An ADS (automated dispensing system) was implemented in our hospital pharmacy in 2008 to optimize and secure the medication process. The main objective of this study was to compare the projected and the real ROI (r...An ADS (automated dispensing system) was implemented in our hospital pharmacy in 2008 to optimize and secure the medication process. The main objective of this study was to compare the projected and the real ROI (return on investment), after seven years of use. ROI was calculated annually (from 2008 to 2015), by deducting the cost of investment (ADS buying and implementation, maintenance, repairs and ADS upgrade) from the cost saving (drugs stock reduction and decrease of pharmacy staff dedicated to global dispensing). In 2015, total costs saving (+$1,141,987) were divided between decreasing drug stock value and reduction of pharmacy staff. Total costs of investment (-$978,656) were acquisition, maintenance, repairs and an unplanned upgrade costs. Finally, the real ROI was +$163,331 after seven years of use. In 2008, projected ROI was +$410,786. The real payback period has been increased by approximately two years (six years of use, instead of four years as expected). Despite their cost, ADSs are a worthwhile investment, leading to a ROI within a few years. These economic considerations should be put into perspective with optimization of drugs stock management, greater efficiency of the global dispensing process, securitization of medication process and redeployment of pharmacy staff.展开更多
Although we often see references to Carnap's inductive logic even in modern literatures, seemingly its confusing style has long obstructed its correct understanding. So instead of Carnap, in this paper, I devote myse...Although we often see references to Carnap's inductive logic even in modern literatures, seemingly its confusing style has long obstructed its correct understanding. So instead of Carnap, in this paper, I devote myself to its necessary and sufficient commentary. In the beginning part (Sections 2-5), I explain why Carnap began the study of inductive logic and bow he related it with our thought on probability (Sections 2-4). Therein, I trace Carnap's thought back to Wittgenstein's Tractatus as well (Section 5). In the succeeding sections, I attempt the simplest exhibition of Carnap's earlier system, where his original thought was thoroughly provided. For this purpose, minor concepts to which researchers have not paid attention are highlighted, for example, m-function (Section 8), in-correlation (Section 10), C-correlate (Section 10), statistical distribution (Section 12), and fitting sequence (Section 17). The climax of this paper is the proof of theorem (56). Through this theorem, we will be able to overview Carnap's whole system.展开更多
文摘An ADS (automated dispensing system) was implemented in our hospital pharmacy in 2008 to optimize and secure the medication process. The main objective of this study was to compare the projected and the real ROI (return on investment), after seven years of use. ROI was calculated annually (from 2008 to 2015), by deducting the cost of investment (ADS buying and implementation, maintenance, repairs and ADS upgrade) from the cost saving (drugs stock reduction and decrease of pharmacy staff dedicated to global dispensing). In 2015, total costs saving (+$1,141,987) were divided between decreasing drug stock value and reduction of pharmacy staff. Total costs of investment (-$978,656) were acquisition, maintenance, repairs and an unplanned upgrade costs. Finally, the real ROI was +$163,331 after seven years of use. In 2008, projected ROI was +$410,786. The real payback period has been increased by approximately two years (six years of use, instead of four years as expected). Despite their cost, ADSs are a worthwhile investment, leading to a ROI within a few years. These economic considerations should be put into perspective with optimization of drugs stock management, greater efficiency of the global dispensing process, securitization of medication process and redeployment of pharmacy staff.
文摘Although we often see references to Carnap's inductive logic even in modern literatures, seemingly its confusing style has long obstructed its correct understanding. So instead of Carnap, in this paper, I devote myself to its necessary and sufficient commentary. In the beginning part (Sections 2-5), I explain why Carnap began the study of inductive logic and bow he related it with our thought on probability (Sections 2-4). Therein, I trace Carnap's thought back to Wittgenstein's Tractatus as well (Section 5). In the succeeding sections, I attempt the simplest exhibition of Carnap's earlier system, where his original thought was thoroughly provided. For this purpose, minor concepts to which researchers have not paid attention are highlighted, for example, m-function (Section 8), in-correlation (Section 10), C-correlate (Section 10), statistical distribution (Section 12), and fitting sequence (Section 17). The climax of this paper is the proof of theorem (56). Through this theorem, we will be able to overview Carnap's whole system.