot were extrapolated to yield an estimate of the impacts of an expanded SPAP program for 12 hospitals in the area. KEY FINDINGS: The pilot service revealed net savings from SPAPs at two hospitals of $19 951. Extrapolating the net savings to two SPAPs working for a full year and servicing 12 Fraser Health hospitals, the return on investment was $6.51 per dollar invested for the first year. SPAPs are highly cost-effective and address previous problems with site-based resource issues. The SPAP was smoothly integrated into each site's workflow, with no disruptions or complaints from staff, allowing them to focus on their primary duties. CONCLUSIONS: Costs are effectively reduced, and operational efficiency is enhanced by the SPAPs through the processing of medication returns for redistribution. Given these positive outcomes, plans are in place to expand the program to additional sites, and similar initiatives are recommended for other healthcare systems. Financial savings are yielded by this approach, along with environmental benefits through the reduction of medication waste and incineration.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.874
Threshold uncertainty score0.537

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.017
GPT teacher head0.410
Teacher spread0.393 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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